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Functioning in older adults with bipolar disorder: A report on recommendations by the International Society of bipolar disorder (ISBD) older adults with bipolar disorder (OABD) task force

  • Laura Montejo
  • , Melis Orhan
  • , Peijun Chen
  • , Lisa T. Eyler
  • , Ariel Gildengers
  • , Anabel Martinez-Aran
  • , Paula Villela Nunes
  • , Andrew T. Olagunju
  • , Regan Patrick
  • , Eduard Vieta*
  • , Annemiek Dols
  • , Esther Jimenez
  • *Corresponding author for this work
  • Hospital Clinic de Barcelona
  • Department of Veterans Affairs
  • Case Western Reserve University
  • University of California at San Diego
  • VA Boston Healthcare System
  • University of Pittsburgh
  • University of Barcelona
  • Universidade de São Paulo
  • McMaster University
  • Harvard University
  • Harvard Medical School
  • Utrecht University

Research output: Contribution to journalReview articleAcademicpeer-review

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Abstract

Objectives: Despite the importance of psychosocial functioning impairment in Bipolar Disorder (BD), its role among Older Adults with BD (OABD) is not well known. The development of guidelines for the assessment of psychosocial functioning helps to facilitate a better understanding of OABD and can lead to better tailored interventions to improve the clinical outcomes of this population. Methods: Through a series of virtual meetings, experts from eight countries in the International Society of Bipolar Disorder (ISBD) on OABD task force developed recommendations for the assessment of psychosocial functioning. Results: We present (1) a conceptualization of functioning in OABD and differences compared with younger patients; (2) factors related to functioning in OABD; (3) current measures of functioning in OABD and their strengths and limitations; and, (4) other potential sources of information to assess functioning. Conclusions: The task force created recommendations for assessing functioning in OABD. Current instruments are limited, so measures specifically designed for OABD, such as the validated FAST-O scale, should be more widely adopted. Following the proposed recommendations for assessment can improve research and clinical care in OABD and potentially lead to better treatment outcomes.
Original languageEnglish
Pages (from-to)457-468
Number of pages12
JournalBipolar disorders
Volume25
Issue number6
Early online date2023
DOIs
Publication statusPublished - Sept 2023

Keywords

  • functioning
  • older adults with bipolar disorder
  • recommendations

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