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A pilot study of standardized treatment in geriatric bipolar disorder
Ariel G Gildengers1, Benoit H Mulsant, Amy E Begley
1Intervention Research Center for Late-Life Mood Disorders, Department of Psychiatry, the Bipolar Disorder Center for Pennsylvanians, University of Pittsburgh School of Medicine 15213, USA.
Objective:
The authors sought to determine the feasibility of treating elderly adults with bipolar disorder under standardized-treatment conditions.
Methods:
Thirty-one patients age 60 and older with bipolar disorder were treated in standardized pathways. Mood state was checked at each study visit with the Hamilton Rating Scale for Depression-17 item (Ham-D-17) and the Young Mania Rating Scale (YMRS).
Results:
Defining "well days" as both Ham-D and YMRS scores of
Conclusions:
Treating older adults with bipolar disorder under standardized treatment is feasible and is associated with low symptom levels. However, most older adults with bipolar disorder do not experience sustained recovery.