Cognitive impairment in patients with bipolar disorder alone versus those with bipolar disorder comorbid with borderline personality disorder.

IF 3.9 4区医学 Q1 PSYCHIATRY World Journal of Psychiatry Pub Date : 2024-08-19 DOI:10.5498/wjp.v14.i8.1174

Chao-Min Wang, Hua Xue, Bo Xin, Kun Zhang, Shuo Wang, Jin-Cheng Wang, Cui-Xia An, Na Li

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Abstract

Background: Bipolar disorder (BD) is a severe mental illness. BD often coexists with borderline personality disorders, making the condition more complex.

Aim: To explore the differences in cognitive impairment between patients with BD and those with BD comorbid with borderline personality disorder.

Methods: Eighty patients with BD and comorbid borderline personality disorder and 80 patients with BD alone were included in groups A and B, respectively, and 80 healthy volunteers were included as controls. Cognitive function in each group was evaluated using the Chinese version of the repeatable battery for the assessment of neuropsychological status (RBANS), the Stroop color-word test, and the Wechsler intelligence scale-revised (WAIS-RC).

Results: The indices of the RBANS, Stroop color-word test, and WAIS-RC in groups A and B were significantly lower than those of the control group (P < 0.05). Group A had significantly longer Stroop color-word test times for single-character, single-color, double-character, and double-color, lower scores of immediate memory, visual breadth, verbal function dimensions and total score of the RBANS, as well as lower scores of verbal IQ, performance IQ, and overall IQ of the WAIS-RC compared with group B (P < 0.05). Compared to group B, group A exhibited significantly longer single-character time, single-color time, double-character time, and double-color time in the Stroop color-word test (P < 0.05).

Conclusion: The cognitive function of patients with BD complicated with borderline personality disorder is lower than that of patients with BD.

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单纯双相情感障碍患者与合并边缘型人格障碍的双相情感障碍患者的认知障碍。

背景：躁郁症（BD）是一种严重的精神疾病。目的：探讨躁郁症患者与合并边缘型人格障碍的躁郁症患者在认知障碍方面的差异：方法：将 80 名患有 BD 并合并有边缘型人格障碍的患者和 80 名仅患有 BD 的患者分别纳入 A 组和 B 组，并纳入 80 名健康志愿者作为对照组。采用中文版神经心理状态评估重复性测验（RBANS）、Stroop颜色词测验和韦氏智力测验量表修订版（WAIS-RC）对各组的认知功能进行评估：A组和B组的RBANS、Stroop颜色词测试和WAIS-RC指数明显低于对照组（P<0.05）。与 B 组相比，A 组的单字、单色、双字、双色 Stroop 颜色词测试时间明显较长，RBANS 的即时记忆、视觉广度、言语功能维度和总分得分较低，WAIS-RC 的言语智商、表现智商和总体智商得分较低（P < 0.05）。与 B 组相比，A 组在 Stroop 颜色词测试中的单字时间、单色时间、双字时间和双色时间均明显延长（P < 0.05）：结论：并发边缘型人格障碍的 BD 患者的认知功能低于 BD 患者。

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.