Cognitive Processes and Legal Capacity in Patients With Bipolar Disorder: A Brief Research Report.

Autor:	Saffi F; Department of Psychology and Neuropsychology, Institute of Psychiatry, University of São Paulo, São Paulo, Brazil., Rocca CCA; Department of Psychology and Neuropsychology, Institute of Psychiatry, University of São Paulo, São Paulo, Brazil., Toschi-Dias E; Heart Institute, School of Medicine, University of São Paulo, São Paulo, Brazil.; Health Psychology Program, Methodist University of São Paulo, São Paulo, Brazil., Durães RSS; Department of Psychology and Neuropsychology, Institute of Psychiatry, University of São Paulo, São Paulo, Brazil.; Health Psychology Program, Methodist University of São Paulo, São Paulo, Brazil., Serafim AP; Department of Psychology and Neuropsychology, Institute of Psychiatry, University of São Paulo, São Paulo, Brazil.; Health Psychology Program, Methodist University of São Paulo, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	Frontiers in psychology [Front Psychol] 2022 Jun 30; Vol. 13, pp. 867750. Date of Electronic Publication: 2022 Jun 30 (Print Publication: 2022).
DOI:	10.3389/fpsyg.2022.867750
Abstrakt:	The current study verified the association between cognitive process such as attention, executive functioning, and legal capacity in patients with bipolar disorder (BD). The sample consisted of 72 participants, assorted to episodic patients ( n = 21), euthymic patients ( n = 22), and healthy controls (HCs) ( n = 29). We used the following neuropsychological measures: subtests of the Wechsler Abbreviated Intelligence Scale (WASI): vocabulary and matrix reasoning; Continuous Performance Test (CPT); Five Digit Test (FDT); and Rey-Osterrieth Complex Figure (ROCF). Euthymic patients expressed slower processing speed (FDT) compared to HC. They tended to make more errors with slightly worse discrimination, suggesting more impulsiveness (CPT, p < 0.01). On the contrary, episodic patients showed worse discrimination, committed more omissions, were more inconsistent with regard to response speed (CPT-3, p < 0.01), showed more difficulties in organizing their actions (ROCF: copy, p = 0.03), and were more rigid (FDT: flexibility, p = 0.03). The results suggest that bipolar patients in episode express more cognitive impairments that can compromise the quality of legal capacity. These results highlight the need for more protective support for episodic BD patients regarding legal capacity. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Saffi, Rocca, Toschi-Dias, Durães and Serafim.)
Databáze:	MEDLINE
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