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Cognition in Bipolar Disorder: An Update for Clinicians
Jennifer Nicoloro-SantaBarbara1, Marzieh Majd1, Kamilla Miskowiak1
1Department of Psychiatry, Brigham and Women's Hospital, Boston (Nicoloro-SantaBarbara, Majd, Burns, Burdick); Harvard Medical School, Boston (Nicoloro-SantaBarbara, Majd, Burdick); Department of Psychology, University of Copenhagen, and Mental Health Services, Capital Region of Denmark, Copenhagen (Miskowiak); Centre for Addiction and Mental Health, Toronto (Goldstein); and Department of Psychiatry and Department of Pharmacology, University of Toronto, Toronto (Goldstein).
Cognitive deficits are common in bipolar disorder, impacting daily life. Recent research offers guidance for assessing and treating these cognitive issues in both research and clinical settings.
Area of Science:
- Neuroscience
- Psychiatry
- Cognitive Psychology
Background:
- Bipolar disorder is characterized by significant cognitive deficits that persist regardless of mood state.
- These cognitive impairments negatively impact an individual's overall functional outcomes and quality of life.
Purpose of the Study:
- To provide an overview of advancements in measuring cognition in bipolar disorder.
- To discuss the implications of these advancements for research and clinical practice.
Main Methods:
- Review of research conducted over the past decade, largely by the International Society for Bipolar Disorders Targeting Cognition Task Force.
- Synthesis of findings to guide researchers and clinicians in cognitive assessment and treatment design.
Main Results:
- Established guidelines for appropriate measurement of cognitive functioning in bipolar disorder.
- Informed strategies for designing research studies focused on cognitive domains for treatment.
- Promoted the use of screening and psychoeducational tools in clinical settings.
Conclusions:
- Clinicians need to be informed about cognitive aspects of bipolar disorder.
- Equipping clinicians to assess, track, and intervene in cognitive problems is crucial.
- Identified literature gaps and proposed future research directions in bipolar disorder cognition.
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