Impulsivity: present during euthymia in bipolar disorder? - a systematic review
نویسندگان
چکیده
Because impulsivity is part of the presentation of bipolar disorder (BD) and is associated with its course, this systematic review presents the evidence whether increased impulsivity is present in a stable, euthymic mood and therefore potentially a vulnerability marker for BD. A multi-faceted model of impulsivity was adopted to explore how different facets may relate differently to BD. The evidence was explored in relation to studies employing measures of trait impulsivity (in self-report format) and studies exploring impulsivity with behavioural paradigms. Behavioural paradigms were separated into studies measuring response inhibition and those measuring the ability to delay gratification. Twenty-three papers met the inclusion criteria. Most studies using self-report measures found significant differences between euthymic BD patients and healthy controls. There was little evidence of increased impulsivity as measured by behavioural paradigms. Most studies found no significant difference in response inhibition between groups, though it is possible that much of the literature in this area was underpowered to detect an effect. Only five studies explored delay of gratification, of which the two methodologically strongest studies found no group differences. In conclusion, there is evidence that euthymic patients with BD report increased impulsivity when using self-ratings. However, there is currently limited evidence of impulsivity on behavioural measures assessing response inhibition, and this might be restricted to more severe cases. More research is needed on the ability to delay gratification before drawing any conclusions. However, to establish facets of impulsivity as vulnerability markers, future studies should include at-risk individuals to evaluate whether self-rated or behavioural impulsivity precedes the onset of BD.
منابع مشابه
The Effect of Interpersonal and Social Cycle Therapy on Impulsivity, Distress Tolerance, and Emotional Regulation Difficulties in Patients with Borderline Personality Disorder and Bipolar Disorder: a Case-Control Study: Assessment of Two Patients
Introduction: Patients with borderline personality disorder and bipolar disorder have difficulty managing emotions that lead to distress and impulsivity. The aim of this study was to determine the effect of interpersonal and social cycle therapy on impulsivity, distress tolerance and emotional regulation difficulties in patients with borderline personality disorder and bipolar disorder. Methods...
متن کاملTHE EFFECTIVENESS OF DIALECTICAL BEHAVIORAL THERAPY (BASED ON EMOTION REGULATION TRAINING) ON IMPULSIVITY AND QUALITY OF LIFE IN PATIENTS WITH TYPE I BIPOLAR DISORDER: A QUASI-EXPERIMENTAL STUDY
Background & Aims: Bipolar disorder is a truly debilitating and chronic disorder characterized by recurrent episodes of mania or depression with crucial effects on personal and interpersonal performance. This research aimed to study the effectiveness of dialectical behavioral therapy (emotion regulation skills training) on impulsivity and quality of life in patients with Type I bipolar disorder...
متن کاملEfficacy of Mindfulness Based on Cognitive Therapy on Impulsivity and Self- Inhibition in Patients with Bipolar Disorder under Medical Treatment
Introduction: Bipolar disorder is combined with chronic symptoms that have effect on cognitive abilities and executive functions. The purpose of present study was to investigate efficacy of mindfulness based cognitive therapy (MBCT) on impulsivity and self-inhibition in the patients with bipolar disorder under medical treatment. Methods: This study was quasi-experimental, pretest-posttest desi...
متن کاملCognitive Impairment in Bipolar Disorder and Schizophrenia: A Systematic Review
AIMS Previous comparisons of cognitive decline among patients with bipolar disorder (BD) and schizophrenia (SZ) have found somehow quite similar profiles of deficits, but results have varied between studies. Therefore an extensive and thoughtful systematic review of the matter is warranted. METHODS Studies were found through systematic search (PubMed) following PRISMA guidelines. To be includ...
متن کاملSuicide attempts in bipolar I patients: impact of comorbid personality disorders.
Objective To evaluate the association between personality disorders (PDs) and suicide attempts (SAs) in euthymic patients with type I bipolar disorder (BD). Methods One-hundred twenty patients with type I BD, with and without history of SA, were evaluated during euthymia. The assessment included a clinical and sociodemographic questionnaire, the Hamilton Depression Rating Scale, the Young Man...
متن کامل