Title
Verbal memory as a mediator in the relationship between subthreshold depressive symptoms and functional outcome in bipolar disorder
Date Issued
01 May 2014
Access level
metadata only access
Resource Type
journal article
Author(s)
Del Mar Bonnín C.
González-Pinto A.
Solé B.
Reinares M.
González-Ortega I.
Alberich S.
Crespo J.M.
Salamero M.
Vieta E.
Martínez-Arán A.
Torrent C.
Al-Halabi S.
Alonso S.
Anaya C.
Arango C.
Balanzá-Martínez V.
Barbeito S.
Bobes J.
Chiclana G.
Cerrillo E.
Correa P.
Custal N.
Fernández P.
Fernández M.
Fuentes-Durá I.
Galván G.
Isella S.
Landín-Romero R.
Menchón J.M.
Merchan-Naranjo J.
Ortiz-Gil J.
Pacchiarotti I.
Reyes R.
Rosa A.R.
Rapado M.
Rodao J.M.
Saiz P.A.
Sánchez-Moreno J.
Segura B.
Selva-Vera G.
Saiz-Ruiz J.
Soria V.
Subirá M.
Ugarte A.
Valle J.
Vega P.
Publisher(s)
Elsevier
Abstract
Background: Most studies on the factors involved in the functional outcome of patients with bipolar disorder have identified subsyndromal depressive symptoms and cognitive impairment as key players. However, most studies are cross-sectional and very few have analyzed the interaction between cognition and subclinical depression. The present study aimed to identify the role of cognition, and particularly verbal memory, and subthreshold depressive symptoms in the functional outcome of patients with bipolar I and II disorder at one year follow-up. Method: A confirmatory analysis was performed using the path analysis. A total of 111 euthymic patients were included to test the role of verbal memory as a mediator in the relationship of subthreshold depressive symptoms and functional outcome at one year follow-up. Measures of verbal memory, subthreshold depressive symptoms and functioning (at baseline, at 6 months and at one year follow-up) were gathered through the use of a neuropsychological assessment and validated clinical scales. Results: The hypothesized mediation model displayed a good fit to data (Chi=0.393, df=2, p=0.625; RMSEA < 0.001 with CI: 0.001-0.125 and CFI=1.00). Functional outcome at one year follow-up was predicted by the functional outcome at baseline, which in turn, was related to subthreshold depressive symptoms at baseline and to the verbal composite memory scores as a mediator variable. Conclusion: The results of this study prospectively confirm previous findings on the disabling role of subthreshold depressive symptoms and verbal memory impairment on psychosocial functioning. However, these results come from a sample with moderate to severe functional impairment; hence, as a limitation, this may hinder the generalization of these results.
Start page
50
End page
54
Volume
160
Language
English
OCDE Knowledge area
Psicología
Scopus EID
2-s2.0-84896912231
PubMed ID
Source
Journal of Affective Disorders
ISSN of the container
01650327
Sponsor(s)
The authors of this report would like to acknowledge the support of the Spanish Ministry of Economy and Competitiveness, Instituto de Salud Carlos III, CIBERSAM , the Spanish Ministry of Education and the Comissionat per a Universitats i Recerca del DIUE de la Generalitat de Catalunya to the Bipolar Disorders Group ( 2009 SGR 1022 ). Dr. Anabel Martinez-Aran׳s project is supported in part by a 2013 NARSAD, Independent Investigator Grant from the Brain & Behavior Research Foundation . The authors of this report would like to acknowledge the support of the Spanish Ministry of Economy and Competitiveness, (PI080180 and PI08/90825, PI08/90327, PI08/90675, PI08/90224, PI08/90654, PI08/90189, PI08/90916, PI08/90416, PI08/90094) PN 2008–2011, Instituto de Salud Carlos III, Subdirección General de Evaluación y Fomento de la Investigación; Fondo Europeo de Desarrollo Regional. Unión Europea, “Una manera de hacer Europa”; CIBERSAM; and the Comissionat per a Universitats i Recerca del DIUE de la Generalitat de Catalunya to the Bipolar Disorders Group (2009 SGR 1022). Dr. Anabel Martinez-Aran׳s project is supported in part by a 2013 NARSAD, Independent Investigator Grant from the Brain & Behavior Research Foundation.
Sources of information: Directorio de Producción Científica Scopus