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Evidence for disruption in prefrontal cortical functions in juvenile bipolar disorder.

Evidence for disruption in prefrontal cortical functions in juvenile bipolar disorder. Research Abstract Details 

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  • Evidence for disruption in prefrontal cortical functions in juvenile bipolar disorder. Abstract Text:

    carrie e beardenCarrie E Bearden,david c glahnDavid C Glahn,sheila caetanoSheila Caetano,rene l olveraRene L Olvera,manoela fonsecaManoela Fonseca,pablo najtPablo Najt,kristina hunterKristina Hunter,steve r pliszkaSteve R Pliszka,jair c soaresJair C Soares,carrie e beardenCarrie E Bearden,david c glahnDavid C Glahn,sheila caetanoSheila Caetano,rene l olveraRene L Olvera,manoela fonsecaManoela Fonseca,pablo najtPablo Najt,kristina hunterKristina Hunter,steve r pliszkaSteve R Pliszka,jair c soaresJair C Soares,

    OBJECTIVES: Systematic parsing of executive function processes is critical for the development of more specific models of neurobiological processes mediating disturbed cognition in youth with bipolar disorder (BPD). METHODS: A sample of 33 children and adolescents with bipolar I disorder (BPD I) (mean age 12.1 +/- 3.0 years, 39% female) and 44 demographically matched healthy participants (mean age 12.9 +/- 2.8 years, 50% female) completed a neurocognitive battery including measures aimed at detection of disruption in prefrontal cortical circuitry (i.e., working memory, set shifting, and rule attainment). RESULTS: Compared to healthy controls, BPD I children exhibited significant deficits in spatial working memory, visual sequencing and scanning, verbal fluency and abstract problem solving, particularly when a memory component was involved. In our spatial delayed response task, memory set size was parametrically varied; the performance pattern in BPD I children suggested deficits in short-term memory encoding and/or storage, rather than capacity limitations in spatial working memory. Earlier age at onset of illness and antipsychotic medication usage were associated with poorer performance on speeded information-processing tasks; however, severity of mood symptomatology and comorbidity with disruptive behavior disorders were not associated with task performance. CONCLUSIONS: These results suggest impairment in measures of prefrontal cortical function in juvenile BPD I that are similar to those seen in the adult form of the illness, and implicate both the ventral and dorsolateral prefrontal cortex as loci of pathology in juvenile BPD. As these deficits were not associated with clinical state or comorbidity with other disorders, they may reflect trait-related impairments, a hypothesis that will be pursued further in longitudinal studies.

    Evidence for disruption in prefrontal cortical functions in juvenile bipolar disorder. Publishing Authors By Initials

    ce beardenCE Bearden,dc glahnDC Glahn,s caetanoS Caetano,rl olveraRL Olvera,m fonsecaM Fonseca,p najtP Najt,k hunterK Hunter,sr pliszkaSR Pliszka,jc soaresJC Soares,ce beardenCE Bearden,dc glahnDC Glahn,s caetanoS Caetano,rl olveraRL Olvera,m fonsecaM Fonseca,p najtP Najt,k hunterK Hunter,sr pliszkaSR Pliszka,jc soaresJC Soares,

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    PUBMED ID PMID:

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    Evidence for disruption in prefrontal cortical functions in juvenile bipolar disorder. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Bipolar disorders

    VOLUME: 9 Suppl 1

    Page Numbers: 145-59

    Journal Abbreviation: Bipolar Disord

    ISSN: 1398-5647

    DAY: 4

    MONTH: Jun

    YEAR: 2007

    Evidence for disruption in prefrontal cortical functions in juvenile bipolar disorder. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 100883596

    Evidence for disruption in prefrontal cortical functions in juvenile bipolar disorder. Keywords Mesh Terms:

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    Grant and Affiliation Information for Evidence for disruption in prefrontal cortical functions in juvenile bipolar disorder.

    AFFILIATION: Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles, Los Angeles, CA 90095, USA. cbearden@mednet.ucla.edu

    Country: Denmark

    Denmark Research PublicationDenmark Research Publication

    AGENCY: United States NCRR

    GRANT: RR-020571

    ACRONYM: RR

    MEDLINETA: Bipolar Disord

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