Growing evidence indicates that the neurocognitive impairments contribute to poorer psychosocial functioning and increased functional disability in bipolar disorder [ 12– 14, 20, 27, 28].
However, there was no change in psychosocial functioning and quality of life.
Of the behavioral outcomes reported are difficulties with psychosocial functioning and psychiatric problems later in life [14, 15].
Furthermore, we supposed that patients would improve in psychosocial functioning and quality of life after the CR program.
The literature spans greater effectiveness on relapse, remission, recovery rates, comorbidity, symptomatic and syndromal outcome, global psychosocial functioning, and vocational and residential functioning.
The overall aim of CR is the improvement of impaired cognitive functions in order to increase psychosocial functioning and quality of life (Vauth et al. 2000).
To compare the effects of long-term psychosocial functioning and mental health of a "day hospital"–based exercise program (DAYEX) versus a community-based exercise program (COMBEX).
To investigate how sociodemographic and clinical factors are associated with psychosocial functioning and disability at admission to a musculoskeletal pain rehabilitation program and at 1-year follow-up.
However, contrary to some previous trials about CR in bipolar disorder (Deckersbach et al. 2010; Torrent et al. 2013), we could not confirm our hypotheses that psychosocial functioning and life quality improve by a cognitive rehabilitation program.
There was a consistent finding suggesting treatment in earlier illness stage resulted in better outcomes in terms of response, relapse rate, time to recurrence, symptomatic recovery, remission, psychosocial functioning and employment.
The assessments utilized will include a detailed description of current and socioeconomic circumstances, the above-mentioned instruments to assess risks of subsequent BD and instruments to assess resilience, psychosocial functioning, and comorbidities.
