title: Mindfulness-based cognitive therapy for bipolar disorder:  effects on cognitive functioning.
abstract: Bipolar disorder is associated with impairments in cognition, including difficulties in executive functioning, even when patients are euthymic (neither depressed nor manic). The purpose of this study was to assess changes in self-reported cognitive functioning in patients with bipolar disorder who participated in an open pilot trial of mindfulness-based cognitive therapy (MBCT). Following MBCT, patients reported significant improvements in executive functioning, memory, and ability to initiate and complete tasks, as measured by the Behavior Rating Inventory of Executive Function (BRIEF) and the Frontal Systems Behavior Scale (FrSBe). Changes in cognitive functioning were correlated with increases in mindful, nonjudgmental observance and awareness of thoughts, feelings, and sensations, and were not associated with decreases in depression. Improvements tended to diminish after termination of treatment, but some improvements, particularly those in executive functioning, persisted after 3 months. These results provide preliminary evidence that MBCT may be a treatment option that can be used as an adjunct to medication to improve cognitive functioning in bipolar disorder.
authors: Department of Psychology, Temple University, USA.
authors: Jonathan P
authors: JP
authors: Stange
authors: Lori R
authors: LR
authors: Eisner
authors: Britta K
authors: BK
authors: Hölzel
authors: Andrew D
authors: AD
authors: Peckham
authors: Darin D
authors: DD
authors: Dougherty
authors: Scott L
authors: SL
authors: Rauch
authors: Andrew A
authors: AA
authors: Nierenberg
authors: Sara
authors: S
authors: Lazar
authors: Thilo
authors: T
authors: Deckersbach
mesh_terms: D000328:Adult; D001364:Awareness; D001714:Bipolar Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy*; D003071:Cognition; D003072:Cognition Disorders / Q000150:complications / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004644:Emotions; D056344:Executive Function; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019122:Meditation / Q000379:methods*; D008568:Memory; D009483:Neuropsychological Tests; D010865:Pilot Projects; D057566:Self Report; D013647:Task Performance and Analysis; D013850:Thinking