TY - JOUR A1 - Kopf, Juliane A1 - Glöckner, Stefan A1 - Althen, Heike A1 - Cevada, Thais A1 - Schecklmann, Martin A1 - Dresler, Thomas A1 - Kittel-Schneider, Sarah A1 - Reif, Andreas T1 - Neural responses to a working memory task in acute depressed and remitted phases in bipolar patients T2 - Brain Sciences N2 - (1) Cognitive impairments such as working memory (WM) deficits are amongst the most common dysfunctions characterizing bipolar disorder (BD) patients, severely contributing to functional impairment. We aimed to investigate WM performance and associated brain activation during the acute phase of BD and to observe changes in the same patients during remission. (2) Frontal brain activation was recorded using functional near-infrared spectroscopy (fNIRS) during n-back task conditions (one-back, two-back and three-back) in BD patients in their acute depressive (n = 32) and remitted (n = 15) phases as well as in healthy controls (n = 30). (3) Comparison of BD patients during their acute phase with controls showed a trend (p = 0.08) towards lower dorsolateral prefrontal cortex (dlPFC) activation. In the remitted phase, BD patients showed lower dlPFC and ventrolateral prefrontal cortex (vlPFC) activation (p = 0.02) compared to controls. No difference in dlPFC and vlPFC activation between BD patients’ phases was found. (4) Our results showed decreased working memory performance in BD patients during the working memory task in the acute phase of disease. Working memory performance improved in the remitted phase of the disease but was still particularly attenuated for the more demanding conditions. KW - verbal n-back KW - fNIRS KW - prefrontal cortex KW - cognitive deficits KW - bipolar disorder KW - remitted/acute phase Y1 - 2023 UR - https://opus.bibliothek.uni-wuerzburg.de/frontdoor/index/index/docId/31350 UR - https://nbn-resolving.org/urn:nbn:de:bvb:20-opus-313509 SN - 2076-3425 VL - 13 IS - 5 ER -