Does Cognitive Dysfunction in Bipolar Disorder Qualify as a Diagnostic Intermediate Phenotype?—A Perspective Paper

The present perspective paper addresses and discusses whether cognitive dysfunction in bipolar disorder qualifies as a diagnostic intermediate phenotype using the Robin and Guze criteria of diagnostic validity. The paper reviews current data within (1) delineation of the clinical intermediate phenot...

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Main Authors: Lars Vedel Kessing, Kamilla Miskowiak
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-10-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2018.00490/full
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author Lars Vedel Kessing
Kamilla Miskowiak
Kamilla Miskowiak
author_facet Lars Vedel Kessing
Kamilla Miskowiak
Kamilla Miskowiak
author_sort Lars Vedel Kessing
collection DOAJ
description The present perspective paper addresses and discusses whether cognitive dysfunction in bipolar disorder qualifies as a diagnostic intermediate phenotype using the Robin and Guze criteria of diagnostic validity. The paper reviews current data within (1) delineation of the clinical intermediate phenotype, (2) associations of the intermediate phenotype with para-clinical data such as brain imaging and blood-based data, (3) associations to family history / genetics, (4) characteristics during long-term follow-up, and (5) treatment effects on cognition. In this way, the paper identifies knowledge gaps and suggests recommendations for future research within each of the five areas. Based on the current state of knowledge, we conclude that cognitive dysfunction does not qualify as a diagnostic intermediate phenotype or endophenotype for bipolar disorder, although promising new evidence points to emotion and reward processing abnormalities as possible putative endophenotypes.
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spelling doaj.art-d6c6bb4f166245d3a84a5de613eca77c2022-12-22T01:02:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402018-10-01910.3389/fpsyt.2018.00490381755Does Cognitive Dysfunction in Bipolar Disorder Qualify as a Diagnostic Intermediate Phenotype?—A Perspective PaperLars Vedel Kessing0Kamilla Miskowiak1Kamilla Miskowiak2Copenhagen Affective Disorder Research Centre (CADIC), Psychiatric Centre Copenhagen, University Hospital of Copenhagen and University of Copenhagen, Copenhagen, DenmarkCopenhagen Affective Disorder Research Centre (CADIC), Psychiatric Centre Copenhagen, University Hospital of Copenhagen and University of Copenhagen, Copenhagen, DenmarkDepartment of Psychology, University of Copenhagen, Copenhagen, DenmarkThe present perspective paper addresses and discusses whether cognitive dysfunction in bipolar disorder qualifies as a diagnostic intermediate phenotype using the Robin and Guze criteria of diagnostic validity. The paper reviews current data within (1) delineation of the clinical intermediate phenotype, (2) associations of the intermediate phenotype with para-clinical data such as brain imaging and blood-based data, (3) associations to family history / genetics, (4) characteristics during long-term follow-up, and (5) treatment effects on cognition. In this way, the paper identifies knowledge gaps and suggests recommendations for future research within each of the five areas. Based on the current state of knowledge, we conclude that cognitive dysfunction does not qualify as a diagnostic intermediate phenotype or endophenotype for bipolar disorder, although promising new evidence points to emotion and reward processing abnormalities as possible putative endophenotypes.https://www.frontiersin.org/article/10.3389/fpsyt.2018.00490/fullcognitioncognitive dysfunctionbipolar disorderunipolar disorderschizophreniaintermediate phenotype
spellingShingle Lars Vedel Kessing
Kamilla Miskowiak
Kamilla Miskowiak
Does Cognitive Dysfunction in Bipolar Disorder Qualify as a Diagnostic Intermediate Phenotype?—A Perspective Paper
Frontiers in Psychiatry
cognition
cognitive dysfunction
bipolar disorder
unipolar disorder
schizophrenia
intermediate phenotype
title Does Cognitive Dysfunction in Bipolar Disorder Qualify as a Diagnostic Intermediate Phenotype?—A Perspective Paper
title_full Does Cognitive Dysfunction in Bipolar Disorder Qualify as a Diagnostic Intermediate Phenotype?—A Perspective Paper
title_fullStr Does Cognitive Dysfunction in Bipolar Disorder Qualify as a Diagnostic Intermediate Phenotype?—A Perspective Paper
title_full_unstemmed Does Cognitive Dysfunction in Bipolar Disorder Qualify as a Diagnostic Intermediate Phenotype?—A Perspective Paper
title_short Does Cognitive Dysfunction in Bipolar Disorder Qualify as a Diagnostic Intermediate Phenotype?—A Perspective Paper
title_sort does cognitive dysfunction in bipolar disorder qualify as a diagnostic intermediate phenotype a perspective paper
topic cognition
cognitive dysfunction
bipolar disorder
unipolar disorder
schizophrenia
intermediate phenotype
url https://www.frontiersin.org/article/10.3389/fpsyt.2018.00490/full
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