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Disability in Patients With Bipolar Disorder in Full or Partial Remission: A Cross-Sectional Study.
Gunja Sengupta1,2, Shivananda Jena3
1Department of Psychiatry, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia Hospital, New Delhi, India.
The Primary Care Companion for CNS Disorders
|September 20, 2022
Summary
Patients with bipolar disorder (BD) experience at least mild disability, even in remission. Disability severity correlates with episode frequency, number, severity, and hospitalization, highlighting the need for comprehensive management.
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Bipolar disorder (BD) significantly impacts patients' lives, often leading to disability.
- Understanding disability levels and associated factors in BD is crucial for effective treatment and support.
Purpose of the Study:
- To assess the extent of disability in patients with bipolar disorder (BD).
- To identify sociodemographic and clinical factors associated with disability in BD patients.
Main Methods:
- A cross-sectional study involving 100 BD patients in partial or full remission.
- Utilized the Indian Disability Evaluation and Assessment Scale (IDEAS), Mini-International Neuropsychiatric Interview, HDRS, and YMRS for assessment.
Main Results:
- All BD patients exhibited at least mild disability (mean IDEAS global score: 5.1 ± 2.59).
- Mild and moderate disability were present in 66% and 34% of patients, respectively.
- Disability correlated with episode count, frequency, severity, manic episodes, partial remission, and hospitalization.
Conclusions:
- Bipolar disorder (BD) patients face significant disability, even during remission.
- Increased episode burden, partial remission, and hospitalization exacerbate disability in BD.
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