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Multimorbidity and cognition in OABD: The need for longitudinal and multidimensional approaches
Parth Aphale1, Shashank Dokania1, Himanshu Shekhar1
1Dr. D.Y. Patil Vidyapeeth (Deemed to be University), Pimpri, Pune, Maharashtra, India.
None:
We read with considerable interest the article by Beunders et al. (2025) titled "Physical multimorbidity is not independently associated with cognitive performance in patients with older-age bipolar disorder (OABD)" published in International Psychogeriatrics. The study addresses an important and underexplored area, highlighting the complex interplay between multimorbidity and cognition in OABD. While the authors conclude that physical multimorbidity is not independently associated with cognitive impairment after adjustment for confounders, we believe some methodological and conceptual aspects warrant further reflection.
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