Abstract

A relatively unexplored aspect in bipolar disorder (BD) is the ability to accurately judge other´s nonverbal behavior. To explore this aspect of social cognition in this population is particularly meaningful, as it may have an influence in their social and interpersonal functioning. The aim of this research was to study interpersonal accuracy (IPA) in remitted BDs, that is, the specific skills that fall under the general term Theory of Mind (ToM). Study participants included 119 remitted individuals with BD (70 BD I and 49 BD II), and they were compared with a group of 39 persons diagnosed with unipolar depression (UD) and 119 control participants. The MiniPONS was used to test the whole spectrum of nonverbal cues as facial expressions, body language and voice. Results indicated a superiority of the control group with statistically significant differences both in the performance in the MiniPONS (number of right answers) and in each of the areas evaluated by this test. BD groups, in recognition of the meaning of gestures in face, body and voice intonation, performed significantly worse than controls. ANCOVA analysis controlling the effect of age shows that control group performed significantly better compared to clinical groups, and there were no differences between UD and BD groups. The results indicate a deficit in IPA and suggest that better comprehension of deficiencies in interpersonal accuracy in BD may help to develop new training programs to improve in these patients the understanding of others, which might have a positive impact in their psychosocial functionality, and thus lead to the objective of functional rehabilitation.

Highlights

  • Bipolar disorder (BD) is a psychiatric disorder characterized by periods of mania and depression [1]

  • Results show that control group has higher scores in the number of right answers and a better performance in every subscale of the MiniPONS

  • Despite controlling the effect of age on the MiniPONS scales, there are still differences in the performance of each scale associated with the groups (BD, unipolar depression (UD) and control)

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Summary

Introduction

Bipolar disorder (BD) is a psychiatric disorder characterized by periods of mania and depression [1]. Bipolar I (BD I) and II (BD II) are defined by a history of phases of elevated mood and a history of major depressive episodes, but BD II is distinguished from BD I by the presence of episodes of hypomania [1]. Many individuals with BD experience impaired functioning [2]. BD is associated with high rates of disability, with significant impairment in work, family and social life, beyond the acute phases of the illness [3].

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