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Published on: May 2, 2025
Prospective memory in bipolar disorder: A meta-analysis
Fu-Chun Zhou1, Yuan-Yuan Wang2, Wei Zheng3
1Department of Psychiatry, Beijing Anding Hospital, Capital Medical University & Beijing Key Laboratory of Mental Disorders & The National Clinical Research Center for Mental Disorders, China & Beijing Institute for Brain Disorders Center of Schizophrenia; Beijing, China.
Abstract:
There are conflicting findings about prospective memory (PM) performance in bipolar disorder. This meta-analysis systematically examined PM in patients with bipolar disorders. Articles were systematically searched in both English and Chinese databases, from their inception to Nov 15, 2016. Only case-control studies on PM in bipolar patients were included for analyses. The random effect model was used in all meta-analytic outcomes. Four studies (n = 390) comparing PM performance between patients with bipolar disorder (n = 208) and healthy controls (n = 182) were included. Three studies were rated as "high quality", while the quality of evidence in 3 meta-analyzable outcomes ranged from "moderate" (67%) to "high" (33%). Compared to healthy controls, bipolar disorder patients showed impairments in overall PM [2 studies, n = 196; SMD: - 1.08 (95%CI: - 1.61, - 0.55), P < 0.0001; I2 = 65%], event-based PM [4 studies, n = 367; SMD: - 0.51 (95%CI: - 0.78, - 0.23), P = 0.0003; I2 = 37%] and time-based PM performance [4 studies, n = 367; SMD: - 0.82 (95%CI: - 1.11, - 0.52), P < 0.0001; I2 = 41%]. In this meta-analysis, both time-based PM and event-based PM deficits appeared to be evident in bipolar disorder.
Insights
Patients with bipolar disorder exhibit significant prospective memory (PM) deficits. This meta-analysis confirms impairments in both event-based and time-based PM compared to healthy individuals.
Area of Science:
- Neuroscience
- Psychiatry
- Cognitive Psychology
Background:
- Conflicting findings exist regarding prospective memory (PM) performance in bipolar disorder.
- PM involves remembering to perform intended actions in the future.
- Bipolar disorder is associated with various cognitive impairments.
Purpose of the Study:
- To systematically examine and meta-analyze prospective memory performance in patients with bipolar disorder.
- To compare PM deficits in bipolar disorder patients versus healthy controls.
Main Methods:
- Systematic literature search in English and Chinese databases up to November 2016.
- Inclusion of case-control studies comparing PM in bipolar disorder patients and healthy controls.
- Random effects model meta-analysis of four included studies (n=390).
Main Results:
- Bipolar disorder patients demonstrated significant impairments in overall PM (SMD: -1.08), event-based PM (SMD: -0.51), and time-based PM (SMD: -0.82) compared to controls.
- Evidence quality for meta-analyzable outcomes ranged from moderate to high.
- Included studies were of moderate to high quality.
Conclusions:
- Both time-based and event-based prospective memory deficits are evident in individuals with bipolar disorder.
- These findings highlight significant cognitive challenges in bipolar disorder patients.
- Further research may explore interventions targeting PM deficits.
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