Theory of mind deficit in bipolar disorder: Is it related to aprevious history of psychotic symptoms?

Lahera, Guillermo; Montes, José Manuel García; Benito, Adolfo; Valdivia, María; Медина, Елена; Mirapeix, I.; Sáiz-Ruiz, Jerónimo

doi:10.1016/j.psychres.2007.08.009

Cited by 87 publications

(81 citation statements)

References 51 publications

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“…In the last decade, several authors have reported social cognition deficits in patients with bipolar disorder (BD) both in euthymia [1][2][3] and during relapses. 4 A recent meta-analysis 5 showed that euthymic patients with BD exhibit a significant deficit in theory of mind (ToM), with a medium-large effect size (d = 0.79).…”

Section: Introductionmentioning

confidence: 99%

Deficits in recognition, identification, and discrimination of facial emotions in patients with bipolar disorder

Benito

Lahera

Herrera

et al. 2013

Rev. Bras. Psiquiatr.

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Objective: To analyze the recognition, identification, and discrimination of facial emotions in a sample of outpatients with bipolar disorder (BD). Methods: Forty-four outpatients with diagnosis of BD and 48 matched control subjects were selected. Both groups were assessed with tests for recognition (Emotion Recognition-40 --ER40), identification (Facial Emotion Identification Test --FEIT), and discrimination (Facial Emotion Discrimination Test --FEDT) of facial emotions, as well as a theory of mind (ToM) verbal test (Hinting Task). Differences between groups were analyzed, controlling the influence of mild depressive and manic symptoms. Results: Patients with BD scored significantly lower than controls on recognition (ER40), identification (FEIT), and discrimination (FEDT) of emotions. Regarding the verbal measure of ToM, a lower score was also observed in patients compared to controls. Patients with mild syndromal depressive symptoms obtained outcomes similar to patients in euthymia. A significant correlation between FEDT scores and global functioning (measured by the Functioning Assessment Short Test, FAST) was found. Conclusions: These results suggest that, even in euthymia, patients with BD experience deficits in recognition, identification, and discrimination of facial emotions, with potential functional implications.

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Section: Introductionmentioning

confidence: 99%

Deficits in recognition, identification, and discrimination of facial emotions in patients with bipolar disorder

Benito

Lahera

Herrera

et al. 2013

Rev. Bras. Psiquiatr.

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“…The majority of authors confirm that, only a few of them have not found any correlations between lifetime psychotic symptoms' occurrence and poor current cognitive outcomes [19]. The studies confirming worse neurocognitive outcomes in psychotic bipolar patients indicate the presence of dysfunctions of working memory and executive functions that are associated with the activation of the prefrontal cortex [20].…”

Section: Discussionmentioning

confidence: 89%

Association of different cognitive domains with the lifetime history of psychosis and reported antipsychotic- treatment adverse events in bipolar disorders.

Kałwa

Piróg-Balcerzak²,

Święcicki³

2013

Arch Psych Psych

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Aim of the studyThe present work aimed to assess the association between cognitive functions, the lifetime occurrence of psychotic symptoms, and reported adverse effects of antipsychotic treatments in patients with bipolar disorders.Subject or material and methodsIn the present work, 44 bipolar disorder inpatients hospitalized in the Affective Disorders Unit of the Institute of Psychiatry and Neurology in Warsaw, were investigated. All of them met the criteria of remission and were prepared for release from the hospital unit. Twenty-two patients were hospitalized in the manic stage of the illness, and 22 were in the depressive stage of illness. Both groups were assessed using adequate psychiatric rating scales (HDRS or YMRS and CAMRS) and neuropsychological tests (WCST, TMT, Stroop Test and Verbal Fluency Test).ResultsPatients who had a prior history of psychotic symptoms had poorer verbal functioning in comparison to subjects without such a history. However, individuals hospitalized in the manic state of disease, and who reported more adverse events after antipsychotic medication during the whole course of illness, had worse results in some parameters of executive function measurements in the WCST test, namely occurring in a greater percentage of nonperseverative errors and a lower number of completed categories.DiscussionGenerally the results confirm findings according to which, patients with the history of psychosis performe worse on neurocognitive tasks. However, the nature of dysfunctions found, generates questions about its relations with the experience of psychosis and antipsychotic treatment.ConclusionsDifferent aspects of cognitive dysfunctions may be related to the experience of psychosis and antipsychotic treatment in patients with bipolar disorders.

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“…For example, comparing bipolar patients to healthy controls, the worse execution of ToM tasks remains significant after controlling for executive dysfunction [28]. In another study [29], ToM problems were more closely related to attention disorders than executive dysfunction, ToM appearing as a state marker but not as a trait of the disease. So, ToM deficit seems to be dissociated from executive dysfunction in bipolar disorder.…”

Section: Metacognitive Deficits In Schizophreniamentioning

confidence: 95%

Metacognitive Dysfunction in Schizophrenia

Aragón¹,

Sendra²,

Benavides³

2012

Schizophrenia in the 21st Century

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Theory of mind deficit in bipolar disorder: Is it related to aprevious history of psychotic symptoms?

Cited by 87 publications

References 51 publications

Deficits in recognition, identification, and discrimination of facial emotions in patients with bipolar disorder

Deficits in recognition, identification, and discrimination of facial emotions in patients with bipolar disorder

Association of different cognitive domains with the lifetime history of psychosis and reported antipsychotic- treatment adverse events in bipolar disorders.

Metacognitive Dysfunction in Schizophrenia

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