Interepisodic functioning in patients with bipolar disorder in remission

Title

Interepisodic functioning in patients with bipolar disorder in remission

Creator

Wesley M.; Manjula M.; Thirthalli J.

Description

Background and Objectives: Patients with bipolar disorder (BD), despite recovering symptomatically, suffer from several functional impairments even in remission. The actual causes of impaired functioning are less known. Materials and Methods: The study aimed to examine the clinical and psychosocial determinants of functioning in patients with BD in remission. A cross-sectional single-group design was adopted (n = 150). Participants meeting the study criteria were screened with Mini-International Neuropsychiatric Interview Scale. The selected participants were administered various tools to assess the level of functioning and the clinical, psychosocial determinants of functioning. Results: The clinical characteristics of the sample included early age of onset of illness, presence of precipitating factors, fewer episodes, minimal comorbidities, history of psychotic episodes, family history of mental illness, good medication adherence, and low depression and mania scores. Psychosocial factors included higher stress and moderate social support and self-esteem in the sample. Poor functioning patients had a history of longer hospital stay and had greater scores on depression, mania, stress, and maladaptive coping styles than better functioning patients. Conclusion: Higher depression, mania, stress, and maladaptive coping strategies were related to poor functioning, while higher medication adherence, self-esteem, and social support were related to better functioning. 2018 Indian Psychiatric Society - South Zonal Branch Published by Wolters Kluwer - Medknow.

Source

Indian Journal of Psychological Medicine, Vol-40, No. 1, pp. 52-60.

Date

2018-01-01

Publisher

Medknow Publications

Subject

Bipolar disorder in remission; clinical factors; functioning; psychosocial factors

Coverage

Wesley M., Department of Psychology, Christ University, Bengaluru, 695 029, Karnataka, India; Manjula M., Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India; Thirthalli J., Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India

Rights

All Open Access; Gold Open Access; Green Open Access

Relation

ISSN: 2537176

Format

Online

Language

English

Type

Article

Identifier

https://doi.org/10.4103/IJPSYM.IJPSYM_211_17

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041308466&doi=10.4103%2fIJPSYM.IJPSYM_211_17&partnerID=40&md5=cc5c6b5fde673525a94cac206597a293