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

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Objectives

Despite 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.

Methods

Through 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.

Results

We 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.

Conclusions

The 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.

Related collections

Most cited references 86

Record: found
Abstract: not found
Book: not found

Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)

(2000)

0 comments Cited 325 times – based on 0 reviews

Bookmark

Record: found
Abstract: found
Article: not found

Assessment of social adjustment by patient self-report.

M Weissman, S Bothwell (1976)

Current emphasis on early case finding, outpatient care, and on longitudinal studies of asymptomatic patients has focused attention on the community adjustment of psychiatric patients. Thus, simple and inexpensive methods such as self-report scales, which allow the routine assessment of patient adjustment, are potentially useful. The derivation and testing of such a method, the Social Adjustment Scale Self-Report, is described. This scale covers the patient's role performance, interpersonal relationships, friction, feelings and satisfaction in work, and social and leisure activities with the extended family, as a spouse, parent, and member of a family unit. Self-report results based on 76 depressed outpatients were comparable to those obtained from relatives as well as by a rater who interviewed the patient directly.

0 comments Cited 220 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

A brief mental health outcome scale-reliability and validity of the Global Assessment of Functioning (GAF).

S H Jones, G Thornicroft, M Coffey … (1995)

The Global Assessment of Functioning (GAF) is a quick and simple measure of overall psychological disturbance. However, there is little research on the reliability and validity of this measure in severely mentally ill populations. Multidisciplinary keyworkers assessed 103 patients at monthly intervals over a 6-month period. Overall GAF scores were obtained, with additional separate ratings for symptoms and disability. These were compared with changes in antipsychotic medication and support needs over the same period. Satisfactory reliability was obtained for total GAF score and for symptom and disability measures, in spite of raters having only one brief training session. All GAF scores were associated with current support needs of patients. Symptom and disability scores were associated with changes in antipsychotic medication in the previous month. Only symptom score was associated with increases in antipsychotic medication at time of rating. GAF proved to be a reliable and, within the limits of the indicators used, a valid measure of psychiatric disturbance in our sample of the severely mentally ill. Differences in relationships between the three GAF scores and medication/support needs indicate the usefulness of obtaining all three scores for monitoring levels and type of psychiatric disturbance in this population.

0 comments Cited 208 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Laura Montejo: (View ORCID Profile)

Melis Orhan: (View ORCID Profile)

Ariel Gildengers: (View ORCID Profile)

Paula Villela Nunes: (View ORCID Profile)

Andrew T. Olagunju: (View ORCID Profile)

Eduard Vieta: (View ORCID Profile)

Annemiek Dols: (View ORCID Profile)

Journal

Title: Bipolar Disorders

Abbreviated Title: Bipolar Disorders

Publisher: Wiley

ISSN (Print): 1398-5647

ISSN (Electronic): 1399-5618

Publication date Created: September 2023

Publication date (Electronic): July 26 2023

Publication date (Print): September 2023

Volume: 25

Issue: 6

Pages: 457-468

Affiliations

[1 ] Bipolar and Depressive Disorders Unit, Hospital Clinic of Barcelona, Institute of Neurosciences (UB Neuro), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III (ISCIII) Barcelona Spain

[2 ] Department of Old Age Psychiatry GGZ inGeest Amsterdam the Netherlands

[3 ] Department of Psychiatry, Geriatric Research, Education, and Clinical Center VA Northeast Ohio Health System Cleveland VA Medical Center Cleveland Ohio USA

[4 ] Case Western Reserve University School of Medicine Cleveland Ohio USA

[5 ] Department of Psychiatry University of California San Diego La Jolla California USA

[6 ] Desert‐Pacific Mental Illness Research Education and Clinical Center, VA San Diego Healthcare San Diego California USA

[7 ] Department of Psychiatry University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA

[8 ] Departament de Medicina, Facultat de Medicina i Ciències de la Salut Universitat de Barcelona (UB) Barcelona Spain

[9 ] Department of Psychiatry, Faculdade de Medicina FMUSP Universidade de Sao Paulo SP Brazil

[10 ] Department of Psychiatry and Behavioral Neurosciences McMaster University/St Joseph's Healthcare Hamilton Hamilton Ontario Canada

[11 ] Departments of Neuropsychology & Geriatric Psychiatry McLean Hospital Belmont Massachusetts USA

[12 ] Department of Psychiatry Harvard Medical School Boston Massachusetts USA

[13 ] Department of Psychiatry, UMC Utrecht Brain Center University Medical Center Utrecht Utrecht the Netherlands

Article

DOI: 10.1111/bdi.13368

SO-VID: 17ec4b4f-c18d-478e-adcd-cfb30635ddc1

License:

http://creativecommons.org/licenses/by/4.0/

History

Data availability:

Comments

Comment on this article

scite_

Smart Citations

Citing PublicationsSupportingMentioningContrasting

View Citations

See how this article has been cited at scite.ai

scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.