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Self-reported cognitive complaints in elderly bipolar patients.
Sigfried N T M Schouws1, Hannie C Comijs, Max L Stek
1GGZ inGeest, Amsterdam, the Netherlands. s.schouws@ggzingeest.nl
Summary
Elderly bipolar disorder patients often have cognitive decline, but may not realize it. Evaluating cognitive function is crucial for treatment, regardless of their complaints.
Area of Science:
- Neuroscience
- Geriatrics
- Psychiatry
Background:
- Bipolar disorder (BD) patients face risks of cognitive decline.
- Anosognosia, or impaired self-awareness of cognitive deficits, is a concern in BD.
- Frontal lobe dysfunction may play a role in awareness of cognitive impairment.
Purpose of the Study:
- To investigate the association between subjective cognitive complaints and objective neuropsychological performance in elderly BD patients.
- To explore the role of frontal lobe dysfunction in the awareness of cognitive impairment.
Main Methods:
- 101 euthymic elderly bipolar patients and 74 healthy controls were assessed.
- A comprehensive neuropsychological battery was administered.
- Subjective cognitive complaints were measured using the Cognitive Failure Questionnaire.
Main Results:
- Elderly BD patients did not report more subjective cognitive complaints than controls.
- Objective neuropsychological testing revealed poorer cognitive functioning in several domains for BD patients.
- A lack of subjective cognitive complaints correlated with poorer attention and executive function.
Conclusions:
- Impaired awareness of cognitive deficits in BD may reflect underlying cognitive deterioration.
- Self-awareness of cognitive status can impact treatment adherence and outcomes.
- Cognitive function evaluation should be a standard part of treatment for elderly BD patients, irrespective of self-reported complaints.
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