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Impulsivity predicts time to reach euthymia in adults with bipolar disorder
Author(s) -
Dawson Erica L,
Shear Paula K,
Howe Steven R,
Adler Caleb M,
DelBello Melissa P,
Fleck David E,
Strakowski Stephen M
Publication year - 2014
Publication title -
bipolar disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 129
eISSN - 1399-5618
pISSN - 1398-5647
DOI - 10.1111/bdi.12232
Subject(s) - young mania rating scale , impulsivity , bipolar disorder , psychology , psychiatry , mania , barratt impulsiveness scale , continuous performance task , rating scale , clinical psychology , major depressive disorder , bipolar ii disorder , cognition , developmental psychology
Objectives Specific demographic and illness characteristics have been identified as predictors of overall morbidity and treatment course among individuals with bipolar disorder. However, the role of specific cognitive limitations on disease severity and treatment response is unclear. The present study evaluated whether impulsiveness during acute mania was a significant predictor of achieving euthymia within one year following psychiatric hospitalization. Methods Participants were 94 adult inpatients (60 manic) with bipolar I disorder. Baseline symptom severity was assessed using the Young Mania Rating Scale and the Montgomery–Åsberg Depression Rating Scale. Impulsivity was measured with the Stop Signal Task, Degraded Stimulus Continuous Performance Task, Delayed Response Task, and Barratt Impulsiveness Scale‐11. Results Individual predictors of time to reach euthymia included fewer depressive symptoms and better impulse control at baseline, later age at illness onset, shorter illness duration, and the absence of comorbid attention‐deficit hyperactivity disorder. Self‐reported impulsivity was a significant independent predictor of time to euthymia, even after accounting for relevant clinical variables. Conclusions Better trait impulse control may be associated with better treatment responsiveness among adults with bipolar disorder.