4.5 Review

Cognitive Impairment in Bipolar Disorder: Treatment and Prevention Strategies

Journal

INTERNATIONAL JOURNAL OF NEUROPSYCHOPHARMACOLOGY
Volume 20, Issue 8, Pages 670-680

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/ijnp/pyx032

Keywords

cognitive impairment; bipolar disorder; cognitive remediation; functional remediation

Funding

  1. Spanish Ministry of Economy and Competitiveness, Instituto de Salud Carlos III, CIBERSAM
  2. Secretaria d'Universitats i Recerca del Departament d'Economia i Coneixement [2014_SGR_398]
  3. CERCAProgramme / Generalitat de Catalunya
  4. NARSAD, Independent Investigator Grant from the Brain & Behavior Research Foundation
  5. Spanish Ministry of Economy and Competitiveness, Instituto de Salud Carlos III, Subdireccion General de Evaluacion y Fomento de la Investigacion [PI11/00637, PI12/00912, PI15/00330]
  6. Instituto de Salud Carlos III, Subdireccion General de Evaluacion y Fomento de la Investigacion
  7. Fondo Europeo de Desarrollo Regional. Union Europea, Una manera de hacer Europa
  8. CIBERSAM
  9. Comissionat per a Universitats i Recerca del DIUE de la Generalitat de Catalunya [2014 SGR 398]
  10. Spanish Ministry of Economy and Competitiveness, Instituto Carlos III [CPI14/00175, PI 12/01498]
  11. NARSAD, Independent Investigator Grant from the Brain & Behavior Research Foundation [22039]
  12. Instituto de Salud Carlos III, Spanish Ministry of Economy and Competiveness, Barcelona, Spain [JR15/00012]

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Over the last decade, there has been a growing appreciation of the importance of identifying and treating cognitive impairment associated with bipolar disorder, since it persists in remission periods. Evidence indicates that neurocognitive dysfunction may significantly influence patients' psychosocial outcomes. An ever-increasing body of research seeks to achieve a better understanding of potential moderators contributing to cognitive impairment in bipolar disorder in order to develop prevention strategies and effective treatments. This review provides an overview of the available data from studies examining treatments for cognitive dysfunction in bipolar disorder as well as potential novel treatments, from both pharmacological and psychological perspectives. All these data encourage the development of further studies to find effective strategies to prevent and treat cognitive impairment associated with bipolar disorder. These efforts may ultimately lead to an improvement of psychosocial functioning in these patients.

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