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Cognitive Functioning and Instrumental Activities of Daily Living in Late-Life Bipolar Disorder

Objective The authors report on the relationship between cognitive functioning and instrumental activities of daily living (IADLs) in elderly, clinically euthymic adults with bipolar disorder. Methods Twenty patients with bipolar disorder (age range: 61–86 years) were administered comprehensive neur...

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Bibliographic Details
Published in:The American journal of geriatric psychiatry 2007-02, Vol.15 (2), p.174-179
Main Authors: Gildengers, Ariel G., M.D, Butters, Meryl A., Ph.D, Chisholm, Denise, Ph.D, Rogers, Joan C., Ph.D, Holm, Margo B., Ph.D, Bhalla, Rishi K., Ph.D, Seligman, Karen, M.Ed, Dew, Mary Amanda, Ph.D, Reynolds, Charles F., M.D, Kupfer, David J., M.D, Mulsant, Benoit H., M.D
Format: Article
Language:English
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Summary:Objective The authors report on the relationship between cognitive functioning and instrumental activities of daily living (IADLs) in elderly, clinically euthymic adults with bipolar disorder. Methods Twenty patients with bipolar disorder (age range: 61–86 years) were administered comprehensive neuropsychologic testing. Structured in-home performance-based assessments of IADLs were performed in 19 of these patients. Results Relative to age-equated comparators, bipolar subjects performed worse in information-processing speed and executive functioning. IADL performance was strongly correlated with these cognitive domains. Conclusions In euthymic elderly patients with bipolar disorder, decrements in information processing speed and executive functioning characterize cognitive function and are associated with poorer IADL performance.
ISSN:1064-7481
1545-7214
DOI:10.1097/JGP.0b013e31802dd367