Domain specific Memory Impairments in Bipolar Mania: Insights from a Tertiary Care Study

Background Cognitive deficits in bipolar affective disorder (BPAD), particularly during manic episodes, are well-documented. However, research on domain-specific memory impairments in bipolar mania is limited, especially in the Indian subcontinent. This study aimed to assess memory impairments in patients with bipolar mania using the Postgraduate Institute Memory (PGI-Memory) Scale and to highlight domain-specific deficits compared to healthy controls.

This cross-sectional study was conducted at Tertiary Care Centre in North India. Twenty patients diagnosed with bipolar mania and twenty age, sex and education-matched healthy controls between age 18 to 40 were recruited. Memory functions were assessed using the PGI-Memory scale, focusing on immediate, recent, remote, long-term memory, and associative memory. Mental control and working memory were also evaluated.

Both groups were matched in terms of age, sex, and education. the mean (sd) age for bipolar mania group was 27.2 (4.14) years. Patients with bipolar mania demonstrated significant deficits in various memory domains, including immediate, recent, remote, long-term, and associative memory, as well as in visual reproduction and recognition tasks. In contrast, their working memory performance was comparable to that of the control group. The largest deficits were observed in long-term memory (d =2.37) and visual reproduction (d=2.30).

Bipolar mania is associated with widespread memory impairments, particularly in long-term and associative memory, which may contribute to difficulties in emotional regulation and daily functioning. These findings emphasize the importance of considering memory impairments in the diagnosis and management of BPAD. Further studies are required to investigate the neurobiological foundations of these impairments and to develop specific interventions. Competing Interest Statement The authors have declared no competing interest. Funding Statement This study did not receive any funding Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: Institute Human Ethics committee of central institute of Psychiatry, Kanke, Ranchi gave ethical approval for this work. I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable. Yes Data Availability All data produced in the present study are available upon reasonable request to the authors