双相情绪障碍患者的认知能力:不要忘记考虑焦虑!
María Yoldi-Negrete1, Ana Fresán1, Laura Ivone Jiménez-Rodríguez2
1Clinical Epidemiology Laboratory, Clinical Research Directorate, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico.
Neuropsychiatric disease and treatment
|June 10, 2024
概括
双极性障碍 (BD-I) 患者的焦虑症状不会影响注意力,但会影响认知抑制. 在BD-I的认知评估期间,建议进行例行焦虑查.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 认知心理学 认知心理学
背景情况:
- 焦虑障碍在双极性障碍 (BD) 中很常见.
- 焦虑显著影响BD患者的认知功能.
- 在BD的认知性能研究中,经常忽视焦虑的作用.
研究的目的:
- 为了研究焦虑症状对注意力和认知干扰抑制的影响,在euthymic双极性障碍I型 (BD-I) 患者.
- 为了确定焦虑的严重程度是否与特定认知领域的缺陷相关.
主要方法:
- 包括87名BD-I患者,不包括GAD或PD等并发症.
- 使用ISRA-B评估状态焦虑,使用COBRA评估主观认知,使用Digit-Span Forward评估注意力,使用StroopTest评估认知干扰.
- 采用多重线性回归来分析焦虑和认知表现之间的关联.
主要成果:
- 焦虑症状对注意力没有显著影响.
- 焦虑症状与较差的认知干扰抑制显著相关 (β=-0.21,p=0.017).
- 多年的学历和认知问题也导致了干扰得分 (R2 = 0.15).
结论:
- 除了残留的情绪障碍之外,焦虑症状似乎会损害BD-I的认知抑制.
- 在评估BD-I患者的认知功能时,对焦虑的常规评估至关重要.
- 这凸显了需要将焦虑视为BD认知缺陷的一个因素.
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