The effect of self-monitoring on Wisconsin Card Sorting Test performance in euthymic patients with bipolar disorder:
Lucy J Robinson1, John M Gray1, I Nicol Ferrier1,2
1a Institute of Neuroscience (Academic Psychiatry) , Newcastle University , Newcastle upon Tyne , UK.
Cognitive Neuropsychiatry
|May 26, 2016
Summary
Self-monitoring improved executive function in bipolar disorder (BD) patients during the Wisconsin Card Sorting Test (WCST). This non-pharmacological strategy warrants further investigation for BD cognitive support.
Area of Science:
- Neuroscience
- Psychiatry
- Cognitive Psychology
Background:
- Euthymic patients with bipolar disorder (BD) exhibit executive impairments.
- Non-pharmacological cognitive interventions for BD are underexplored.
- Self-monitoring has shown efficacy in improving executive function in schizophrenia.
Purpose of the Study:
- To assess the impact of self-monitoring on executive function in euthymic BD patients.
- To evaluate the effectiveness of self-monitoring during the Wisconsin Card Sorting Test (WCST).
Main Methods:
- A pilot study involving 36 euthymic BD patients and 42 healthy controls.
- Participants were assigned to either standard WCST administration or WCST with self-monitoring.
- Performance metrics included trials administered, trials to first category, and failure to maintain set.
Main Results:
- A significant group by administration interaction was observed.
- BD patients receiving standard WCST administration performed significantly worse than controls.
- BD patients using self-monitoring showed improved performance on key WCST metrics compared to those with standard administration and performed similarly to controls.
Conclusions:
- Self-monitoring shows promise as a beneficial non-pharmacological tool for cognitive enhancement in BD.
- Further research is needed to explore the utility, generalizability, and stability of self-monitoring effects in BD.
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