Bipolar Disorder: Associated features
Associated features are clinical phenomenon that often accompany the disorder, but are not part of the diagnostic criteria for the disorder.
Cognitive impairment
Recent studies have found that bipolar disorder involves certain cognitive deficits or impairments, even in states of remission.[37][38][39][40][41]
It is not known whether specific cognitive deficits are mood state dependent or disorder-specific features of bipolar disorder. Few studies have examined impairments throughout all the different mood states, and many studies show conflicting data compared to other studies on account of methodological differences. Furthermore, the presence of mixed mood states complicates the identification of accurate cognitive models for this condition. Some use theories that conform to the cognitive models for unipolar depression and others on theories that focus solely on physiological or biological aspects of mania. However, Deborah Yurgelun-Todd of McLean Hospital in Belmont, Massachusetts has argued that some deficits should be included as a core feature of bipolar disorder. According to McIntyre et al. (2006),
Study results now press the point that neurocognitive deficits are a primary feature of BD; they are highly prevalent and persist in the absence of overt symptomatology. Although disparate neurocognitive abnormalities have been reported, disturbances in attention, visual memory, and executive function are most consistently reported.[42]
However, in the April–June 2007 issue of the Journal of Psychiatric Research (41, 3–4, 265–272) Spanish researchers (Selva et al.) reported that people with bipolar 1 who have a history of psychotic symptoms do not necessarily experience an increase in cognitive impairment. As those correctly diagnosed with bipolar 1 experience only mood congruent psychotic symptoms, the nature of psychotic involvement suggests a less severe long-term effect.
Creativity
A number of recent studies have observed a correlation between creativity and bipolar disorder,[3][4][5] although it is unclear in which direction the cause lies, or whether both conditions are caused by some third, unknown, factor. It has been hypothesized that temperament may be one such factor.
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