Functioning in older adults with bipolar disorder: A report on recommendations by the International Society of bipolar disorder (ISBD) older adults with bipolar disorder (OABD) task force

被引:4
作者
Montejo, Laura [1 ]
Orhan, Melis [2 ]
Chen, Peijun [3 ,4 ]
Eyler, Lisa T. [5 ,6 ]
Gildengers, Ariel [7 ]
Martinez-Aran, Anabel [8 ]
Nunes, Paula Villela [9 ]
Olagunju, Andrew T. [10 ]
Patrick, Regan [11 ,12 ,13 ]
Vieta, Eduard [1 ,8 ]
Dols, Annemiek [14 ]
Jimenez, Esther [1 ]
机构
[1] Hosp Clin Barcelona, Bipolar & Depress Disorders Unit,Inst Salud Carlo, Inst Neurosci UB Neuro,Ctr Invest Biomed Red Salu, Inst Invest Biomed August Pi i Sunyer IDIBAPS, Barcelona, Spain
[2] GGZ inGeest, Dept Old Age Psychiat, Amsterdam, Netherlands
[3] Cleveland VA Med Ctr, VA Northeast Ohio Hlth Syst, Dept Psychiat, Geriatr Res Educ & Clin Ctr, Cleveland, OH USA
[4] Case Western Reserve Univ, Sch Med, Cleveland, OH USA
[5] Univ Calif San Diego, Dept Psychiat, La Jolla, CA USA
[6] VA San Diego Healthcare, Desert Pacific Mental Illness Res Educ & Clin Ctr, San Diego, CA USA
[7] Univ Pittsburgh, Dept Psychiat, Sch Med, Pittsburgh, PA USA
[8] Univ Barcelona UB, Dept Med, Fac Med & Ciencies Salut, Barcelona, Spain
[9] Univ Sao Paulo, Fac Med FMUSP, Dept Psychiat, Sao Paulo, SP, Brazil
[10] McMaster Univ, Dept Psychiat & Behav Neurosci, St Josephs Healthcare Hamilton, Hamilton, ON, Canada
[11] McLean Hosp, Dept Neuropsychol, Belmont, MA USA
[12] McLean Hosp, Dept Geriatr Psychiat, Belmont, MA USA
[13] Harvard Med Sch, Dept Psychiat, Boston, MA USA
[14] Univ Med Ctr Utrecht, UMC Utrecht Brain Ctr, Dept Psychiat, Utrecht, Netherlands
关键词
functioning; older adults with bipolar disorder; recommendations; COGNITIVE IMPAIRMENT; SOCIAL-ADJUSTMENT; II DISORDER; CORE SETS; DISABILITY; LIFE; HETEROGENEITY; SCALE; CLASSIFICATION; INDIVIDUALS;
D O I
10.1111/bdi.13368
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
ObjectivesDespite the importance of psychosocial functioning impairment in Bipolar Disorder (BD), its role among Older Adults with BD (OABD) is not well known. The development of guidelines for the assessment of psychosocial functioning helps to facilitate a better understanding of OABD and can lead to better tailored interventions to improve the clinical outcomes of this population. MethodsThrough a series of virtual meetings, experts from eight countries in the International Society of Bipolar Disorder (ISBD) on OABD task force developed recommendations for the assessment of psychosocial functioning. ResultsWe present (1) a conceptualization of functioning in OABD and differences compared with younger patients; (2) factors related to functioning in OABD; (3) current measures of functioning in OABD and their strengths and limitations; and, (4) other potential sources of information to assess functioning. ConclusionsThe task force created recommendations for assessing functioning in OABD. Current instruments are limited, so measures specifically designed for OABD, such as the validated FAST-O scale, should be more widely adopted. Following the proposed recommendations for assessment can improve research and clinical care in OABD and potentially lead to better treatment outcomes.
引用
收藏
页码:457 / 468
页数:12
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