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    Rights statement: This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders Reports. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders Reports, 9, 100371, 2022 DOI: 10.1016/j.jadr.2022.100371

    Accepted author manuscript, 89.3 KB, Word document

    Embargo ends: 29/05/23

    Available under license: CC BY: Creative Commons Attribution 4.0 International License

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

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Published
Article number100371
<mark>Journal publication date</mark>31/07/2022
<mark>Journal</mark>journal of affective disorders reports
Volume9
Number of pages8
Publication StatusPublished
Early online date29/05/22
<mark>Original language</mark>English

Abstract

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.

Bibliographic note

This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders Reports. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders Reports, 9, 100371, 2022 DOI: 10.1016/j.jadr.2022.100371