The impact of neurological and cerebellar soft signs on psychosocial functioning in bipolar disorder

2025
journal article
article
dc.abstract.enBackground: Patients with bipolar disorder (BD) present motor dysfunctions in the form of neurological and cerebellar soft signs (NSS and CSS, respectively). Little is known about the clinical utility of these symptoms and their impact on patients’ psychosocial functioning. The aim of our study is to assess the relationships between severity of NSS and CSS, as well as various dimensions of the daily functioning of patients with BD. Methods: A total of 100 participants were enrolled to this study: 60 patients with euthymic BD and 40 healthy controls (HC). Psychosocial functioning was evaluated with the use of Functioning Assessment Short Test (FAST) total score and its subscales. NSS were assessed with the use of the Neurological Evaluation Scale (NES). CSS were measured with the International Co-operative Ataxia Rating Scale (ICARS). Results: General psychosocial functioning was decreased by CSS and NSS severity represented by total NES and ICARS scores, as well as by higher measures of kinetic functions, sensory integration, motor coordination, and speech disorders subscales. Patients’ autonomy rates were decreased by total ICARS, kinetic functions, and speech disorders scores. Occupational functioning was limited by the majority of CSS and NSS measures. Cognitive functioning was associated with motor coordination impairments. Leisure time activities were influenced by total CSS severity and kinetic dysfunctions. We have shown that the severity of both CSS and NSS is a full mediator of the associations between duration of treatment and general psychosocial functioning. Conclusions: Our results suggest that even “soft” neurological abnormalities may have an impact on the psychosocial functioning of patients with BD.
dc.affiliationWydział Lekarski : Katedra Psychiatrii
dc.affiliationWydział Lekarski : Katedra Neurologii
dc.affiliationWydział Biologii : Instytut Zoologii i Badań Biomedycznych
dc.cm.idOmegaUJCMb14c5236f1fe497498d2e838b61fb572pl
dc.contributor.authorChrobak, Adrian - 193263
dc.contributor.authorSołtys, Zbigniew - 147734
dc.contributor.authorStarowicz-Filip, Anna - 200734
dc.contributor.authorStyczeń, Krzysztof - 141669
dc.contributor.authorDec-Ćwiek, Małgorzata - 200757
dc.contributor.authorDudek, Dominika - 129274
dc.contributor.authorSiwek, Marcin - 200726
dc.date.accession2025-07-29pl
dc.date.accessioned2025-07-30T22:31:54Z
dc.date.accessioned2025-08-28T12:39:17Z
dc.date.available2025-08-28T12:39:17Z
dc.date.createdat2025-08-28T12:39:17Zen
dc.date.issued2025pl
dc.date.openaccess0pl
dc.description.accesstimew momencie opublikowaniapl
dc.description.versionostateczna wersja wydawcypl
dc.description.volume16pl
dc.identifier.articleid1632857pl
dc.identifier.doi10.3389/fpsyt.2025.1632857pl
dc.identifier.issn1664-0640
dc.identifier.projectDRC AI
dc.identifier.urihttps://ruj.uj.edu.pl/handle/item/559393
dc.identifier.weblinkhttps://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2025.1632857pl
dc.languageengpl
dc.language.containerengpl
dc.pbn.affiliationDziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
dc.rightsUdzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licenceCC-BYpl
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.typeOtwarte czasopismopl
dc.subject.encerebellum
dc.subject.enaffective disorders
dc.subject.enneurology
dc.subject.enmovement disorders
dc.subject.enbipolar disorder
dc.subtypeArticlepl
dc.titleThe impact of neurological and cerebellar soft signs on psychosocial functioning in bipolar disorderpl
dc.title.journalFrontiers in Psychiatry
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.en
Background: Patients with bipolar disorder (BD) present motor dysfunctions in the form of neurological and cerebellar soft signs (NSS and CSS, respectively). Little is known about the clinical utility of these symptoms and their impact on patients’ psychosocial functioning. The aim of our study is to assess the relationships between severity of NSS and CSS, as well as various dimensions of the daily functioning of patients with BD. Methods: A total of 100 participants were enrolled to this study: 60 patients with euthymic BD and 40 healthy controls (HC). Psychosocial functioning was evaluated with the use of Functioning Assessment Short Test (FAST) total score and its subscales. NSS were assessed with the use of the Neurological Evaluation Scale (NES). CSS were measured with the International Co-operative Ataxia Rating Scale (ICARS). Results: General psychosocial functioning was decreased by CSS and NSS severity represented by total NES and ICARS scores, as well as by higher measures of kinetic functions, sensory integration, motor coordination, and speech disorders subscales. Patients’ autonomy rates were decreased by total ICARS, kinetic functions, and speech disorders scores. Occupational functioning was limited by the majority of CSS and NSS measures. Cognitive functioning was associated with motor coordination impairments. Leisure time activities were influenced by total CSS severity and kinetic dysfunctions. We have shown that the severity of both CSS and NSS is a full mediator of the associations between duration of treatment and general psychosocial functioning. Conclusions: Our results suggest that even “soft” neurological abnormalities may have an impact on the psychosocial functioning of patients with BD.
dc.affiliation
Wydział Lekarski : Katedra Psychiatrii
dc.affiliation
Wydział Lekarski : Katedra Neurologii
dc.affiliation
Wydział Biologii : Instytut Zoologii i Badań Biomedycznych
dc.cm.idOmegapl
UJCMb14c5236f1fe497498d2e838b61fb572
dc.contributor.author
Chrobak, Adrian - 193263
dc.contributor.author
Sołtys, Zbigniew - 147734
dc.contributor.author
Starowicz-Filip, Anna - 200734
dc.contributor.author
Styczeń, Krzysztof - 141669
dc.contributor.author
Dec-Ćwiek, Małgorzata - 200757
dc.contributor.author
Dudek, Dominika - 129274
dc.contributor.author
Siwek, Marcin - 200726
dc.date.accessionpl
2025-07-29
dc.date.accessioned
2025-07-30T22:31:54Z
dc.date.accessioned
2025-08-28T12:39:17Z
dc.date.available
2025-08-28T12:39:17Z
dc.date.createdaten
2025-08-28T12:39:17Z
dc.date.issuedpl
2025
dc.date.openaccesspl
0
dc.description.accesstimepl
w momencie opublikowania
dc.description.versionpl
ostateczna wersja wydawcy
dc.description.volumepl
16
dc.identifier.articleidpl
1632857
dc.identifier.doipl
10.3389/fpsyt.2025.1632857
dc.identifier.issn
1664-0640
dc.identifier.project
DRC AI
dc.identifier.uri
https://ruj.uj.edu.pl/handle/item/559393
dc.identifier.weblinkpl
https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2025.1632857
dc.languagepl
eng
dc.language.containerpl
eng
dc.pbn.affiliation
Dziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
dc.rights
Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licencepl
CC-BY
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.typepl
Otwarte czasopismo
dc.subject.en
cerebellum
dc.subject.en
affective disorders
dc.subject.en
neurology
dc.subject.en
movement disorders
dc.subject.en
bipolar disorder
dc.subtypepl
Article
dc.titlepl
The impact of neurological and cerebellar soft signs on psychosocial functioning in bipolar disorder
dc.title.journal
Frontiers in Psychiatry
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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