Treatment of Functional Impairment in Patients with Bipolar Disorder

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• 作者：Jose Sanchez-Moreno ; Anabel Martinez-Aran ; Eduard Vieta
• 关键词：Bipolar disorder ; Functional impairment ; Treatment ; Neurocognitive impairment ; Functional remediation ; Psychoeducation
• 刊名：Current Psychiatry Reports
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：19
• 期：1
• 全文大小：
• 刊物主题：Psychiatry;
• 出版者：Springer US
• ISSN：1535-1645
• 卷排序：19

文摘

Traditionally, functional impairment has received little attention in bipolar disorder, despite the fact that many patients experience significant impairments in daily life. In the last decade, research has changed its focus from clinical remission to functional recovery in bipolar patients as a priority. A literature review of this topic will allow us provide an overview of the relevance of functional impairment as well as the potential factors that can predict or contribute to low functioning in bipolar disorder (BD). Treatment approaches should consider not only euthymia as a goal but also cognitive and functional improvement of patients with such a complex disorder. Functional remediation and psychoeducation among psychological interventions may help to enhance functioning. The combination of cognitive enhancers and cognitive/functional remediation programs may help in improving cognitive and functional impairments. Early interventions are essential to prevent cognitive deficits and disability.