Search results for "Bipolar"

Funcionamiento neurocognitivo y psicosocial de pacientes con trastorno bipolar en una unidad de salud mental

2018

INTRODUCCION: Existe evidencia de que los pacientes que padecen Trastoro Bipolar (TB), e incluso sus familiares sanos, presentan patrones característicos de afectación de ciertos dominios neurocognitivos que persisten tras la remisión clínica o período de eutimia. La pérdida de funcionalidad psicosocial de estos pacientes se predice mejor con la presencia de alteraciones cognitivas que con variables clínicas o evolutivas. El clínico asistencial debería conocer si existe afectación o deterioro en las funciones neurocognitivas de sus pacientes pero en el medio asistencial cotidiano es difícil poder evaluar adecuadamente las funciones cognitivas y tampoco se acostumbra a cuantificar la funcion…

Behavioral genetics of suicidality in Bipolar Disorder: the interaction between SERT and CLOCK polymorphisms and early-life stress

Il suicidio è un problema di salute pubblica sottostimato, così come è un lutto almeno parzialmente prevenibile: ogni contributo alla conoscenza dei fattori di rischio ad esso associati possono aiutare lo sviluppo di interventi terapeutici efficaci rivolti a fasce vulnerabili della popolazione. Più del 90% delle persone che si suicidano, o provano a farlo, hanno una malattia psichiatrica diagnosticabile e circa il 60% di tutte le morti per suicidio si verificano nel contesto di un disturbo dell’umore, soprattutto di tipo bipolare. Il suicidio ha oltretutto alta familiarità: la suicidalità è ereditabile, indipendentemente dalla diagnosi associata. Lo stress è un fattore di rischio sia prossi…

Data from: Factors associated with first- versus second-generation long-acting antipsychotics prescribed under ordinary clinical practice in Italy

2019

Background. For many years, long-acting intramuscular (LAI) antipsychotics have been prescribed predominantly to chronic and severe patients, as a last resort when other treatments failed. Recently, a broader and earlier use of LAIs, particularly second-generation LAIs, has been emphasized. To date, few studies attempted to frame how this change in prescribing took place in real-world practice. Therefore, this study aimed to describe the clinical features of patients prescribed with LAIs, and to explore possible prescribing differences between first- and second-generations LAIs under ordinary clinical practice in Italy. Methods. The STAR Network "Depot" Study is an observational, longitudin…

Un disturbo bipolare stabilizzato con aripiprazolo

2008

The 'Extreme Female Brain' : Increased Cognitive Empathy as a Dimension of Psychopathology

2016

Abstract Baron-Cohen's ‛extreme male brain' theory postulates that autism involves exaggerated male-typical psychology, with reduced empathizing (considered here as social–emotional interest, motivation and abilities) and increased systemizing (non-social, physical-world and rule-based interest, motivation and abilities), in association with its male-biased sex ratio. The concept of an ‘extreme female brain', involving some combination of increased empathizing and reduced systemizing, and its possible role in psychiatric conditions, has been considerably less well investigated. Female-biased sex ratios have been described in two conditions, depression and borderline personality disorder (BP…

Bipolar disorder: An evolutionary psychoneuroimmunological approach

2021

Abstract Bipolar disorder is a mental health disorder characterized by extreme shifts in mood, high suicide rate, sleep problems, and dysfunction of psychological traits like self-esteem (feeling inferior when depressed and superior when manic). Bipolar disorder is rare among populations that have not adopted contemporary Western lifestyles, which supports the hypothesis that bipolar disorder results from a mismatch between Homo sapiens’s evolutionary and current environments. Recent studies have connected bipolar disorder with low-grade inflammation, the malfunctioning of the internal clock, and the resulting sleep disturbances. Stress is often a triggering factor for mania and sleep probl…

Ketogenic diet as a metabolic therapy for mood disorders: Evidence and developments.

2018

Abstract Despite significant advances in pharmacological and non-pharmacological treatments, mood disorders remain a significant source of mental capital loss, with high rates of treatment resistance, requiring a coordinated effort in investigation and development of efficient, tolerable and accessible novel interventions. Ketogenic diet (KD) is a low-carb diet that substantially changes the energetic matrix of the body including the brain. It has been established as an effective anticonvulsant treatment, and more recently, the role of KD for mental disorders has been explored. Ketogenic diet has profound effects in multiple targets implicated in the pathophysiology of mood disorders, inclu…

First-Episode Psychosis Patients Who Deteriorated in the Premorbid Period Do Not Have Higher Polygenic Risk Scores Than Others: A Cluster Analysis of…

2023

Abstract Cluster studies identified a subgroup of patients with psychosis whose premorbid adjustment deteriorates before the onset, which may reflect variation in genetic influence. However, other studies reported a complex relationship between distinctive patterns of cannabis use and cognitive and premorbid impairment that is worthy of consideration. We examined whether: (1) premorbid social functioning (PSF) and premorbid academic functioning (PAF) in childhood and adolescence and current intellectual quotient (IQ) define different clusters in 802 first-episode of psychosis (FEP) patients; resulting clusters vary in (2) polygenic risk scores (PRSs) for schizophrenia (SCZ_PRS), bipolar dis…

Therapeutic use of omega-3 fatty acids in bipolar disorder

2011

Bipolar disorder (BD) is a severe, chronic affective disorder, associated with significant disability, morbidity and premature mortality. Omega-3 polyunsaturated fatty acids (PUFAs) play several important roles in brain development and functioning. Evidence from animal models of dietary omega-3 (n-3) PUFA deficiency suggest that these fatty acids are relevant to promote brain development and to regulate behavioral and neurochemical aspects related to mood disorders, such as stress responses, depression and aggression, as well as dopaminergic content and function. Preclinical and clinical evidence suggests roles for PUFAs in BD. n-3 PUFAs seem to be an effective adjunctive treatment for unip…

Platelet and Plasmatic Lipidic Profile as Potential Marker of Bipolar Disorders: Preliminary Findings

2017

IntroductionAlthough the diagnosis of bipolar disorder is currently based on clinical criteria, preliminary studies showed that palmitic and arachidonic acid levels are able to discriminate adult patients with major depressive disorder (MDD) from those with bipolar disorder (BD).ObjectivesTo replicate and to expand previous findings by investigating the relation between mood disorders and platelet and plasmatic fatty levels.AimsTo compare the lipidic profile of individuals with different mood disorder (MDD vs. BD) and to investigate the relation with specific clinical features (duration of illness, attempted suicide, psychotic symptoms).MethodsPotential participants were recruited from the …