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Annals of General Psychiatry

Open Access

Cognitive profile in middle-aged and older bipolar patients

  • Cristiana Elce1,
  • Mariangela Falco1,
  • Sarah Ammendola1,
  • Stefano Orlando1,
  • Diana Galletta1,
  • Nina Fragassi2 and
  • Margherita Casiello1
Annals of General Psychiatry20109(Suppl 1):S174

https://doi.org/10.1186/1744-859X-9-S1-S174

Published: 22 April 2010

Background

Cognitive deficits are reported in euthymic and acute phases of bipolar disorder(BD) [1]. However, only few studies have previously evaluated the cognitive profile of middle-aged and older patients affected by BD [2, 3]. The main purpose of our study was to analyze the cognitive profile of bipolar patients aged between 45 and 70 years.

Materials and methods

36 patients with BD (DSM IV-TR) (25 with BD-I and 11 with BD-II) who complained a recent onset of cognitive deficits, were recruited from 2004 to 2009 at the Psychiatric Day-Hospital service of the University Medical School "Federico II". All patients underwent a comprehensive Neuropsychological assessment, focusing on short- and long-term mnesic and executive functions.

A control group was composed by 37 outpatients (45-70 years), followed by the Neuropsychological service for recent outbreaks of cognitive disorders. Exclusion criteria for the control group were psychiatric or neurodegenerative disease as well as cranial trauma.

Results

No statistically significant differences were found between the study population and the control group with respect to the neuro-cognitive profile, even though patients affected by BD-I showed poorer performance in the executive functions, in the oral span and in the logical abstractive skills, when compared to the ones affected by BD-II and to the control-group patients.

Conclusions

Greater focus should be put on cognitive aspects of BD: in particular, in our sample, patients affected by BD-I seem to have a more severe cognitive profile compared with BD-II patients. Further investigations, hopefully with larger samples, are desirable to confirm these findings.

Authors’ Affiliations

(1)
Department of Neuroscience Section of Psychiatry, University Medical School Federico II, Naples, Italy
(2)
Department of Neurology Section of Neuropsychology, University Medical School Federico II, Naples, Italy

References

  1. Goldberg JF, Burdick KE: Cognitive dysfunction in bipolar disorder, a guide for clinicians. 2008, American Psychiatric Publishing, IncGoogle Scholar
  2. Silva D, Santana I, Simoes do Couto F, Maroco J, Guerreiro M, de Mendonça A: Cognitive deficits in middle-aged and older adults with bipolar disorder and cognitive complaints: Comparison with mild cognitive impairment. Int J Geriatr Psychiatry. 2009, 24: 624-631. 10.1002/gps.2166.View ArticlePubMedGoogle Scholar
  3. Delaloye C, Moy G, Baudois S, de Bilbao F, Dubois Remund C, Hofer F, Ragno Paquier C, Campos L, Weber K, Gold G, Moussa A, Meiler CC, Giannakopoulos P: Cognitive features in euthimic bipolar patiets in old age. Bipolar Disord. 2009,Google Scholar

Copyright

© Elce et al.; licensee BioMed Central Ltd. 2009

This article is published under license to BioMed Central Ltd.

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