Cognitive Impairment in Bipolar Disorder: Treatment and Prevention Strategies

Int J Neuropsychopharmacol. 2017 Aug 1;20(8):670-680. doi: 10.1093/ijnp/pyx032.

Abstract

Over the last decade, there has been a growing appreciation of the importance of identifying and treating cognitive impairment associated with bipolar disorder, since it persists in remission periods. Evidence indicates that neurocognitive dysfunction may significantly influence patients' psychosocial outcomes. An ever-increasing body of research seeks to achieve a better understanding of potential moderators contributing to cognitive impairment in bipolar disorder in order to develop prevention strategies and effective treatments. This review provides an overview of the available data from studies examining treatments for cognitive dysfunction in bipolar disorder as well as potential novel treatments, from both pharmacological and psychological perspectives. All these data encourage the development of further studies to find effective strategies to prevent and treat cognitive impairment associated with bipolar disorder. These efforts may ultimately lead to an improvement of psychosocial functioning in these patients.

Keywords: bipolar disorder; cognitive impairment; cognitive remediation; functional remediation.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bipolar Disorder / complications*
  • Bipolar Disorder / psychology
  • Bipolar Disorder / therapy*
  • Cognitive Dysfunction / etiology
  • Cognitive Dysfunction / prevention & control*
  • Cognitive Dysfunction / therapy*
  • Humans