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Cognitive impairment in euthymic older adults with bipolar disorder: a controlled study using cognitive screening
Ivan Aprahamian1, Rodolfo B Ladeira1, Breno S Diniz1
1Laboratory of Neuroscience (LIM-27), Department and Institute of Psychiatry, Faculty of Medicine, University of Sao Paulo, Brazil.
Older adults with bipolar disorder (BD) show worse performance on cognitive screening tests compared to those without BD. This includes tests for memory and executive function across various cognitive levels.
Area of Science:
- Neuroscience
- Gerontology
- Psychiatry
Background:
- Cognitive impairment is prevalent in bipolar disorder (BD).
- Older adults with BD have an elevated risk of dementia.
- This study examines cognitive screening in older BD patients.
Purpose of the Study:
- To compare cognitive screening test performance in older adults with and without BD.
- To assess cognitive function across different impairment levels (normal, mild, dementia).
Main Methods:
- 186 older adults (86 BD, 100 controls) were assessed.
- Participants were stratified into normal cognition, cognitive impairment no dementia (CIND), and Alzheimer disease (AD) groups.
- Performance on Mini-Mental State Examination (MMSE), verbal fluency test (VFT), and Clock Drawing Test (CDT) was compared between BD and non-BD groups.
Main Results:
- Non-demented BD patients scored lower on MMSE and VFT compared to controls.
- BD patients with dementia performed significantly worse on the CDT than AD patients.
- BD patients demonstrated poorer performance on specific cognitive screening tests.
Conclusions:
- Older adults with BD exhibit significantly worse performance on certain cognitive screening tests.
- These deficits are observed across varying cognitive function levels.
- Findings highlight the impact of BD on cognitive health in aging populations.
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