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Related Experiment Video

Updated: May 27, 2026

Three Laboratory Procedures for Assessing Different Manifestations of Impulsivity in Rats
09:12

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Published on: March 17, 2019

Impulsivity and functional impairment in bipolar disorder.

E Jiménez1, B Arias, P Castellví

  • 1Bipolar Disorder Program, Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain.

Journal of Affective Disorders
|December 2, 2011
PubMed
Summary

Impulsivity, depressive symptoms, and hospitalizations are linked to functional impairment in bipolar patients (BP). Addressing impulsivity may improve functional outcomes for individuals with BP.

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Area of Science:

  • Psychiatry
  • Neuroscience
  • Clinical Psychology

Background:

  • Impulsivity is elevated in bipolar patients (BP) and may correlate with illness severity.
  • Previous research has not explored the link between impulsivity and functional outcomes in BP.
  • This study aimed to determine the functional impact of trait-impulsivity in BP.

Purpose of the Study:

  • To investigate the relationship between trait-impulsivity and functional outcome in euthymic bipolar patients.
  • To identify predictors of functional impairment in bipolar disorder.

Main Methods:

  • 138 euthymic bipolar patients were assessed using the Structured Clinical Interview for DSM Disorders (SCID).
  • Functional outcome was measured using the Functioning Assessment Short Test (FAST), and impulsivity was assessed with the Barratt Impulsiveness Scale (BIS-11).
  • Multiple linear regressions were performed to evaluate the predictive role of trait-impulsivity on FAST scores.

Main Results:

  • Depressive symptoms (β=1.580; p<0.001), number of hospitalizations (β=0.837; p=0.019), and impulsivity (β=0.319; p=0.004) were independently associated with overall functional impairment.
  • The regression model explained 31.1% of the variance in functional impairment (adjusted R2=0.311).

Conclusions:

  • Impulsivity is associated with overall functional impairment in bipolar patients, alongside depressive symptoms and hospitalization history.
  • Assessing and treating impulsivity may be beneficial for improving functional outcomes in bipolar disorder.
  • The study's cross-sectional design limits causal inferences.