Functional impairment and cognitive performance in mood disorders: A community sample of young adults. (May 2017)

• Record Type: Journal Article
• Authors: Reyes, Amanda N.; Cardoso, Taiane A.; Jansen, Karen; Mondin, Thaíse C.; Souza, Luciano D.M.; Magalhães, Pedro V.S.; Kapczinski, Flavio; Silva, Ricardo A.
• Is Part Of: Psychiatry research. Volume 251(2017)
• Page Start: 85
• Page End: 89
• Publication Date: 2017-05
• Subjects: Functional impairment -- Cognitive performance -- Mood disorders -- Current major depressive episode -- Bipolar disorder; Psychiatry -- Periodicals; Psychiatry -- periodicals; Psychiatrie -- Périodiques; 616.89
• DOI: 10.1016/j.psychres.2017.01.069
• Languages: English
• ISSNs: 0165-1781

Abstract

Abstract: The aim of this study was to compare the global functioning and cognitive performance in a community sample of young adults with mood disorders versus community controls. This was a cross-sectional study nested in a cohort study with a community sample. Data was collected from February 2012 to June 2014; specifically, at a mean of five years after the first phase, all young adults were invited to participate in a re-evaluation. Mini International Neuropsychiatric Interview - PLUS (MINI-PLUS) was used for the diagnosis of mood disorders. The Functional Assessment Short Test (FAST) and the Montreal Cognitive Assessment (MoCA) were used to assess the global functioning, and cognitive performance, respectively. Were included 1258 subjects. Functional impairment was greater in subjects with bipolar disorder when compared to community controls, and there were no differences between major depressive disorder and community controls. There were no significant differences in cognitive performance between young adults with mood disorders when compared to community controls. Functional impairment is a marker for bipolar disorder in young adults; however, gross cognitive impairment assessed by a screening test is not, possibly because cognition is impaired in more advanced stages of the disorder. Highlights: This was a cross-sectional study nested in a community cohort with young adults. We verified that functional impairment was greater in subjects with bipolar disorder when compared with subjects without mood disorders. We verified that there was no difference in cognitive performance between young adults with mood disorders when compared to population controls.