Disability and Overall Burden Related with Bipolar Disorder

Fountoulakis, Kostas N.

doi:10.1007/978-3-642-37216-2_12

Cited by 3 publications

(3 citation statements)

References 164 publications

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“…It is very difficult to calculate the true economic cost of a polymorphic disorder like BD. The cost includes direct spending due to hospitalizations and medication, cost of supporting infrastructure of the various National Health Systems, somatic comorbidity, indirect and out-of-pocket costs, as well as the absenteeism from work and premature death ( Fountoulakis, 2015g ).…”

Section: Introductionmentioning

confidence: 99%

The International College of Neuropsychopharmacology (CINP) Treatment Guidelines for Bipolar Disorder in Adults (CINP-BD-2017), Part 1: Background and Methods of the Development of Guidelines

Fountoulakis

Young

Yatham

et al. 2016

IJNPPY

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Background:This paper includes a short description of the important clinical aspects of Bipolar Disorder with emphasis on issues that are important for the therapeutic considerations, including mixed and psychotic features, predominant polarity, and rapid cycling as well as comorbidity.Methods:The workgroup performed a review and critical analysis of the literature concerning grading methods and methods for the development of guidelines.Results:The workgroup arrived at a consensus to base the development of the guideline on randomized controlled trials and related meta-analyses alone in order to follow a strict evidence-based approach. A critical analysis of the existing methods for the grading of treatment options was followed by the development of a new grading method to arrive at efficacy and recommendation levels after the analysis of 32 distinct scenarios of available data for a given treatment option.Conclusion:The current paper reports details on the design, method, and process for the development of CINP guidelines for the treatment of Bipolar Disorder. The rationale and the method with which all data and opinions are combined in order to produce an evidence-based operationalized but also user-friendly guideline and a specific algorithm are described in detail in this paper.

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Section: Introductionmentioning

confidence: 99%

The International College of Neuropsychopharmacology (CINP) Treatment Guidelines for Bipolar Disorder in Adults (CINP-BD-2017), Part 1: Background and Methods of the Development of Guidelines

Fountoulakis

Young

Yatham

et al. 2016

IJNPPY

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“…Career problems of these patients are different from others, and they have their own career problems [8] including: having more absenteeism from work than other mental patients [9,10], having prolonged and sustained unemployment [11,12,13,14], having low work productivity [15,16], having high rate of termination of the employment contract [17], imposing a signi cant nancial burden on employers [15], getting a stigma in the workplace [18,15,19], having decreased number of hours worked [16,20], lack of insurance or covering by Medicare [16], getting red or laying off [21,22,16] and sliding in occupational statues [9].…”

Section: Introductionmentioning

confidence: 99%

Development and Psychometric Investigation of Career Problems Inventory for Bipolar Disorder Patients

Rostami

Abedi

Nilforooshan

2020

Preprint

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Background In order to measurement of career problems of bipolar mood patients, this study was performed on the 108 people that were selected by purposeful sampling, which were consisted of two sample groups (non-clinical participants, N = 53) and (bipolar participants, N = 55). Method: The inventory is including 81 items. In order to determine reliability of CPI-BD was used internal consistency and temporal stability method. Factor analysis was investigated and content, construct and convergent validity of the CPI-BD was evaluated. Results Coefficient Cronbach's alpha was .81 (non-clinical participants, N = 53) and .96 (bipolar participants, N = 55), (p < 0.05) and showed good internal consistency. Also in temporal stability method test-retest reliability about 7 weeks later, includes 35 participants from both the non-clinical participants and bipolar patients obtaining a reliability coefficient of .91 (p < 0.01). Convergent validity of this inventory was examined with Bipolar Disorder Subtle Symptoms Inventory (BD-SSI) and correlation coefficient was obtained r = .79 (non-clinical participants, N = 53) and r = .78 (bipolar participants, N = 55) (p < 0.01). In exploring factor analysis using varimax rotation nine sub-scales were extracted including: communication problems, poor work performance, insecurity, grandiosity, unreliability, change seeking, vulnerability, lack of boundary, lack of self-control with opposite sex. Conclusion The career problems inventory–bipolar disorder form is a valid and reliable inventory to measure career problems among bipolar patients.

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“…Studies conducted in Iran report the prevalence of psychiatric disorders as 10.8% to 34.4% (1,2) and the prevalence of bipolar disorder as 0.04% to 1% (3). The highly prevalent bipolar disorder is a condition that causes multiple disabilities and problems in domains such as cognition, getting along, life activities and participation (4,5); taking care of bipolar patients is therefore associated with several difficulties and the caregivers of patients with this chronic disease report a relatively high prevalence of burden (6). The high prevalence of burden in caregivers of patients with bipolar disorder predisposes the caregiver to psychiatric disorders, physical problems, greater use of medical services, reduced social support and greater family conflicts (7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Why the caregivers of bipolar patients need to be in constant touch with a physician: A qualitative study of text messages from patient caregivers to a physician

Seddigh

Keshavarz-Akhlaghi

Azarnik³

et al. 2018

Electron J Gen Med

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Background: The variety of caregiver's needs of bipolar patients signifies the importance of performing dedicated interventions to help this group of caregivers based on the cultural conditions of the country in which they live; the present study therefore seeks to address this issue through a different method. Methods: The families of 28 patients with bipolar disorder type 1 who were treated for at least two months by a single psychiatrist gradually entered the study over a six-month period. They received the phone number of the psychiatrist in attendance as soon as the patient was in remission according to the same psychiatrist's interview. A total of 1908 texts were sent and received and each family sent an average of 68.14 text messages during the three years, with the minimum being 40 and the maximum 83. All the text messages were transcribed verbatim and were evaluated by three faculty members through the qualitative content analysis method. Results: In this study we found three themes and there were some codes in each theme. 1. The first theme was "Training" which the caregivers requested advice about symptoms and tests, the course of the disease, assurance, medication side-effects and their management, how to stop smoking, how to control high-risk behaviors and double checking appointments with the physician, making for a total of 1079 text messages received. 2. The second theme was "Reporting" which contained a description of emergency symptoms and requesting advice, reporting response or no response to the medications, reporting medication adherence and dosage taken. 3. The third theme: "The expression of feelings" including the expression of gratitude, saying congratulations on national and other celebrations and expressing anger and hatred. Conclusion: Overall, the caregivers of patients with bipolar disorder have many needs; meeting these needs affects the patients' outcome and the caregivers, but requires a greater attention by the healthcare team and it is necessary for these needs to be evaluated in the context of each distinct country.

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Disability and Overall Burden Related with Bipolar Disorder

Cited by 3 publications

References 164 publications

The International College of Neuropsychopharmacology (CINP) Treatment Guidelines for Bipolar Disorder in Adults (CINP-BD-2017), Part 1: Background and Methods of the Development of Guidelines

The International College of Neuropsychopharmacology (CINP) Treatment Guidelines for Bipolar Disorder in Adults (CINP-BD-2017), Part 1: Background and Methods of the Development of Guidelines

Development and Psychometric Investigation of Career Problems Inventory for Bipolar Disorder Patients

Why the caregivers of bipolar patients need to be in constant touch with a physician: A qualitative study of text messages from patient caregivers to a physician

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