Bipolar Disorder in Disabled Adult Spanish Population-Factors Associated with Self-Reported Health Status in These...

Area of Science:

• Public Health
• Psychiatry
• Disability Studies

Background:

• Bipolar disorder (BD) prevalence and its impact on disabled adult populations (DAP) require investigation.
• Understanding sociodemographic and clinical differences in DAP with and without BD is crucial.
• Identifying factors influencing self-reported health status in DAP with BD is a key public health objective.

Purpose of the Study:

• To determine the prevalence of bipolar disorder (BD) in the Spanish disabled adult population (DAP).
• To compare sociodemographic and clinical variables between DAP with and without BD.
• To identify factors associated with self-reported health status in DAP with BD.

Main Methods:

• Population-based cross-sectional study utilizing secondary data from the "Disability, Personal Autonomy and Dependency Situations Survey 2020" in Spain (N=11,130).
• Data included self-reported sociodemographic information, mental and physical health status, daily living difficulties, and healthcare service utilization.
• Prevalence of BD was estimated; bivariate analyses compared DAP with/without BD; multinomial logistic regression analyzed factors associated with self-reported health status.

Main Results:

• The prevalence of BD in the Spanish DAP was found to be 2.42%.
• Individuals with BD were younger, experienced more anxiety and musculoskeletal diseases, reported worse health status, engaged in fewer physical and social activities, faced greater social difficulties, had less social contact, utilized more health services, and reported discrimination.
• Older age (OR=1.030) and the presence of anxiety (OR=4.479) were significantly associated with worse self-reported health status.

Conclusions:

• Bipolar disorder (BD) is present in 2.42% of the Spanish disabled adult population (DAP), significantly affecting their health status.
• Key differentiating factors between DAP with and without BD were identified, highlighting the distinct profile of the BD population within the disabled community.
• Anxiety emerged as a significant factor negatively impacting the self-perceived health status of individuals with BD in the disabled population.