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Background The main aim of this study was to compare a large population of patients with bipolar disorder (BD) types I and II strictly defined as euthymic with healthy controls on measures of decision making. An additional aim was to compare performance on a decision-making task between patients with and without a history of suicide attempt.Method Eighty-five euthymic patients with BD-I or BD-II and 34 healthy controls were included. All subjects completed tests to assess verbal memory, attention and executive functions, and a decision-making paradigm (the Iowa Gambling Task, IGT).Results Both groups of patients had worse performance than healthy controls on measures of verbal memory, attention and executive function. No significant differences were found between BD-I, BD-II and healthy controls on measures of decision making. By contrast, patients with a history of suicide attempt had lower performance in the IGT than patients without a history of suicide attempt.Conclusions Patients with euthymic BD-I and BD-II had intact decision-making abilities, suggesting that this does not represent a reliable trait marker of the disorder. In addition, our results provide further evidence of an association between impairments in decision making and vulnerability to suicidal behavior. © 2010 Cambridge University Press.


Documento: Artículo
Título:Decision making in euthymic bipolar i and bipolar II disorders
Autor:Martino, D.J.; Strejilevich, S.A.; Torralva, T.; Manes, F.
Filiación:Institute of Neurosciences, Favaloro University, Buenos Aires, Argentina
Institute of Cognitive Neurology (INECO), Buenos Aires, Argentina
2477 Dto. D, 1428 Ciudad de Buenos Aires, Argentina
Palabras clave:Bipolar I and II disorder; decision making; euthymia; Iowa Gambling Task; adult; affect; article; attention; bipolar disorder; classification; decision making; executive function; female; gambling; human; learning; male; middle aged; neuropsychological test; psychological aspect; psychometry; recall; reference value; risk factor; statistics; suicide attempt; Adult; Affect; Attention; Bipolar Disorder; Decision Making; Executive Function; Female; Gambling; Humans; Male; Mental Recall; Middle Aged; Neuropsychological Tests; Psychometrics; Reference Values; Risk Factors; Suicide, Attempted; Verbal Learning
Página de inicio:1319
Página de fin:1327
Título revista:Psychological Medicine
Título revista abreviado:Psychol. Med.


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---------- APA ----------
Martino, D.J., Strejilevich, S.A., Torralva, T. & Manes, F. (2011) . Decision making in euthymic bipolar i and bipolar II disorders. Psychological Medicine, 41(6), 1319-1327.
---------- CHICAGO ----------
Martino, D.J., Strejilevich, S.A., Torralva, T., Manes, F. "Decision making in euthymic bipolar i and bipolar II disorders" . Psychological Medicine 41, no. 6 (2011) : 1319-1327.
---------- MLA ----------
Martino, D.J., Strejilevich, S.A., Torralva, T., Manes, F. "Decision making in euthymic bipolar i and bipolar II disorders" . Psychological Medicine, vol. 41, no. 6, 2011, pp. 1319-1327.
---------- VANCOUVER ----------
Martino, D.J., Strejilevich, S.A., Torralva, T., Manes, F. Decision making in euthymic bipolar i and bipolar II disorders. Psychol. Med. 2011;41(6):1319-1327.