بهبودی از اختلال دوقطبی نوع یک بر اساس آشفتگی خواب و سوگیری حافظه ای مرتبط با مانیا: نقش میانجی حافظه کاری

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشکده روانشناسی و علوم تربیتی، دانشگاه محقق اردبیلی، اردبیل، ایران

2 گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

3 استاد گروه آموزشی روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه محقق اردبیلی، اردبیل، ایران

چکیده

مقدمه: اختلال دوقطبی نوع یک شدیدترین و شایع ترین زیرگروه اختلال دوقطبی است. مطالعه بر چگونگی تاثیر علائم این اختلال بر روند بهبودی، می تواند در زمینه ی درمان و جلوگیری از عود به کار رود. بدین منظور هدف پژوهش حاضر مدل یابی علی بهبودی از اختلال دوقطبی نوع یک بر اساس آشفتگی خواب و سوگیری حافظه ای مرتبط با مانیا، با نقش میانجی حافظه کاری می باشد.
روش: این مطالعه ی مقطعی با روش نمونه گیری در دسترس روی 126 بیمار مبتلا به اختلال دوقطبی نوع یک در فاز شیدایی که به مطب های روانپزشکی مراجعه کرده بودند، انجام شد. افراد نمونه 30 روز پس از پر کردن پرسشنامه ها و سنجش اولیه، مورد سنجش مجدد شدت مانیا قرار گرفتند. داده ها با مدل معادلات ساختاری و با نرم افزار Smartpls-3 تحلیل شدند.
یافته ها: نتایج نشان داد که عوامل آشفتگی خواب و حافظه کاری از عوامل موثر بر بهبودی از اختلال هستند (96/1 P)، ولی رابطه ی سوگیری حافظ های مرتبط با مانیا بر بهبودی از اختلال رد شد (96/1 >t و 05/0 > P).
نتیجه گیری: آشفتگی خواب به صورت مستقیم و غیر مستقیم (از طریق تاثیر بر حافظه ی کاری)، و سوگیری حافظه ای مرتبط با مانیا نیز از طریق تاثیر بر حافظه ی کاری می توانند بر بهبودی از اختلال دوقطبی تاثیرگذار باشند.
واژه های کلیدی: اختلال دوقطبی نوع یک، آشفتگی خواب، سوگیری حافظه ای مرتبط با مانیا، حافظه کاری

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Recovery from bipolar I disorder based on sleep disturbance and mania-related memory bias: The mediating role of working memory

نویسندگان [English]

  • Negin Anbari -Meybodi 1
  • Sajjad basharpoor 2
  • Mohammad Narimani 3
1 Faculty of Psychology and Educational Sciences, University of Mohaghegh Ardabili , Ardabil, Iran
2 Department of Psychology, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
3 Associate professor of General psychology, Faculty of Psychology and Educational Sciences, University of Mohaghegh Ardabili, Ardabil, Iran
چکیده [English]

Introduction: Bipolar disorder type 1 is the most severe and common subtype of bipolar disorder. A study of how the symptoms of this disorder affect the recovery process can be used in the treatment and prevention of recurrence. Therefore, the aim of this study was Causal modeling of recovery from bipolar disorder based on sleep disturbance and mania-related memory bias, with the mediating role of working memory.
Method: This cross-sectional study was performed by available sampling method on 126 patients with type 1 bipolar disorder in the manic phase who were referred to psychiatric offices. Sample subjects were reassessed for mania severity 30 days after completing the questionnaires and initial assessment. Data were analyzed using structural equation modeling and Smartpls-3 software.
Results: The results showed that sleep disturbances and working memory are effective factors in recovery from the disorder (t <1.096 and P <0.05), but the relationship between mania-related memory bias and recovery from the disorder was rejected (96/96). 1> t and P> 0.05).
Conclusion: Sleep disturbances can directly or indirectly (by affecting working memory) and mania-related memory bias can also affect the recovery from bipolar disorder by affecting working memory.
Keywords: bipolar I disorder, sleep disturbance, mania-related memory bias, working memory

کلیدواژه‌ها [English]

  • " bipolar I disorder"
  • "sleep disturbance"
  • "mania-related memory bias"
  • "working memory"
  1. Ferrari AJ, Stockings E, Khoo JP, Erskine HE, Degenhardt L, Vos T, et al. The prevalence and burden of bipolar disorder: findings from the Global Burden of Disease Study 2013. Bipolar disorders. 2016;18(5):440-50.

    1. Angst J, Gamma A, Benazzi F, Ajdacic V, Eich D, Rössler W. Toward a re-definition of subthreshold bipolarity: epidemiology and proposed criteria for bipolar-II, minor bipolar disorders and hypomania. Journal of affective disorders. 2003;73(1-2):133-46.
    2. Escamilla MA, Zavala JM. Genetics of bipolar disorder. Dialogues in clinical neuroscience. 2008;10(2):141.
    3. Merikangas KR, Jin R, He J-P, Kessler RC, Lee S, Sampson NA, et al. Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative. Archives of general psychiatry. 2011;68(3):241-51.
    4. Association AP. American psychiatric association. 2019.
    5. Jackson A, Cavanagh J, Scott J. A systematic review of manic and depressive prodromes. Journal of affective disorders. 2003;74(3):209-17.
    6. Harvey AG, Schmidt DA, Scarnà A, Semler CN, Goodwin GM. Sleep-related functioning in euthymic patients with bipolar disorder, patients with insomnia, and subjects without sleep problems. American Journal of Psychiatry. 2005;162(1):50-7.
    7. Steinan M, Scott J, Lagerberg T, Melle I, Andreassen O, Vaaler A, et al. Sleep problems in bipolar disorders: more than just insomnia. Acta Psychiatrica Scandinavica. 2016;133(5):368-77.
    8. Wu JC, Bunney WE. The biological basis of an antidepressant response to sleep deprivation and relapse: review and hypothesis. The American journal of psychiatry. 1990.
    9. Robillard R, Naismith SL, Hickie IB. Recent advances in sleep-wake cycle and biological rhythms in bipolar disorder. Current psychiatry reports. 2013;15(10):1-10.
    10. Perlman CA, Johnson SL, Mellman TA. The prospective impact of sleep duration on depression and mania. Bipolar disorders. 2006;8(3):271-4.
    11. Plante DT, Winkelman JW. Sleep disturbance in bipolar disorder: therapeutic implications. American Journal of Psychiatry. 2008;165(7):830-43.
    12. Gruber J, Miklowitz DJ, Harvey AG, Frank E, Kupfer D, Thase ME, et al. Sleep matters: sleep functioning and course of illness in bipolar disorder. Journal of affective disorders. 2011;134(1-3):416-20.
    13. Hudson JI, Lipinski JF, Keck PE, Aizley HG, Lukas SE, Rothschild AJ, et al. Polysomnographic characteristics of young manic patients: comparison with unipolar depressed patients and normal control subjects. Archives of General Psychiatry. 1992;49(5):378-83.
    14. McClung CA. How might circadian rhythms control mood? Let me count the ways. Biological psychiatry. 2013;74(4):242-9.
    15. Harvey AG, Soehner AM, Kaplan KA, Hein K, Lee J, Kanady J, et al. Treating insomnia improves mood state, sleep, and functioning in bipolar disorder: a pilot randomized controlled trial. Journal of consulting and clinical psychology. 2015;83(3):564.
    16. Mansell W, Lam D. A preliminary study of autobiographical memory in remitted bipolar and unipolar depression and the role of imagery in the specificity of memory. Memory. 2004;12(4):437-46.
    17. Phillips ML. Understanding the neurobiology of emotion perception: implications for psychiatry. The British Journal of Psychiatry. 2003;182(3):190-2.
    18. Meyer TD, Hautzinger M, Bauer IE. A mania-related memory bias is associated with risk for relapse in bipolar disorder. Journal of affective disorders. 2018;235:557-64.
    19. King MJ, MacDougall AG, Ferris S, Herdman KA, Bielak T, Smith JR, et al. Impaired episodic memory for events encoded during mania in patients with bipolar disorder. Psychiatry research. 2013;205(3):213-9.
    20. Gregory JD, Brewin CR, Mansell W, Donaldson C. Intrusive memories and images in bipolar disorder. Behaviour Research and Therapy. 2010;48(7):698-703.
    21. Segal ZV, Kennedy S, Gemar M, Hood K, Pedersen R, Buis T. Cognitive reactivity to sad mood provocation and the prediction of depressive relapse. Archives of general psychiatry. 2006;63(7):749-55.
    22. Latalova K, Prasko J, Diveky T, Velartova H. Cognitive impairment in bipolar disorder. Biomedical Papers of the Medical Faculty of Palacky University in Olomouc. 2011;155(1).
    23. Pomarol-Clotet E, Alonso-Lana S, Moro N, Sarro S, Bonnin MC, Goikolea JM, et al. Brain functional changes across the different phases of bipolar disorder. The British Journal of Psychiatry. 2015;206(2):136-44.
    24. Gualtieri CT, Johnson LG. Comparative neurocognitive effects of 5 psychotropic anticonvulsants and lithium. Medscape General Medicine. 2006;8(3):46.
    25. Farahmand Z, Tehrani-Doost M, Amini H, Mohammadi A, Mirzaei M, Mohamadzadeh A. Working memory and response inhibition in patients with bipolar I disorder during euthymic period. Iranian journal of psychiatry and behavioral sciences. 2015;9(1).
    26. Goldman-Rakic PS. Regional and cellular fractionation of working memory. Proceedings of the National Academy of Sciences. 1996;93(24):13473-80.
    27. Baddeley A. Working memory. Current biology. 2010;20(4):R136-R40.
    28. Baddeley A, Banse R, Huang Y-M, Page M. Working memory and emotion: Detecting the hedonic detector. Journal of Cognitive Psychology. 2012;24(1):6-16.
    29. Schweizer S, Satpute AB, Atzil S, Field AP, Hitchcock C, Black M, et al. The impact of affective information on working memory: A pair of meta-analytic reviews of behavioral and neuroimaging evidence. Psychological Bulletin. 2019;145(6):566.
    30. Soraggi-Frez C, Santos FH, Albuquerque PB, Malloy-Diniz LF. Disentangling working memory functioning in mood states of bipolar disorder: A systematic review. Frontiers in psychology. 2017;8:574.
    31. Sweeney JA, Kmiec JA, Kupfer DJ. Neuropsychologic impairments in bipolar and unipolar mood disorders on the CANTAB neurocognitive battery. Biological psychiatry. 2000;48(7):674-84.
    32. Larson ER, Shear PK, Krikorian R, Welge J, Strakowski SM. Working memory and inhibitory control among manic and euthymic patients with bipolar disorder. Journal of the International Neuropsychological Society. 2005;11(2):163-72.
    33. Murphy F, Sahakian B, Rubinsztein J, Michael A, Rogers R, Robbins T, et al. Emotional bias and inhibitory control processes in mania and depression. Psychological medicine. 1999;29(6):1307-21.
    34. Oscar-Berman M. Clinical and experimental approaches to varieties of memory. International journal of neuroscience. 1991;58(3-4):135-50.
    35. Bearden CE, Hoffman KM, Cannon TD. The neuropsychology and neuroanatomy of bipolar affective disorder: a critical review. Bipolar disorders. 2001;3(3):106-50.
    36. Thompson JM, Hamilton C, Gray JM, Quinn J, Mackin P, Young AH, et al. Executive and visuospatial sketchpad resources in euthymic bipolar disorder: Implications for visuospatial working memory architecture. Memory. 2006;14(4):437-51.
    37. Levin HS, Eisenberg HM, Benton AL. Frontal lobe function and dysfunction: Oxford University Press, USA; 1991.
    38. Kanady JC, Soehner AM, Klein AB, Harvey AG. The association between insomnia-related sleep disruptions and cognitive dysfunction during the inter-episode phase of bipolar disorder. Journal of psychiatric research. 2017;88:80-8.
    39. Lex C, Meyer TD. Is there evidence for an emotion-related bias in verbal learning or memory in individuals putatively high at risk for mania? Psychiatry research. 2013;210(3):891-5.
    40. Miller K. Bipolar disorder: Etiology, diagnosis, and management. Journal of the American Academy of Nurse Practitioners. 2006;18(8):368-73.
    41. Kline RB. Principles and practice of structural equation modeling: Guilford publications; 2015.
    42. Spearing MK, Post RM, Leverich GS, Brandt D, Nolen W. Modification of the Clinical Global Impressions (CGI) Scale for use in bipolar illness (BP): the CGI-BP. Psychiatry research. 1997;73(3):159-71.
    43. Young RC, Biggs JT, Ziegler VE, Meyer DA. A rating scale for mania: reliability, validity and sensitivity. The British journal of psychiatry. 1978;133(5):429-35.
    44. Ebrahimi A, Neshatdoost HT, Mousavi SG, Asadollahi GA, Nasiri H. Controlled randomized clinical trial of spirituality integrated psychotherapy, cognitive-behavioral therapy and medication intervention on depressive symptoms and dysfunctional attitudes in patients with dysthymic disorder. Advanced biomedical research. 2013;2.
    45. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213.
    46. Lex C, Hautzinger M, Meyer TD. Cognitive styles in hypomanic episodes of bipolar I disorder. Bipolar Disorders. 2011;13(4):355-64.
    47. Strauss GP., Allen DN.  Emotional verbal learning test: development and psychometric properties. Archives of clinical neuropsychology. 2013; 28(5), 435-451.
    48. Daneman M, Carpenter PA. Individual differences in working memory and reading. Journal of verbal learning and verbal behavior. 1980;19(4):450-66.
    49. Riding RJ, Dahraei H, Grimley M, Banner G. Working memory, cognitive style and academic attainment. Progress in education. 2001;5:1-19.
    50. Hair JF, Ringle CM, Gudergan SP, Fischer A, Nitzl C, Menictas C. Partial least squares structural equation modeling-based discrete choice modeling: an illustration in modeling retailer choice. Business Research. 2019;12(1):115-42.
    51. Henseler J, Hubona G, Ray PA. Using PLS path modeling in new technology research: updated guidelines. Industrial management & data systems. 2016.
    52. Hu Lt, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural equation modeling: a multidisciplinary journal. 1999;6(1):1-55.
    53. Morton E, Murray G. An update on sleep in bipolar disorders: presentation, comorbidities, temporal relationships and treatment. Current opinion in psychology. 2020;34:1-6.
    54. Esaki Y, Kitajima T, Obayashi K, Saeki K, Fujita K, Iwata N. Light exposure at night and sleep quality in bipolar disorder: The APPLE cohort study. Journal of affective disorders. 2019;257:314-20.
    55. Goodwin FK, Jamison KR. Manic-depressive illness: bipolar disorders and recurrent depression: Oxford University Press; 2007.
    56. Kaplan KA, McGlinchey EL, Soehner A, Gershon A, Talbot LS, Eidelman P, et al. Hypersomnia subtypes, sleep and relapse in bipolar disorder. Psychological medicine. 2015;45(8):1751-63.
    57. Malkoff-Schwartz S, Frank E, Anderson B, Sherrill JT, Siegel L, Patterson D, et al. Stressful life events and social rhythm disruption in the onset of manic and depressive bipolar episodes: a preliminary investigation. Archives of general psychiatry. 1998;55(8):702-7.
    58. Malkoff-Schwartz S, Frank E, Anderson B, Hlastala S, Luther J, Sherrill J, et al. Social rhythm disruption and stressful life events in the onset of bipolar and unipolar episodes. Psychological medicine. 2000;30(5):1005-16.
    59. Yildiz A, Ruiz P, Nemeroff C. The bipolar book: history, neurobiology, and treatment: Oxford University Press; 2015.
    60. Delgado VB, Chaves ML. Mood congruence phenomenon in acutely symptomatic mania bipolar I disorder patients with and without psychotic symptoms. Cognitive neuropsychiatry. 2013;18(6):477-90.
    61. García-Blanco AC, Perea M, Livianos L. Mood-congruent bias and attention shifts in the different episodes of bipolar disorder. Cognition & emotion. 2013;27(6):1114-21.
    62. Lyon HM, Startup M, Bentall RP. Social cognition and the manic defense: attributions, selective attention, and self-schema in bipolar affective disorder. Journal of Abnormal Psychology. 1999;108(2):273.
    63. Voss MJ, Zukosky M, Wang RF. A new approach to differentiate states of mind wandering: Effects of working memory capacity. Cognition. 2018;179:202-12.
    64. Baddeley A. Working memory and emotion: Ruminations on a theory of depression. Review of General Psychology. 2013;17(1):20-7.
    65. Boland EM, Alloy LB. Sleep disturbance and cognitive deficits in bipolar disorder: toward an integrated examination of disorder maintenance and functional impairment. Clinical psychology review. 2013;33(1):33-44.