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Insights, challenges and new frontiers for cognitive function in bipolar disorder

delete2026-04-01
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PRE
AI
M
Miskowiak, Kamilla Woznica *
K
Kjaerstad, Hanne Lie
V
Vieta, Eduard
DOI:10.1038/s44220-026-00615-7delete
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Abstract

Abstract

En 中文
Cognitive impairment in various domains-including attention, memory and executive function-is a common feature of bipolar disorder (BD) that persists beyond mood episodes and greatly impacts daily functioning, prognosis and treatment outcomes. Yet, the mechanisms and clinical implications of this cognitive impairment remain insufficiently understood. In this narrative Review, we synthesize cutting-edge findings from multidisciplinary research on cognitive function in people with BD that provide the foundation for a paradigm shift in recognizing cognitive impairment as an independent treatment target in BD. Furthermore, we discuss cognition as a moderator of illness trajectory in BD, with implications extending beyond BD to other psychiatric disorders, highlighting the transdiagnostic relevance for improving cognition across psychiatric disorders. Finally, we provide recommendations for clinicians to screen for cognitive impairments and suggest perspectives for strategies to target cognition and improve cognitive functioning in BD.
Keywords:
DIRECT-CURRENT STIMULATION
TRANSCRANIAL MAGNETIC STIMULATION
EUTHYMIC PATIENTS
NEUROCOGNITIVE FUNCTION
DOUBLE-BLIND
I DISORDER
OPEN-LABEL
DEPRESSIVE DISORDER
LITHIUM TREATMENT
MAJOR DEPRESSION

Journal

N
Nature Mental Health
IF:
8.7
Papers:
121
Citations:
0

Organization

Hospital Clínic de Barcelona cover
Hospital Clínic de Barcelona
Scholars:
711
Papers: 261
Citations: 1.1W
U
university of copenhagen
Scholars:
6.5K
Papers: 2.6K
Citations: 0
I
idibaps
Scholars:
7.8K
Papers: 5.8K
Citations: 25
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