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[Risk factors for recurrence in bipolar manic-depressive patients]
H L Kröber1, R Adam, R Scheidt
1Psychiatrische Klinik der Universität, Heidelberg.
Der Nervenarzt
|April 2, 1998
Summary
Bipolar disorder relapse is predicted by past episodes and residual symptoms. Maintaining a "syntonic" personality and active coping strategies can reduce hospital readmissions for bipolar patients.
Area of Science:
- Psychiatry
- Clinical Psychology
- Longitudinal Studies
Context:
- Bipolar disorder (BD) is a chronic mental illness characterized by mood swings.
- Relapse and hospital readmission are significant challenges in managing BD.
- Understanding predictors of relapse is crucial for effective long-term care.
Purpose:
- To identify factors influencing relapse and hospital readmission in remitted bipolar outpatients.
- To investigate the role of past illness course, psychological state, personality, and coping mechanisms.
Summary:
- A 5-year prospective study followed 71 remitted bipolar outpatients.
- 48% were readmitted, primarily due to manic or (schizo)manic states.
- Prognostic factors included previous episode count, mania-quotient, residual psychopathology (negative symptoms or vulnerability), and personality traits.
Impact:
- Confirms the prognostic value of illness history and residual symptoms in bipolar disorder.
- Highlights the protective role of a "syntonic" personality and active coping strategies.
- Suggests targeted interventions for residual symptoms and personality factors may improve long-term outcomes in bipolar disorder management.