Increased reward-oriented impulsivity in older bipolar patients: A preliminary study

JOURNAL OF AFFECTIVE DISORDERS

卷:225

Article

Bauer, Isabelle E.¹  Diniz, Breno Satler¹  Meyer, Thomas D.¹  Teixeira, Antonio Lucio¹  Sanches, Marsal^1,2  Spiker, Danielle¹  Zunta-Soares, Giovana¹  Soares, Jair C.¹ 

[1] Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Dept Psychiat & Behav Sci, Houston, TX 77054 USA

[2] Archway Mental Hlth Serv, Bismarck, ND 58502 USA

关键词: Impulsivity;    Bipolar disorder;    Old age;    Cognitive control;    Reward;   

DOI  :  10.1016/j.jad.2017.08.067

来源: Elsevier

【 摘 要 】

Objective: Impulsivity is a well-established trait of bipolar disorder (BD) that persists across mood phases. It is, however, still unknown whether, in BD, impulsivity remains stable or varies in intensity over the lifespan. This cross-sectional study compared impulsive behavior in older euthymic BD patients and healthy individuals using a range of self-rating and behavioral measures of impulsivity. Methods: 28 BD patients (56.07 +/- 4.08 years, 16 women) and 15 healthy controls (HC; 55.1 +/- 3.95 years, 6 women) were administered the Barratt Impulsivity Scale (BIS) and selected tasks of the Cambridge Neuropsychological Test Automated Batter (CANTAB) reflecting impulsivity. Multivariate analysis of variance controlled for age compared impulsivity measures across BD and HC. Results: BD patients displayed poor decision making, risk taking, and increased delay aversion. Other measures of impulsivity such as response inhibition, sustained cognitive control, and BIS scores were, overall, comparable between BD and HC. Conclusions: These preliminary findings suggest that, in BD, aspects of impulsivity related to reward-based decision making persist into late adulthood. Large scale, longitudinal studies are needed to evaluate the relationship of age to impulsivity over time, and explore the link between impulsivity and illness progression in elderly individuals with BD.

【 授权许可】

Free