A systematic review of psychosocial functioning and quality of life in older people with bipolar disorder

Background: There is evidence to suggest that older people with Bipolar Disorder (BD) are more likely to demonstrate poor levels of functioning and score lower on well-being scales compared to non-clinical controls, even when in remission (Depp et al., 2006). To our knowledge, this is the first revi...

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Main Authors: Dr Elizabeth Tyler, Professor Fiona Lobban, Mr Bogdan Hadarag, Professor Steven Jones
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:Journal of Affective Disorders Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666915322000646
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author Dr Elizabeth Tyler
Professor Fiona Lobban
Mr Bogdan Hadarag
Professor Steven Jones
author_facet Dr Elizabeth Tyler
Professor Fiona Lobban
Mr Bogdan Hadarag
Professor Steven Jones
author_sort Dr Elizabeth Tyler
collection DOAJ
description Background: There is evidence to suggest that older people with Bipolar Disorder (BD) are more likely to demonstrate poor levels of functioning and score lower on well-being scales compared to non-clinical controls, even when in remission (Depp et al., 2006). To our knowledge, this is the first review paper to identify how quality of life and functioning has been measured in an older adult BD population. Methods: We conducted a systematic review of studies including a quantitative measure of psychosocial functioning or quality of life and older people over the age of 50 with a formal diagnosis of BD I or II. Results: Eleven studies (N = 726, mean age range 59.8 to 71.1) were included in the review, demonstrating a significant lack of research in the area compered to younger people with BD. The most commonly used measure of functioning was the Global Assessment of Functioning Scale (GAF) and results indicated that older adults with BD demonstrate a wide range of functioning. Limitations: The review used a comprehensive and systematic search strategy, however, very few eligible studies were available for review. The pooled analyses and reported means must be interpreted with caution due to the relatively small sample sizes. Conclusions: Older people with BD present with a wide range of functioning, ranging ‘major impairment’ to ‘superior’ scores. No existing validated measure assessing the psychosocial functioning or quality of life of older people with BD could be identified. Such a tool should be developed for use in future research.
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spelling doaj.art-dfadbdaa2c8a47d4bd9537f1f19f3e132022-12-22T00:54:49ZengElsevierJournal of Affective Disorders Reports2666-91532022-07-019100371A systematic review of psychosocial functioning and quality of life in older people with bipolar disorderDr Elizabeth Tyler0Professor Fiona Lobban1Mr Bogdan Hadarag2Professor Steven Jones3Spectrum Centre for Mental Health Research, Division of Health Research, Lancaster University, Lancaster, UK; Corresponding author.Spectrum Centre for Mental Health Research, Division of Health Research, Lancaster University, Lancaster, UKDivision of Health Research, Lancaster University, Lancaster, UKSpectrum Centre for Mental Health Research, Division of Health Research, Lancaster University, Lancaster, UKBackground: There is evidence to suggest that older people with Bipolar Disorder (BD) are more likely to demonstrate poor levels of functioning and score lower on well-being scales compared to non-clinical controls, even when in remission (Depp et al., 2006). To our knowledge, this is the first review paper to identify how quality of life and functioning has been measured in an older adult BD population. Methods: We conducted a systematic review of studies including a quantitative measure of psychosocial functioning or quality of life and older people over the age of 50 with a formal diagnosis of BD I or II. Results: Eleven studies (N = 726, mean age range 59.8 to 71.1) were included in the review, demonstrating a significant lack of research in the area compered to younger people with BD. The most commonly used measure of functioning was the Global Assessment of Functioning Scale (GAF) and results indicated that older adults with BD demonstrate a wide range of functioning. Limitations: The review used a comprehensive and systematic search strategy, however, very few eligible studies were available for review. The pooled analyses and reported means must be interpreted with caution due to the relatively small sample sizes. Conclusions: Older people with BD present with a wide range of functioning, ranging ‘major impairment’ to ‘superior’ scores. No existing validated measure assessing the psychosocial functioning or quality of life of older people with BD could be identified. Such a tool should be developed for use in future research.http://www.sciencedirect.com/science/article/pii/S2666915322000646Bipolar disorderOlder adultPsychosocial functioningQuality of lifeSystematic review
spellingShingle Dr Elizabeth Tyler
Professor Fiona Lobban
Mr Bogdan Hadarag
Professor Steven Jones
A systematic review of psychosocial functioning and quality of life in older people with bipolar disorder
Journal of Affective Disorders Reports
Bipolar disorder
Older adult
Psychosocial functioning
Quality of life
Systematic review
title A systematic review of psychosocial functioning and quality of life in older people with bipolar disorder
title_full A systematic review of psychosocial functioning and quality of life in older people with bipolar disorder
title_fullStr A systematic review of psychosocial functioning and quality of life in older people with bipolar disorder
title_full_unstemmed A systematic review of psychosocial functioning and quality of life in older people with bipolar disorder
title_short A systematic review of psychosocial functioning and quality of life in older people with bipolar disorder
title_sort systematic review of psychosocial functioning and quality of life in older people with bipolar disorder
topic Bipolar disorder
Older adult
Psychosocial functioning
Quality of life
Systematic review
url http://www.sciencedirect.com/science/article/pii/S2666915322000646
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