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Areas of controversy in neuroprogression in bipolar disorder

Version 2 2024-06-03, 19:25
Version 1 2016-05-11, 15:32
journal contribution
posted on 2024-06-03, 19:25 authored by IC Passos, B Mwangi, E Vieta, Michael BerkMichael Berk, F Kapczinski
OBJECTIVE: We aimed to review clinical features and biological underpinnings related to neuroprogression in bipolar disorder (BD). Also, we discussed areas of controversy and future research in the field. METHOD: We systematically reviewed the extant literature pertaining to neuroprogression and BD by searching PubMed and EMBASE for articles published up to March 2016. RESULTS: A total of 114 studies were included. Neuroimaging and clinical evidence from cross-sectional and longitudinal studies show that a subset of patients with BD presents a neuroprogressive course with brain changes and unfavorable outcomes. Risk factors associated with these unfavorable outcomes are number of mood episodes, early trauma, and psychiatric and clinical comorbidity. CONCLUSION: Illness trajectories are largely variable, and illness progression is not a general rule in BD. The number of manic episodes seems to be the clinical marker more robustly associated with neuroprogression in BD. However, the majority of the evidence came from cross-sectional studies that are prone to bias. Longitudinal studies may help to identify signatures of neuroprogression and integrate findings from the field of neuroimaging, neurocognition, and biomarkers.

History

Journal

Acta Psychiatrica Scandinavica

Volume

134

Pagination

91-103

Location

United States

ISSN

0001-690X

eISSN

1600-0447

Language

English

Publication classification

C Journal article, C1 Refereed article in a scholarly journal

Copyright notice

2016, Wiley

Issue

2

Publisher

WILEY