“…BD is known to lead to impairments in QoL even in periods of euthymia, when patients are expected to be largely symptom-free. According to the literature, the impact of BD on QoL can be similar to that of schizophrenia (Esan et al, 2017), a condition known to have a severe and lasting influence on QoL (Domenech et al, 2018). In BD, poor QoL is also associated with several negative outcomes, including low resilience, internalized stigma and residual depressive symptoms (Post et al, 2018).…”