“…Patients with BD show persistent cognitive impairment during remission (Bearden et al, 2006; Bearden, Hoffman, & Cannon, 2001; Clark, Iversen, & Goodwin, 2002; Ferrier, Stanton, Kelly, & Scott, 1999; Thompson et al, 2005; Van Gorp, Altshuler, Theberge, & Mintz, 1999; Van Gorp, Altshuler, Theberge, Wilkins, & Dixon 1998). Deficits have been observed on several tests of executive or frontal lobe function (Ferrier et al, 1999; Hawkins et al 1997; Thompson et al, 2005; Thompson et al, 2003; Zubieta, Huguelet, O'Neil, & Giordani, 2001). However, it remains controversial as to whether any deficit in executive function exists in the remitted phase of BD (e.g., Rubinsztein, Michael, Paykel, & Sahakian, 2000), whether any such deficit is restricted to executive dysfunction or is one aspect of broader cognitive decline (Bearden et al, 2006, 2001; Thompson et al, 2003), and whether any such deficit is restricted to a particular subcomponent of executive function (Thompson et al, 2003).…”