Assessment of Cognitive Functions in Bipolar Disorder Patients

A. ElBeh, Hossam Khalifa, Marwa Salama
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Abstract

: Bipolar disorders are chronic disorders with a high relapse rate; the lifetime prevalence is approximately 4%. Bipolar patients may experience cognitive impairment at various phases of the illness, even during the euthymic phase of the disease. Aims: To assess cognitive abilities in individuals with bipolar 1 disorder during remission and to investigate the correlation between cognitive functions and the clinical profile and demographic characteristics of the patients. Setting and Design: This is a case-control study involving patients diagnosed with bipolar 1 disorder in the euthymic phase, as per DSM-5 diagnostic criteria. Patients and methods: This study included 36 bipolar 1 disorder patients in the euthymic phase diagnosed according to DSM-5 diagnostic criteria. Also, it included 36 cross-matched healthy individuals as control subjects. Results: Patients with bipolar1 disorder demonstrated considerably lesser cognitive functions during remission than the control group. The bipolr1 disorder severity and recurrence are significantly inversely correlated to cognitive function. Conclusion: Bipolar1 disorder patients frequently have cognitive impairment at all phases of the illness, even during euthymia. Cognitive impairment is frequently seen as a fundamental feature of bipolar disorder. The severity and recurrence of the illness appear to play a key influence in cognitive impairments.
双相情感障碍患者的认知功能评估
:躁郁症是一种复发率很高的慢性疾病,终生发病率约为 4%。躁郁症患者在疾病的不同阶段都可能出现认知障碍,甚至在疾病的缓解期也是如此。目的:评估双相情感障碍 1 患者在缓解期的认知能力,并研究认知功能与患者临床特征和人口统计学特征之间的相关性。背景与设计:这是一项病例对照研究,根据 DSM-5 诊断标准,研究对象为处于缓解期的双相情感障碍 1 患者。患者和方法:本研究包括 36 名根据 DSM-5 诊断标准确诊的处于 "躁狂 1 型 "障碍痊愈期的患者。此外,还包括 36 名交叉配对的健康人作为对照对象。研究结果双相情感障碍 1 患者在缓解期的认知功能明显低于对照组。躁郁症的严重程度和复发率与认知功能呈明显的反比关系。结论躁郁症患者在疾病的各个阶段,甚至在安乐期,都经常会出现认知功能障碍。认知障碍经常被视为躁郁症的基本特征。疾病的严重程度和复发似乎对认知功能障碍有关键影响。
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