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Are working memory deficits in bipolar disorder markers for psychosis?
Authors:Allen  Daniel N; Randall  Carol; Bello  Danielle; Armstrong  Christina; Frantom  Linda; Cross  Chad; Kinney  Jefferson
Abstract:Working memory deficits have been identified in bipolar disorder, but there is evidence suggesting that these deficits may be markers for psychosis rather than affective disorder. The current study examined this issue by comparing two groups of individuals with bipolar disorder, one with psychotic features and one without psychotic features, with a group of normal controls. Working memory was conceptualized as a multicomponent system that includes auditory and visuospatial short-term stores, executive control processes, and an episodic buffer that allows for communication between short- and long-term memory stores (Baddeley & Logie, 1999). Results indicated that only executive control processes significantly differentiated the psychotic and nonpsychotic bipolar groups, although visuospatial working memory differentiated both bipolar groups from controls. The results support the idea that some aspects of working memory performance are markers for psychosis, while others may be more general markers for bipolar disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords:bipolar disorder  endophenotype  executive function  neurocognitive  psychosis  working memory
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