Perceived cognitive loss, symptomology, and psychological well-being with bipolar disorder.

IF 2.8 2区 医学 Q2 PSYCHIATRY
Ophir Haglili, Andrew Sixsmith, Ariel Pollock Star, Moshe Shmueli, Norm O'Rourke
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Abstract

Background: Adults with bipolar disorder (BD) commonly present with cognitive deficits. Many also report subjective or perceived cognitive failures. For this study, we identified four distinct clusters of adults with BD on the basis of both BD symptoms (depression and hypo/mania) and perceived cognitive errors (i.e., forgetfulness, distractibility, false triggering). We hypothesized that participants reporting more BD symptoms and cognitive errors would report lower psychological well-being (i.e., self-efficacy, life scheme, life satisfaction). A second objective was to determine if and how clusters differed in terms of BD related factors (e.g., subtypes, sleep, medications) and sociodemographic differences such as age of participants. From the BADAS (Bipolar Affective Disorder and older Adults) Study, we identified 281adults with BD (M = 44.27 years of age, range 19-81), recruited via social media.

Results: All clusters significantly differed across all grouping variables except symptoms of hypo/mania due to low frequency. Across clusters, perceived cognitive failures and BD symptoms increased in lockstep; that is, those reporting more cognitive errors also reported significantly higher symptoms of both depression and hypo/mania. As hypothesized, they also reported significantly lower psychological well-being.

Conclusions: Age did not significantly differ across clusters in contrast to existing research in which cognitive loss is objectively measured. That is, perceived cognitive errors are significantly associated with lower psychological well-being for both young and older adults with BD.

躁郁症患者的认知丧失感、症状和心理健康。
背景:患有双相情感障碍(BD)的成年人通常会出现认知障碍。许多患者还报告了主观或感知的认知失败。在本研究中,我们根据双相情感障碍症状(抑郁和低/躁狂)和认知错误(即健忘、注意力分散、错误触发),确定了四个不同的双相情感障碍成人群组。我们假设,报告更多 BD 症状和认知错误的参与者会报告较低的心理健康水平(即自我效能、生活计划和生活满意度)。第二个目标是确定在 BD 相关因素(如亚型、睡眠、药物)和社会人口学差异(如参与者的年龄)方面,群组是否存在差异以及如何存在差异。我们从 BADAS(双相情感障碍和老年成年人)研究中确定了 281 名患有双相情感障碍的成年人(M=44.27 岁,年龄范围为 19-81 岁),他们是通过社交媒体招募的:除了低血糖/躁狂症状因出现频率低外,所有群组在所有分组变量上都存在明显差异。在各组群中,认知失败和抑郁症状的增加是同步的;也就是说,那些报告了较多认知错误的人也报告了明显较高的抑郁症状和低血糖/躁狂症状。正如假设的那样,他们的心理健康水平也明显较低:与客观测量认知损失的现有研究相比,不同群组之间的年龄差异并不明显。也就是说,无论是年轻还是年长的 BD 患者,认知错误都与较低的心理幸福感显著相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Bipolar Disorders
International Journal of Bipolar Disorders Medicine-Psychiatry and Mental Health
CiteScore
6.70
自引率
5.00%
发文量
26
审稿时长
13 weeks
期刊介绍: The International Journal of Bipolar Disorders is a peer-reviewed, open access online journal published under the SpringerOpen brand. It publishes contributions from the broad range of clinical, psychological and biological research in bipolar disorders. It is the official journal of the ECNP-ENBREC (European Network of Bipolar Research Expert Centres ) Bipolar Disorders Network, the International Group for the study of Lithium Treated Patients (IGSLi) and the Deutsche Gesellschaft für Bipolare Störungen (DGBS) and invites clinicians and researchers from around the globe to submit original research papers, short research communications, reviews, guidelines, case reports and letters to the editor that help to enhance understanding of bipolar disorders.
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