Despite the robust body of work on cognitive aspects of bipolar disorder (BD), a clear profile of associated impairments in impulsivity, decision-making and risk-taking from studies that use behavioural measures has yet to be established. A systematic review, across four electronic databases (PsycINFO, MEDLINE/PubMed, ScienceDirect and Scopus), of literature published between January 1999 and December 2018 was carried out in accordance with the PRISMA statement. The protocol was registered on PROSPERO (CRD42018114684). A fixed-effect and random-effects meta-analysis using the Hedges' g (ES) estimate was performed. The analysis revealed significant impairment in BD individuals with medium effect sizes in various aspects of impulsivity – response inhibition (ES = 0.49; p < 0.0001), delay of gratification (ES = 0.54; p < 0.0001) and inattention (ES = 0.49; p < 0.0001) – and in decision-making (ES = 0.61, p = 0.0002), but no significant impairment in risk-taking behaviour (ES = 0.41; p = 0.0598). Furthermore, we found significant heterogeneity between studies for decision-making and risk-taking behaviour but not for impulsivity. Impaired risk-taking behaviour was significant in a subgroup of BD-I and euthymic individuals (ES = 0.92; p < 0.0001) with no significant heterogeneity. A stratification analysis revealed comparable results in euthymic and non-euthymic individuals for impulsivity. Our findings suggest that behaviour impulsivity is elevated in all phases of BD, representing a core and clinically relevant feature that persists beyond mood symptoms. More studies about decision-making and risk-taking are necessary to establish if they are impaired in BD and to analyze the role of mood state.
El Trastorno del Espectro Autista (TEA) es un trastorno del neurodesarrollo que afecta al desarrollo social y de la comunicación, así como patrones de conductas restrictivas y repetitivas. El TEA también se asocia a una alta prevalencia de trastornos psiquiátricos coexistentes. En el esfuerzo de identificar características del ambiente familiar que puedan influir en el curso de estos trastornos coexistentes en individuos con TEA, los investigadores están explorando el constructo de Emociones Expresadas (EE) que mide la relación afectiva entre dos personas, cuyos dominios son el criticismo, calidez, relación y sobre-implicación emocional. El estudio actual tiene como objetivo revisar el constructo de EE, cómo se mide y se aplica en la relación paterno-filial en niños con desarrollo típico y población TEA y describir la adaptación cultural en español así como validar la traducción del contenido del Manual de Autism-Specify Five Minutes Sample Speech (ASFMSS).
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