Evidence map›Paper›PMID 23557429›Full record

Trial reportBMC psychiatry2013

Neurocognitive profiles in treatment-resistant bipolar I and bipolar II disorder depression.

Ute Kessler, Helle K Schoeyen, Ole A Andreassen, Geir E Eide, Åsa Hammar, Ulrik F Malt, Ketil J Oedegaard, Gunnar Morken, Kjetil Sundet, Arne E Vaaler

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00201526 recruitingnot on this map

Bipolar Research And Innovation Network - BRAIN

TypeobservationalSponsorNorwegian University of Science and TechnologyRan2003 to 2030Enrolled3,000ConditionsBipolar Disorder
NCT00664976 nacompletednot on this map

Treatment Resistant Depression in Bipolar Disorder - A Randomized Controlled Trial of Electroconvulsive Therapy

TypeinterventionalSponsorNorwegian University of Science and TechnologyRan2008 to 2013Enrolled73ConditionsBipolar DisorderArmsElectroconvulsive therapy, Treatment as usual
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Article
  6. Neuropsychology of Bipolar Disorder.Current topics in behavioral neurosciences · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Treatment-resistant bipolar depression: concepts and challenges for novel interventions.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Ute KesslerMoodnet Research Group, Psychiatric Division, Haukeland University Hospital, Bergen, Norway. ute.kessler@helse-bergen.no
Helle K Schoeyen
Ole A Andreassen
Geir E Eide
Åsa Hammar
Ulrik F Malt
Ketil J Oedegaard
Gunnar Morken
Kjetil Sundet
Arne E Vaaler
Haukeland University Hospital · NONorwegian University of Science and Technology · NOOslo University Hospital · NOStavanger University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe literature on the neuropsychological profiles in Bipolar disorder (BD) depression is sparse. The aims of the study were to assess the neurocognitive profiles in treatment-resistant, acutely admitted BD depression inpatients, to compare the neurocognitive functioning in patients with BD I and II, and to identify the demographic and clinical illness characteristics associated with cognitive functioning.

methodsAcutely admitted BD I (n = 19) and BD II (n = 32) inpatients who fulfilled the DSM-IV-TR criteria for a major depressive episode were tested with the MATRICS Consensus Cognitive Battery (MCCB), the Wechsler Abbreviated Scale of Intelligence, the National Adult Reading Test, and a battery of clinical measures.

resultsNeurocognitive impairments were evident in the BD I and BD II depression inpatients within all MCCB domains. The numerical scores on all MCCB-measures were lower in the BD I group than in the BD II group, with a significant difference on one of the measures, category fluency. 68.4% of the BD I patients had clinically significant impairment (>1.5 SD below normal mean) in two or more domains compared to 37.5% of the BD II patients (p = 0.045). A significant reduction in IQ from the premorbid to the current level was seen in BD I but not BD II patients. Higher age was associated with greater neurocognitive deficits compared to age-adjusted published norms.

conclusionsA high proportion of patients with therapy-resistant BD I or II depression exhibited global neurocognitive impairments with clinically significant severity. The cognitive impairments were more common in BD I compared to BD II patients, particularly processing speed. These findings suggest that clinicians should be aware of the severe neurocognitive dysfunction in treatment-resistant bipolar depression, particularly in BD I.

trial registrationNCT00664976.

Indexed as

CognitionAdultAttentionBipolar DisorderCognition DisordersDepressionFemaleHumansIntelligenceLearningMaleMemory, Short-TermMiddle AgedNeuropsychological TestsProblem Solving

Identifiers

PMID23557429
PMCPMC3637095
OpenAlexW2062147531

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.