Isabela Martins Becattini Pereira, Lucas Machado Mantovani, Gabriel Anselmo Frota, Raphael Rocha Wenceslau, Juliana Cunha Matos, Breno Fiuza Cruz, Antônio Lúcio Teixeira, Izabela Guimarães Barbosa
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Current physical conditions were assessed and categorized according to the Cumulative Illness Rating Scale (CIRS). Regression analyses were performed to examine the relationship between functioning and clinical variables, global cognitive performance, and physical comorbidities in BD.</p><p><strong>Results: </strong>UPSA correlated positively with the BAC-A total score (r=0.488; p=0.025), years of education (rho=0.41; p<0.01), and CIRS total score (rho=0.394; p<0.001). CIRS was the only predictor that remained negatively and significantly correlated with the UPSA total score (R<sup>2</sup>=0.446, F (1, 33)=8.198, p=0.007).</p><p><strong>Conclusion: </strong>Patients with BD had poor functioning, with the primary determinant of poor functioning being the burden of physical illnesses. 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引用次数: 0
摘要
双相情感障碍(BD)是一种与功能和认知障碍相关的精神障碍,以及更高患病率的身体疾病合并症。目的:探讨BD患者功能的主要预测因素。方法:对35例缓解期BD I型患者进行研究。为了更好地表征损伤程度,还研究了20个匹配的对照。通过功能评估短测试(FAST)和UCSD绩效技能评估(UPSA)评估功能,通过BAC-A评估认知。根据累积疾病评定量表(CIRS)对当前身体状况进行评估和分类。结果:UPSA与BAC-A总分呈正相关(r=0.488;P =0.025)、受教育年限(rho=0.41;p2=0.446, F (1,33)=8.198, p=0.007)。结论:BD患者功能差,躯体疾病负担是功能差的主要决定因素。此外,FAST和UPSA量表之间的低一致性表明这些通行费评估不同的结构。
Social functioning in bipolar disorder: investigating the role played by comorbid physical illnesses and cognition.
Bipolar disorder (BD) is a psychiatric disorder associated with functioning and cognitive impairments, as well as a higher prevalence of physical disease comorbidities.
Objective: To determine the main predictors of functioning in patients with BD.
Methods: Thirty-five patients with BD type I in remission participated in this study. To better characterize the degree of impairment, 20 matched controls were also studied. Functioning was assessed through the Functioning Assessment Short Test (FAST) and the UCSD Performance-based Skills Assessment (UPSA), while cognition was assessed through the BAC-A. Current physical conditions were assessed and categorized according to the Cumulative Illness Rating Scale (CIRS). Regression analyses were performed to examine the relationship between functioning and clinical variables, global cognitive performance, and physical comorbidities in BD.
Results: UPSA correlated positively with the BAC-A total score (r=0.488; p=0.025), years of education (rho=0.41; p<0.01), and CIRS total score (rho=0.394; p<0.001). CIRS was the only predictor that remained negatively and significantly correlated with the UPSA total score (R2=0.446, F (1, 33)=8.198, p=0.007).
Conclusion: Patients with BD had poor functioning, with the primary determinant of poor functioning being the burden of physical illnesses. In addition, the low agreement between the FAST and UPSA scales suggests these tolls assess distinct constructs.
期刊介绍:
Dementia top Neuropsychologia the official scientific journal of the Cognitive Neurology and Ageing Department of the Brazilian Academy of Neurology and of the Brazilian Association of Geriatric Neuropsychiatry, is published by the "Associação Neurologia Cognitiva e do Comportamento", a nonprofit Brazilian association. Regularly published on March, June, September, and December since 2007.