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Older age bipolar disorder
Older age bipolar disorder (OABD) refers to patients with bipolar disorder aged 50 years and over. There is a paucity of evidence-based guidelines specific to OABD, but in recent years, several studies have been published on OABD. The current review synthesizes previous literature (up to January 1,...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399956/ https://www.ncbi.nlm.nih.gov/pubmed/37458495 http://dx.doi.org/10.1097/YCO.0000000000000883 |
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author | Beunders, Alexandra J.M. Orhan, Melis Dols, Annemiek |
author_facet | Beunders, Alexandra J.M. Orhan, Melis Dols, Annemiek |
author_sort | Beunders, Alexandra J.M. |
collection | PubMed |
description | Older age bipolar disorder (OABD) refers to patients with bipolar disorder aged 50 years and over. There is a paucity of evidence-based guidelines specific to OABD, but in recent years, several studies have been published on OABD. The current review synthesizes previous literature (up to January 1, 2021) as well as most recent literature on OABD (since January 1, 2021). RECENT FINDINGS: This review covers the following themes: diagnosis and specifiers, clinical course, psychosocial functioning, cognition, physical comorbidities, and pharmacotherapy. On the basis of the latest data, specific clinical recommendations are proposed for each theme. SUMMARY: OABD forms a more complex subgroup of bipolar disorder, with an increased risk of cognitive deficits, physical comorbidities, impaired psychosocial functioning, and premature death. The distinctions between BD-I and BD-II and between EOBD and LOBD do not clinically represent relevant subtypes for OABD patients. Mental healthcare professionals should treat all OABD patients with an integrative care model that takes into account cognitive and physical comorbidities and that contains elements aimed at improvement of psychosocial functioning and quality of life. Older age itself should not be a reason to withhold lithium treatment. Future research should collect data on essential data domains using validated measurement scales. |
format | Online Article Text |
id | pubmed-10399956 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-103999562023-08-04 Older age bipolar disorder Beunders, Alexandra J.M. Orhan, Melis Dols, Annemiek Curr Opin Psychiatry GERIATRIC PSYCHIATRY: Edited by Orestes Forlenza and Claudia Cooper Older age bipolar disorder (OABD) refers to patients with bipolar disorder aged 50 years and over. There is a paucity of evidence-based guidelines specific to OABD, but in recent years, several studies have been published on OABD. The current review synthesizes previous literature (up to January 1, 2021) as well as most recent literature on OABD (since January 1, 2021). RECENT FINDINGS: This review covers the following themes: diagnosis and specifiers, clinical course, psychosocial functioning, cognition, physical comorbidities, and pharmacotherapy. On the basis of the latest data, specific clinical recommendations are proposed for each theme. SUMMARY: OABD forms a more complex subgroup of bipolar disorder, with an increased risk of cognitive deficits, physical comorbidities, impaired psychosocial functioning, and premature death. The distinctions between BD-I and BD-II and between EOBD and LOBD do not clinically represent relevant subtypes for OABD patients. Mental healthcare professionals should treat all OABD patients with an integrative care model that takes into account cognitive and physical comorbidities and that contains elements aimed at improvement of psychosocial functioning and quality of life. Older age itself should not be a reason to withhold lithium treatment. Future research should collect data on essential data domains using validated measurement scales. Lippincott Williams & Wilkins 2023-09 2023-07-17 /pmc/articles/PMC10399956/ /pubmed/37458495 http://dx.doi.org/10.1097/YCO.0000000000000883 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | GERIATRIC PSYCHIATRY: Edited by Orestes Forlenza and Claudia Cooper Beunders, Alexandra J.M. Orhan, Melis Dols, Annemiek Older age bipolar disorder |
title | Older age bipolar disorder |
title_full | Older age bipolar disorder |
title_fullStr | Older age bipolar disorder |
title_full_unstemmed | Older age bipolar disorder |
title_short | Older age bipolar disorder |
title_sort | older age bipolar disorder |
topic | GERIATRIC PSYCHIATRY: Edited by Orestes Forlenza and Claudia Cooper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399956/ https://www.ncbi.nlm.nih.gov/pubmed/37458495 http://dx.doi.org/10.1097/YCO.0000000000000883 |
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