[在双相情感障碍中认知障碍的特征]
I D Gornushenkov1, V S Kulikova1, I V Pluzhnikov1
1Mental Health Research Center of the Russian Academy of Medical Sciences, Moscow, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|July 29, 2024
概括
双相情感障碍 (BD) 的认知障碍是常见的,即使是在euthymia. 伴随性焦虑障碍在BD患者中独特地恶化了认知功能障碍.
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:
- 双极性障碍 (BD) 经常与焦虑恐惧症障碍同时发生,这是最常见的并发性病理.
- 了解并发性BD的认知障碍对于阐明神经生物学机制和改善诊断至关重要.
- 这一领域仍未得到充分研究,需要进一步的研究.
研究的目的:
- 审查和综合现有的关于双相情绪障碍与并发性焦虑恐惧症障碍的认知障碍的文献.
- 在这种共患病群体中描述认知功能障碍的具体性质和严重程度.
- 为了未来的研究,识别当前研究的差距.
主要方法:
- 在PubMed和Google Scholar中使用"双极性障碍"",焦虑障碍"和"认知障碍"等关键词进行系统的文献搜索.
- 包括元分析,分析,综述和原创研究文章.
- 从已识别的研究中概括和综合发现.
主要成果:
- 在BD的认知障碍可以是阶段依赖的或持久的,即使在euthymia期间也会发生.
- 神经认知障碍在"纯"BD和孤立的焦虑恐惧症障碍之间在结构和严重程度上有所不同.
- 共病性BD和焦虑恐惧症障碍表现出独特的认知障碍特征,结合了两者的特征,并显示出最大的严重程度.
结论:
- 认知障碍是双相情感障碍的一个重要特征,即使在euthymic状态中也会持续存在.
- 伴随性焦虑恐惧症障碍的存在显著改变了BD患者认知缺陷的模式和严重程度.
- 需要进一步的研究,特别关注俄罗斯患者群体,以更好地了解和管理这种共同疾病群体的认知功能障碍.
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