title: [Cognitions and functioning in euthymic bipolar patients: screening and treatment].
abstract: Persistent cognitive deficits in euthymic bipolar patients are now well documented. Indeed, several studies and meta-analyzes clearly establish the existence of cognitive deficits in specific domains: attention (in particular sustained attention), Memory (in particular verbal memory) and executive functions. The impact of cognitive deficits on patient's functioning is also well documented and their role appear to be more important than expected by comparison with the impairment related to thymic residual symptoms. The development of specific cognitive remediation strategies is therefore a major hope for improving the quality of remission and functional outcome. The aetiology of these deficits remains poorly understood. However, the implication of factors related to the biological/genetic vulnerability to bipolar disorder is likely well as a "neurotoxic" effects of major mood episodes, in particular acute manic episodes that seems to play a important role in the worsening of these deficits over time. This further stresses the importance maintenance strategies for long-term functional outcome.
authors: Service de Psychiatrie d'Adultes, Groupe Hospitalier Saint-Louis-Lariboisière-Fernand Widal, 200 rue du Faubourg Saint Denis, Paris cedex 10, France. frank.bellivier@inserm.fr
authors: Frank
authors: F
authors: Bellivier
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000339:Affect / Q000502:physiology; D001288:Attention / Q000502:physiology; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D017028:Caregivers / Q000523:psychology; D003072:Cognition Disorders / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003142:Communication; D056344:Executive Function / Q000502:physiology; D006801:Humans; D007398:Interpersonal Relations; D008032:Limbic System / Q000503:physiopathology; D008403:Mass Screening; D011939:Mental Recall / Q000502:physiology; D009434:Neural Pathways / Q000503:physiopathology; D017397:Prefrontal Cortex / Q000503:physiopathology; D012008:Recurrence; D012944:Social Support; D014706:Verbal Learning / Q000502:physiology