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Neuropsychological profile in bipolar disorder: a preliminary study of monotherapy lithium-treated euthymic bipolar patients evaluated at a 2-year interval
Mur, Maria; Portella, Maria J.; Martínez-Aran, A.; Pifarré Paredero, Josep; Vieta i Pascual, Eduard, 1963-
Objective: To investigate the cognitive impairment of a sample of euthymic bipolar patients treated with lithium monotherapy at baseline in a 2-year longitudinal study. Method: Fifteen DSM-IV-TR bipolar out-patients and 15 healthy-matched controls were cognitively assessed twice over a 2-year follow-up. All patients underwent lithium monotherapy on the first evaluation, and they were euthymic in both evaluations. Cognitive assessment was performed by means of a neuropsychological test battery tapping into the main cognitive domains (executive function, attention, processing speed, verbal memory and visual memory). Results: Repeated measures multivariate analysis of variance showed that the bipolar disorder group was cognitively impaired in the executive domain, attention and processing speed, and such deficits were maintained over time. Conclusion: Our results showed that executive dysfunction is the main long-term neuropsychological deficit of bipolar disorder. Also, the persistence of these deficits did not seem to be influenced by any clinical or pharmacological variables. This study was supported partly by grant 15231 ⁄ 01 from Fundació Marató de TV3 (Drs Mur and Pifarré). Also supported by the Spanish Ministry of Health, Instituto de Salud Carlos III, Centro de Investigacion Biomedica en Salud Mental, CIBERSAM (Drs Portella, Martínez-Arán and Vieta). Dr Portella is funded by the Spanish Ministry of Education and Science through a Juan de la Cierva postdoctoral contract. Dr Martinez-Aran is funded by the Spanish Ministry of Health, Instituto Carlos III through a ‘‘Miguel Servet’’ postdoctoral contract (CP07 ⁄ 00144).
-Bipolar disorder
-Euthymia
-Lithium
-Neuropsychological impairment
(c) Wiley, 2008
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