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Viapiana VF, Rodrigues ACRDBG, Peters R, Tramontina S, Passos IC, Fonseca RP. Pediatric bipolar disorder: Executive, linguistic, mnemonic, and cognitive efficiency mapping. APPLIED NEUROPSYCHOLOGY-CHILD 2021; 11:350-363. [PMID: 33496639 DOI: 10.1080/21622965.2020.1848568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Neuropsychological assessment can enrich our understanding of Pediatric Bipolar Disorder (PB). This study aimed to: (1) analyze the occurrence of neuropsychological frequency of deficits and difficulties in children with PB; (2) verify whether there is a performance difference between PB type I (PB-I) and PB type II (PB-II)/unspecified, and between PB with and without ADHD; and (3) verify the cognitive efficiency differences within the PB group and control groups, and among clinical subgroups. Participants in the study were 16 children diagnosed with PB and 40 children with typical development (6-12 years old). The results indicated a high frequency of deficits/difficulties in verbal fluency, cognitive efficiency in performing basic abilities, inhibitory control, cognitive flexibility, and working memory, with emphasis on verbal and executive losses. There were indications that type PB-I and comorbidity with ADHD negatively impact a child's neuropsychological development. The clinical group showed more cognitive efficiency losses compared with the control group, and greater losses were observed in PB-I and in PB with ADHD. The role of neuropsychological evaluation in multidomain and nonlinear statistical analysis is critical to gaining an understanding of the clinical and cognitive heterogeneity of PB.
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Affiliation(s)
- Vanisa Fante Viapiana
- Institute of Philosophy and Human Sciences, University of Passo Fundo, Passo Fundo, Brazil.,Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul - PUCRS, Porto Alegre, Brazil
| | | | - Roberta Peters
- Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul - PUCRS, Porto Alegre, Brazil
| | - Silzá Tramontina
- Child and Adolescent Psychiatry Service, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
| | - Ives Cavalcante Passos
- Laboratory of Molecular Psychiatry, Centro de Pesquisa Experimental (CPE) and Centro de Pesquisa Clínica (CPC), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.,Instituto Nacional de Ciência e Tecnologia Translacional em Medicina (INCT-TM), Porto Alegre, Brazil.,Department of Psychiatry, School of Medicine, Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Rochele Paz Fonseca
- Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul - PUCRS, Porto Alegre, Brazil
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