No abstract

Interpersonal and social rhythm therapy appears to add to the clinical armamentarium for the management of bipolar I disorder, particularly with respect to prophylaxis of new episodes.

A plausible factorial structure for many types of psychological and educational tests exhibits a general factor and one or more group or method factors. This structure can be represented by a bifactor model. The bifactor structure results from the constraint that each item has a nonzero loading on the primary dimension and, at most, one of the group factors. The authors develop estimation procedures for fitting the graded response model when the data follow the bifactor structure. Using maximum marginal likelihood estimation of item parameters, the bifactor restriction leads to a major simplification of the likelihood equations and (a) permits analysis of models with large numbers of group factors, (b) permits conditional dependence within identified subsets of items, and (c) provides more parsimonious factor solutions than an unrestricted full-information item factor analysis in some cases. Analysis of data obtained from 586 chronically mentally ill patients revealed a clear bifactor structure.

No abstract

The goal of this analysis was to characterize a cohort of 3000 persons who selfidentified as having bipolar disorder by demographic, clinical, and treatment characteristics and to document the burden that this disorder imposed on their lives.