Associations between emotional and non-emotional cognition and subsequent mood episodes in recently diagnosed patients with bipolar disorder: A 16-month follow-up study

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Background: Bipolar disorder (BD) is associated with impairments in both emotional and non-emotional cognition. Recently, cognitive impairments have attracted increasing research interest as markers of prognosis and possible treatment targets in patients with BD. However, there is a paucity of studies investigating cognitive predictors of prognosis in BD. Methods: We assessed 148 recently diagnosed, symptomatically stable patients with BD with a battery of emotional and non-emotional cognitive tests and followed them up over 16 months as part of an ongoing cohort study. Multiple linear regression analyses were conducted to examine the associations between cognitive performance at baseline and the recurrence and duration of (hypo)manic and depressive episodes, respectively, with adjustment for age, sex, subsyndromal symptoms and time between assessments. Results: Poorer recognition of negative facial expressions and more negative emotions in neutral daily life scenarios were associated with greater frequency (ps ≤ .04) and longer duration (ps ≤ .03) of subsequent (hypo)manic episodes over the 16-month follow-up period. In addition, poorer global cognition, attention and psychomotor speed, and verbal fluency were associated with more (hypo)manic episodes (ps ≤ .04). Finally, more difficulty down-regulating emotion in negative social scenarios was associated with depressive relapse (p = .007). It was a limitation that patients had a delayed diagnosis of seven years from their first mood episode despite being recently diagnosed. Conclusion: Trait-related cognitive impairments influence the early course in recently diagnosed patients with BD, particularly (hypo)manic relapse. Early prophylactic strategies targeting cognitive impairments may increase resilience and the course of illness in recently diagnosed patients with BD.

OriginalsprogEngelsk
TidsskriftJournal of Affective Disorders
Vol/bind324
Sider (fra-til)16-23
Antal sider8
ISSN0165-0327
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
The Research Fund of the Mental Health Services – Capital Region of Denmark has provided HLK's post-doctorate salary. KWM holds a five-year Lundbeck Foundation Fellowship (grant no. R215-2015-4121 ).

Funding Information:
The BIO study is funded by grants from the Mental Health Services , Capital Region of Denmark , The Danish Council for Independent Research, Medical Sciences ( DFF-4183-00570 ), Weimans Fund , Markedsmodningsfonden (the Market Development Fund 2015-310 ), Gangstedfonden ( A29594 ), Helsefonden ( 16-B-0063 ), Innovation Fund Denmark (the Innovation Fund, Denmark, 5164-00001B ), Copenhagen Center for Health Technology (CACHET), EU H2020 ITN (EU project 722561 ), Augustinusfonden ( 16-0083 ), and The Capital Region of Denmark ( A6924 ).

Funding Information:
The BIO study is funded by grants from the Mental Health Services, Capital Region of Denmark, The Danish Council for Independent Research, Medical Sciences (DFF-4183-00570), Weimans Fund, Markedsmodningsfonden (the Market Development Fund 2015-310), Gangstedfonden (A29594), Helsefonden (16-B-0063), Innovation Fund Denmark (the Innovation Fund, Denmark, 5164-00001B), Copenhagen Center for Health Technology (CACHET), EU H2020 ITN (EU project 722561), Augustinusfonden (16-0083), and The Capital Region of Denmark (A6924).The Research Fund of the Mental Health Services – Capital Region of Denmark has provided HLK's post-doctorate salary. KWM holds a five-year Lundbeck Foundation Fellowship (grant no. R215-2015-4121).

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© 2022 The Authors

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