title: Functional impairment and cognitive performance in mood disorders: A community sample of young adults.
abstract: The aim of this study was to compare the global functioning and cognitive performance in a community sample of young adults with mood disorders versus community controls. This was a cross-sectional study nested in a cohort study with a community sample. Data was collected from February 2012 to June 2014; specifically, at a mean of five years after the first phase, all young adults were invited to participate in a re-evaluation. Mini International Neuropsychiatric Interview - PLUS (MINI-PLUS) was used for the diagnosis of mood disorders. The Functional Assessment Short Test (FAST) and the Montreal Cognitive Assessment (MoCA) were used to assess the global functioning, and cognitive performance, respectively. Were included 1258 subjects. Functional impairment was greater in subjects with bipolar disorder when compared to community controls, and there were no differences between major depressive disorder and community controls. There were no significant differences in cognitive performance between young adults with mood disorders when compared to community controls. Functional impairment is a marker for bipolar disorder in young adults; however, gross cognitive impairment assessed by a screening test is not, possibly because cognition is impaired in more advanced stages of the disorder.
authors.affiliation: Universidade Católica de Pelotas - Programa de Pós-Graduação em Saúde e Comportamento, Brazil.
authors.forename: Amanda N
authors.initials: AN
authors.lastname: Reyes
authors.affiliation: Laboratório de Psiquiatria Molecular, Hospital de Clínicas de Porto Alegre; Universidade Federal do Rio Grande do Sul - Programa de Pós-Graduação em Ciências Médicas, Psiquiatria, Brazil.
authors.forename: Taiane A
authors.initials: TA
authors.lastname: Cardoso
authors.affiliation: Universidade Católica de Pelotas - Programa de Pós-Graduação em Saúde e Comportamento, Brazil.
authors.forename: Karen
authors.initials: K
authors.lastname: Jansen
authors.affiliation: Universidade Católica de Pelotas - Programa de Pós-Graduação em Saúde e Comportamento, Brazil.
authors.forename: Thaíse C
authors.initials: TC
authors.lastname: Mondin
authors.affiliation: Universidade Católica de Pelotas - Programa de Pós-Graduação em Saúde e Comportamento, Brazil.
authors.forename: Luciano D M
authors.initials: LDM
authors.lastname: Souza
authors.affiliation: Laboratório de Psiquiatria Molecular, Hospital de Clínicas de Porto Alegre; Universidade Federal do Rio Grande do Sul - Programa de Pós-Graduação em Ciências Médicas, Psiquiatria, Brazil.
authors.forename: Pedro V S
authors.initials: PVS
authors.lastname: Magalhães
authors.affiliation: Laboratório de Psiquiatria Molecular, Hospital de Clínicas de Porto Alegre; Universidade Federal do Rio Grande do Sul - Programa de Pós-Graduação em Ciências Médicas, Psiquiatria, Brazil.
authors.forename: Flavio
authors.initials: F
authors.lastname: Kapczinski
authors.affiliation: Universidade Católica de Pelotas - Programa de Pós-Graduação em Saúde e Comportamento, Brazil. Electronic address: ricardo.as@uol.com.br.
authors.forename: Ricardo A
authors.initials: RA
authors.lastname: Silva
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D003071:Cognition / Q000502:physiology; D003072:Cognition Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D019964:Mood Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D009483:Neuropsychological Tests; D012111:Residence Characteristics; D055815:Young Adult
keywords: Bipolar disorder; Cognitive performance; Current major depressive episode; Functional impairment; Mood disorders