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Journal - Volume 3
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Volume 3 - Issue 1 - Articles
:: Vol 3 - Iss 1 - Article - COGNITIVE FUNCTIONING IN BIPOLAR DISORDER
Vol 3 - Iss 1 - Article - COGNITIVE FUNCTIONING IN BIPOLAR DISORDER #92
COGNITIVE FUNCTIONING IN BIPOLAR DISORDER
Eduard Vieta, Anabel Martínez-Arán
Bipolar Disorders Program. Clinical Institute of Neuroscience,, Hospital Clinic, University of Barcelona, IDIBAPS, Barcelona, Spain.
Key words: cognition, bipolar disorder, mania, psychosis, functional outcome
Bipolar disorders are severe illnesses, chronic and lifelong. In Europe, many psychiatrists would wait until the second or even the third episode before they prescribe prophylactic treatment. Interruption of prophylactic pharmacotherapy is more the rule than the exception (Maj, 1999), and even in the context of sophisticated psychoeducational programmes the rate of non-compliance is close to 40% (Colom et al, 2000).
Bipolar disorders are associated with high rates of recurrences and impairment: treatment, therefore, has to be early and lifelong; 2) Impairment and suicide risk are not exclusive of the most severe forms of the disorder: bipolar II and other apparently milder clinical presentations may indeed carry on high relapse rates and disability; 3) One important source of impairment is cognitive dysfunction: contrary to Kraepelin's belief, many bipolar patients show neuropsychological disturbances which may be associated to poor occupational and social functioning.
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