Burden of general medical conditions among individuals with bipolar disorder

Kilbourne, Amy M.; Cornelius, Jack R.; Han, Xiaoyan; Pincus, Harold Alan; Shad, Mujeeb U.; Salloum, Ihsan M.; Conigliaro, Joseph; Haas, Gretchen L.

doi:10.1111/j.1399-5618.2004.00138.x

Cited by 326 publications

(261 citation statements)

References 19 publications

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“…Patients with BD have an elevated prevalence of medical morbidities, including obesity, diabetes, cardiovascular disease, and hepatitis (Kilbourne et al., 2004; Krishnan, 2005). A comorbidity of increasingly recognized importance is obstructive sleep apnea (OSA), which causes sleep disturbance that can trigger mood episodes (Soreca, Levenson, Lotz, Frank, & Kupfer, 2012).…”

Section: Major Challenges In the Management Of Patients With Bdmentioning

confidence: 99%

“…Early recognition can lead to earlier initiation of effective therapy, with beneficial effects on both the short‐term outcome and the long‐term course of the illness (Geddes & Miklowitz, 2013; Manning, 2010). Patients with BD are also likely to have other psychiatric and medical comorbidities, and, therefore, rely on their primary care provider for holistic care (Kilbourne et al., 2004; Krishnan, 2005). Finally, the importance of collaborative, team‐based care is increasingly recognized in managing BD.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and treatment of patients with bipolar disorder: A review for advanced practice nurses

McCormick

Murray

McNew

2015

Journal of the American Association of Nurse Practitioners

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Purpose This review article provides an overview of the frequency, burden of illness, diagnosis, and treatment of bipolar disorder (BD) from the perspective of the advanced practice nurses (APNs). Data sources PubMed searches were conducted using the following keywords: “bipolar disorder and primary care,” restricted to dates 2000 to present; “bipolar disorder and nurse practitioner”; and “bipolar disorder and clinical nurse specialist.” Selected articles were relevant to adult outpatient care in the United States, with a prioritization of articles written by APNs or published in nursing journals. Conclusions BD has a substantial lifetime prevalence in the population at 4%. Because the manic or depressive symptoms of BD tend to be severe and recurrent over a patient's lifetime, the condition is associated with significant burden to the individual, caregivers, and society. Clinician awareness that BD may be present increases the likelihood of successful recognition and appropriate treatment. A number of pharmacological and nonpharmacological treatments are available for acute and maintenance treatments, with the prospect of achieving reduced symptom burden and increased functioning for many patients. Implications for practice Awareness of the disease burden, diagnostic issues, and management choices in BD has the potential to enhance outcome in substantial proportions of patients.

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Section: Major Challenges In the Management Of Patients With Bdmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Diagnosis and treatment of patients with bipolar disorder: A review for advanced practice nurses

McCormick

Murray

McNew

2015

Journal of the American Association of Nurse Practitioners

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“…Número de estudios: 17 estudios controlados 20,24,[26][27][28][30][31][32][33]35,[42][43][44][45][46][47][48] y 13 no controlados [34][35][36][37][38][39][49][50][51][52][53][54][55] .…”

Section: Patología Endocrinometabólicaunclassified

“…Número de estudios: 11 estudios controlados 20,23,24,26,28,30,[61][62][63][64][65] y 10 no controlados 34,[36][37][38]49,[66][67][68][69][70] .…”

Section: Patología Neurológicaunclassified

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Consenso Español de Salud Física del Paciente con Trastorno Bipolar

Bobes

Ruiz

Montes

et al. 2008

Revista de Psiquiatría y Salud Mental

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ResumenIntroducción y objetivos: Los pacientes con trastorno bipolar presentan una morbilidad físi-ca y una mortalidad muy superior a la de la población general. Además de una mayor mortalidad por suicidio, tienen también una mayor prevalencia de enfermedades físicas. El objetivo de este consenso, promovido por las Sociedades Españolas de Psiquiatría y Psiquiatría Biológica, en colaboración con las sociedades de médicos de asistencia primaria, es establecer recomendaciones prácticas sobre los procedimientos de detección, prevención e intervención en las enfermedades somáticas que coexisten con el trastorno bipolar para mejorar la calidad y esperanza de vida de estos pacientes. Método: Las Sociedades Españolas de Psiquiatría y Psiquiatría Biológica eligieron un ComitéCientífico que seleccionó a su vez a 32 psiquiatras expertos y 10 médicos expertos en otras especialidades médicas. Se crearon grupos de trabajo para cada especialidad con la finalidad de adaptar las guías aplicadas en la población general a pacientes con trastorno bipolar. Partiendo de una revisión sistemática sobre la comorbilidad médica y la mortalidad en el trastorno bipolar se realizaron dos reuniones para acordar el consenso. Resultados: En la revisión bibliográfica se detectó un riesgo aumentado, entre los pacientes con trastorno bipolar, de presentar hipertensión arterial, obesidad, tabaquismo, enfermedades pulmonares, migraña e infección por virus de la inmunodeficiencia humana (VIH). También se encontró evidencia de un aumento de mortalidad por enfermedades cardiovasculares, respiratorias e infecciones, además del suicidio. El grupo de expertos alcanzó el consenso en una serie de medidas básicas para la detección de comorbilidad médica aplicables a la monitorización de estos pacientes. Las recomendaciones resultantes serán asumidas y divulgadas por las sociedades promotoras. Conclusiones: El decálogo generado en el Consenso Español de Salud Física del Paciente con Trastorno Bipolar recoge los aspectos más relevantes para la mejora del funcionamiento psicosocial, la calidad y la esperanza de vida en los pacientes con esta patología.

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Two-Year Outcomes for Interpersonal and Social Rhythm Therapy in Individuals With Bipolar I Disorder

Frank¹,

Kupfer²,

Thase³

et al. 2005

Arch Gen Psychiatry

676

425

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Burden of general medical conditions among individuals with bipolar disorder

Abstract: Individuals with bipolar disorder possess a substantial burden of general medical comorbidity, and are occurring at an earlier age than in the general VA patient population, suggesting the need for earlier detection and treatment for patients with bipolar disorder.

Cited by 326 publications

References 19 publications

Diagnosis and treatment of patients with bipolar disorder: A review for advanced practice nurses

Diagnosis and treatment of patients with bipolar disorder: A review for advanced practice nurses

Consenso Español de Salud Física del Paciente con Trastorno Bipolar

Two-Year Outcomes for Interpersonal and Social Rhythm Therapy in Individuals With Bipolar I Disorder

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