Psychosocial impairment associated with bipolar II disorder

Ruggero, Camilo J.; Chelminski, Iwona; Young, Diane; Zimmerman, Marc

doi:10.1016/j.jad.2007.01.035

Cited by 59 publications

(42 citation statements)

References 25 publications

(15 reference statements)

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“…44 The frequency of suicide attempts seen in this study is approximately 6 to 24 times higher than that observed in the United States general population. 45,46 Although the percentage of individuals with kleptomania reporting attempted suicide is comparable to that in bipolar disorder (27% -34%), 47,48 it is higher than those reported in major depression (16.5%) 49 and panic disorder (16.5%). 50 Legal problems (arrest and incarceration) were common in both women and men.…”

Section: Hypothesis Onementioning

confidence: 92%

Gender-related Differences in Individuals Seeking Treatment for Kleptomania

Grant

Potenza²

2008

CNS spectr.

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Objective-Understanding variations in disease presentation in men and women is clinically important as differences may reflect biological and sociocultural factors and have implications for prevention and treatment strategies. Few empirical investigations have been performed in kleptomania, particularly with respect to gender-related influences. Method-From 2001 to 2007, 95 adult subjects (n=27 [28.4%] males) with DSM-IV kleptomania were assessed on sociodemographics and clinical characteristics including symptom severity, comorbidity, and functional impairment to identify gender-related differences.Results-Men and women both showed substantial symptom severity and functional impairment. Compared to affected men, women with kleptomania were more likely to be married (47.1% compared to 25.9%; p=.039), have a later age at shoplifting onset (20.9 compared to 14 years; p=.001), steal household items (p<.001), hoard stolen items (p=.020), and have an eating disorder (p=.017) and less likely to steal electronic goods (p<.001) and have another impulse control disorder (p=.018).Conclusions-Kleptomania is similarly associated with significant impairment in women and men. Gender-related differences in clinical features and co-occurring disorders suggest that prevention and treatment strategies incorporate gender considerations.

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Section: Hypothesis Onementioning

confidence: 92%

Gender-related Differences in Individuals Seeking Treatment for Kleptomania

Grant

Potenza²

2008

CNS spectr.

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“…However, the latter two features are also more common in females than males and so a question remains as to whether the association is to a BP sub-type or gender (Kupka et al, 2005). Also, functional levels vary across studies (Grande et al, 2013;Maina et al, 2013;Ruggero et al, 2007;Judd et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

A bipolar II cohort (ABC): The association of functional disability with gender and rapid cycling

Scott¹,

Grunze²,

Meyer³

et al. 2015

Journal of Affective Disorders

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“…Subscales for occupational status from the Functioning Assessment Short Test (FAST) (2), the Sheehan Disability Scale (SDS) (20), the Social and Occupational Functioning Assessment Scale (SOFAS) (21,22), the World Health Organization Disability Assessment Schedule (WHO-DAS) (23), and the Social Adjustment Scale (SAS) (24) have been employed as well as the Modified Vocational Status (10,24). Other investigators have measured psychosocial functioning with the Global Assessment of Functioning (9), or considered occupational adaptation (25), absenteeism (26), paid employment (1), turnover in employment status (1), occupational stability (27), semi-structured interviews (28) or selfreported functional impairment (29). In this context, we considered a tangible and socially relevant statement such as receiving a severe disablement benefit (SDB) because of BD, which indicates an absolute disability to work (20,30).…”

mentioning

confidence: 99%

Occupational disability in bipolar disorder: analysis of predictors of being on severe disablement benefit (PREBIS study data)

Grande

Goikolea

Dios

et al. 2012

Acta Psychiatr Scand

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Grande I, Goikolea JM, de Dios C, González‐Pinto A, Montes JM, Saiz‐Ruiz J, Prieto E, Vieta E, for the PREBIS group. Occupational disability in bipolar disorder: analysis of predictors of being on severe disablement benefit PREBIS study data).Objective: Patients diagnosed with bipolar disorder (BD) are reported to have significant work impairment during interepisode intervals. This study was carried out to assess potential predictors of occupational disability in a longitudinal follow‐up of euthymic patients.Method: We included 327 euthymic patients diagnosed with BD type I or type II, 226 of whom were employed and 101 were receiving a severe disablement benefit (SDB). Sociodemographic data were studied and episode recurrence was assessed along a 1‐year follow‐up. Logistic regression analysis was applied to determine predictors of receiving SDB. Cox regression was built to study recurrences.Results: Predictors of receiving SDB were: axis II comorbidity [Odds Ratio (OR) = 2.94, CI: 1.26–6.86, P = 0.013], number of manic episodes (OR = 1.21, CI: 1.10–1.34, P < 0.001), being without stable partner (OR = 2.44, CI: 1.34–4.44, P = 0.004) and older age (OR = 1.08, CI: 1.05–1.12, P < 0.001). Bipolar patients receiving SDB presented more episodic recurrences regardless of polarity than employed bipolar patients (P = 0.002). The time until recurrence in 25% of the bipolar patients receiving SDB was 6.08 months (CI: 4.44–11.77) being 13.08 months (CI: 9.60 to –) in the employed group.Conclusion: Occupational disability in bipolar patients is associated with axis II comorbidity, more previous manic episodes, not having a stable relationship, older age, and more recurrences at 1‐year follow‐up.

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Psychosocial impairment associated with bipolar II disorder

Cited by 59 publications

References 25 publications

Gender-related Differences in Individuals Seeking Treatment for Kleptomania

Gender-related Differences in Individuals Seeking Treatment for Kleptomania

A bipolar II cohort (ABC): The association of functional disability with gender and rapid cycling

Occupational disability in bipolar disorder: analysis of predictors of being on severe disablement benefit (PREBIS study data)

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