TY - JOUR

T1 - A systematic review of psychosocial functioning and quality of life in older people with bipolar disorder

AU - Tyler, Elizabeth

AU - Lobban, Fiona

AU - Hadarag, Bogdan

AU - Jones, Steven

N1 - 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

PY - 2022/7/31

Y1 - 2022/7/31

N2 - BackgroundThere 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.MethodsWe 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.ResultsEleven 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.LimitationsThe 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.ConclusionsOlder 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.

AB - BackgroundThere 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.MethodsWe 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.ResultsEleven 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.LimitationsThe 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.ConclusionsOlder 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.

KW - Bipolar disorder

KW - Older adult

KW - Psychosocial functioning

KW - Quality of life

KW - Systematic review

U2 - 10.1016/j.jadr.2022.100371

DO - 10.1016/j.jadr.2022.100371

M3 - Journal article

VL - 9

JO - journal of affective disorders reports

JF - journal of affective disorders reports

SN - 2666-9153

M1 - 100371

ER -