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Comparison of neuropsychological effects of adjunctive risperidone or quetiapine in euthymic patients with bipolar I disorder

Kozicky, Jan-Mariea; Torres, Ivan J.a,b; Bond, David J.a; Lam, Raymond W.a; Yatham, Lakshmi N.a

International Clinical Psychopharmacology: March 2012 - Volume 27 - Issue 2 - p 91–99
doi: 10.1097/YIC.0b013e32834e3bea
Original Articles

Although associations between antipsychotic use and neuropsychological impairment in bipolar I disorder have been observed, there is a lack of studies comparing the effects of specific agents used in this population. We compared performance between patients receiving maintenance treatment with mood stabilizer monotherapy (n=15), adjunctive risperidone (n=15) or quetiapine (n=17), and a group of demographically matched healthy controls (n=28) on tests of executive function (working memory, set shifting, and inhibition) and verbal learning. Despite having a similar clinical profile, patients being treated with risperidone showed significantly impaired working memory, set-shifting, and verbal learning (P<0.05) compared with those either on mood stabilizer monotherapy or adjunctive quetiapine. Although randomized controlled trials are required to confirm the cognitive side effects of medications prescribed for maintenance treatment of bipolar I disorder, preliminary results indicate that addition of risperidone to a mood stabilizer has a negative impact on executive function and verbal learning, an effect not shared with quetiapine.

aDepartment of Psychiatry, University of British Columbia, Vancouver

bResearch Department, Riverview Hospital, British Columbia Mental Health and Addictions Services, Coquitlam, British Columbia, Canada

Correspondence to Lakshmi N. Yatham, MBBS, FRCPC, MRCPsych (UK), Professor and Associate Head for Research and International Affairs, Department of Psychiatry, University of British Columbia, Room 2C7-2255 Wesbrook Mall, Vancouver, BC V6T 2A1, Canada Tel: +1 604 822 0562; fax: +1 604 822 7922; e-mail:

Received July 4, 2011

Accepted October 17, 2011

© 2012 Lippincott Williams & Wilkins, Inc.