Sustained cognitive and functional effects of pro-cognitive interventions for bipolar disorder: A systematic review of randomised controlled trials.
Michail Kalfas, Anna Tröger, Elliot Hampsey et al.
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In 30 seconds
This systematic review evaluated the effects of pro-cognitive interventions on cognitive and functional outcomes in individuals with bipolar disorder (BD). It included seven randomized controlled trials (RCTs) with a total of 615 participants. The review found that while cognitive remediation (CR) showed cognitive benefits at 3 to 6 months, consistent functional improvements were observed in only one trial.
Key findings
- Approximately 13% of identified RCTs assessed cognitive or functional outcomes at least 3 months post-treatment.
- Three of four RCTs on cognitive remediation reported cognitive benefits at 3 to 6 months.
- Only one RCT found consistent functional effects at 3 months following cognitive remediation.
Why it matters
Understanding the efficacy of pro-cognitive interventions in BD is crucial for improving patient outcomes. Clinicians need to be aware of the limited evidence regarding the translation of cognitive gains into functional improvements, which can impact treatment planning.