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Cognitive reserve in bipolar disorder: relation to cognition, psychosocial functioning and quality of life

Anaya, C. ; Torrent, C. ; Caballero, F. F. ; Vieta, E. ; Bonnin, C. del Mar ; Ayuso-Mateos, J. L.

Acta psychiatrica Scandinavica, 2016-05, Vol.133 (5), p.386-398 [Periódico revisado por pares]

United States: Blackwell Publishing Ltd

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  • Título:
    Cognitive reserve in bipolar disorder: relation to cognition, psychosocial functioning and quality of life
  • Autor: Anaya, C. ; Torrent, C. ; Caballero, F. F. ; Vieta, E. ; Bonnin, C. del Mar ; Ayuso-Mateos, J. L.
  • Assuntos: Adult ; Bipolar disorder ; Bipolar Disorder - complications ; Bipolar Disorder - physiopathology ; cognition ; Cognitive Dysfunction - etiology ; Cognitive Dysfunction - physiopathology ; cognitive reserve ; Cognitive Reserve - physiology ; Executive Function - physiology ; Female ; Humans ; Male ; Middle Aged ; Quality of Life ; social competence ; Social Skills
  • É parte de: Acta psychiatrica Scandinavica, 2016-05, Vol.133 (5), p.386-398
  • Notas: Comissionat per a Universitats i Recerca del DIUE of the Generalitat de Catalunya. Formación de Profesorado Universitario
    ark:/67375/WNG-NSF8VWQD-R
    istex:2B82874260F957BDFEAEB7AD8FECE5ACDDEE33B4
    Spain's Ministries of the Economy and Competitiveness and of Education, Culture and Sport
    Brain & Behavior Research Foundation - No. 2014 NARSAD
    Bipolar Disorders Group - No. 2014 SGR 398
    FIS - No. PI 12/01498
    ArticleID:ACPS12535
    Instituto de Salud Carlos III
    Instituto Carlos III - No. CP14/00175
    Ministry of Education of Spain
    Spanish Ministry of Economy and Competitiveness
    CIBERSAM
    ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Objective Cognitive reserve (CR) is a concept that was postulated as a protective factor for some clinical symptoms after the observation that there is not a direct relationship between the degree of brain damage and its clinical manifestation. This study aimed to explore the association between CR and the main outcomes in bipolar disorder (BD): cognitive functions, psychosocial functioning and perceived quality of life. Method A sample of 224 euthymic bipolar patients was assessed with a neuropsychological battery, the Functioning Assessment Short Test and the Medical Outcomes Study 36‐Item Short‐Form Health Survey (SF‐36). CR was calculated through three proxies: estimated premorbid Intelligent Quotient, educational level and occupational attainment. Relationships between CR and cognitive functions, psychosocial functioning and quality of life were assessed by multiple linear regression models. Results Higher CR was associated with better cognitive functioning (P < 0.001 in processing speed, working memory, verbal and visual memory, and executive function; P = 0.026 in attention) and better psychosocial functioning (P = 0.008). For quality of life, CR was positively associated with the physical component of the SF‐36 (P = 0.016) but negatively associated with the mental component (P = 0.004). Conclusion The results suggest that CR may play an important role in the course and prognosis of bipolar patients and it should be considered in both clinical and research settings related to BD.
  • Editor: United States: Blackwell Publishing Ltd
  • Idioma: Inglês

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