Psycho-social dysfunctions in patients after recovery from mania and depression

Sc, Pradhan; Vk, Sinha; Tb, Singh

doi:10.1097/00004356-199912000-00007

Cited by 18 publications

(11 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Increased emphasis on psycho-education and cognitive modification of behavioural patterns in the management of this disorder with combined psychological and pharmacological tools would be helpful [140]. Psychosocial rehabilitation may be useful in bipolar patients who do not achieve complete functional recovery [141]. An important efficacy-effectiveness gap further compromises the translation of the evidence based on bipolar disorder treatment into clinical practice [142].…”

Section: Discussionmentioning

confidence: 99%

Functioning and Disability in Bipolar Disorder: An Extensive Review

Sanchez-Moreno

Martínez-Àran

Tabarés‐Seisdedos

et al. 2009

Psychother Psychosom

367

282

View full text Add to dashboard Cite

Background: Bipolar disorder has generally been regarded as having a better functional outcome than schizophrenia. However, studies have suggested low functioning in bipolar patients even when they are in clinical remission. Our aim was to determine the degree of functioning and disability in bipolar patients. Secondly, we reviewed factors potentially associated with the low functioning of bipolar patients. Method: The authors conducted an extensive Medline and Pubmed search of the published literature from 1980 up to December 2007, using a variety of search terms to find relevant articles. Bibliographies of retrieved papers were further analysed for publications of interest. Articles that reported clinically significant findings on functioning and disability, and research reports were reviewed in detail. Results: From these articles, we determined that bipolar disorder is associated with significant impairment in work, family and social life, beyond the acute phases of the illness. The aspects that appear to increase the risk of low functioning and disability in bipolar patients are mainly subsyndromal symptoms and neurocognitive impairment, among others. Conclusions: Suitable pharmacological and psychological interventions may improve the level of functioning and reduce the disability in bipolar patients. Potential targets to be considered for intervention should be residual symptoms, comorbid conditions and neurocognitive deficits. Further research is required to better identify the factors that best predict functioning in bipolar patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Functioning and Disability in Bipolar Disorder: An Extensive Review

Sanchez-Moreno

Martínez-Àran

Tabarés‐Seisdedos

et al. 2009

Psychother Psychosom

367

282

View full text Add to dashboard Cite

show abstract

“…Judd et al (2005) are critical about the methodological drawbacks of these studies, specially their reliance on cross-sectional rather than longitudinal designs, sample size, methods and tools of data collection, and outcome measures. Nonetheless, there is a great consensus among scholars regarding vulnerability of the people with depression to suicide (Judd and Akiskal 2003), health care use and costs (Simon 2003), unemployment (Tse and Walsh 2001), dependency on public assistance (Judd and Akiskal 2003), low income (Goetzal et al 2003), absenteeism (Adler et al 2006;Tse and Walsh 2001;Goldberg et al 1995), productivity loss (Stewart et al 2003;Lerner et al 2004), poor social function (Goldberg et al 1995;Pradhan et al 1999), and poor quality of life (Simon 2003;Votja et al 2001).…”

Section: Introductionmentioning

confidence: 99%

What Are the Predictors of Work Impairment in Iranian Patients with Depressive Disorders?

Ghassemi

Ahmadzadeh

Usefy

et al. 2009

Community Ment Health J

View full text Add to dashboard Cite

The purpose of this study is to estimate the predictors of working ability in depressed patients. Two hundred and twenty-six patients with depression consecutively admitted on outpatient basis from March 2003 to May 2006 were classified into working and non working groups. Severity of depression was measured by the Beck Depression Inventory and their occupational adjustment 2 months prior to the last episode was determined by Occupational Adjustment Scale, a subscale of Social Adjustment Scale. The groups were almost similar in terms of age, sex, education, and marital status. There were significant differences between them in terms of family history of depression, episodes of depression, history of suicide attempts, duration of illness and severity of depression (P < 0.01). The working depressed group differed significantly from the impaired depressed group in terms of work experience, job turnover, and overall occupational adjustment (P < 0.01). History of suicide attempt, family history of depression, time lost, severity of depression, pre-morbid occupational adjustment, age, and illness duration emerged as the most important predictors, explaining 64% of the patients' working ability. Our observations are on line with robust literature across the globe. Nature of illness condition as well as societal attitude can explain the impairment condition in depressed patients. Presence of a comprehensive integrated approach to their treatment and rehabilitation is imperative.

show abstract

“…A summary of instruments measuring functional status in psychiatric patients is presented in Table 1, focusing on key characteristics such as number of items, reliability and validity, and prior use with bipolar patients. From the summary, it is clear that social functioning and social relationships with family, friends, and coworkers are ubiquitous in measures of functioning and clearly central to the assessment of functional status for psychiatric patients in general and patients with bipolar disorder in particular (22, 24, 30–40)—all instruments reviewed measure the construct of social functioning, variously defined as social isolation in the Nottingham Health Profile (NHP) (19), for example, or social competence in the Multnomah Community Ability Scale (MCAS) (29), or social skills in the Specific Level of Function (SLOF) scale (28). The World Health Organization’s Disability Assessment Scale (WHO DAS) (23) profiles ‘getting along with others’, ‘understanding and communicating’, and ‘participation in society’.…”

Section: Measures Of Functional Statusmentioning

confidence: 99%

“…Many of the mental health‐specific functional status instruments included in the present review assess work productivity [Dysfunction Analysis Questionnaire (DAQ), SLOF, LIFE, Q‐LES‐Q, and Sheehan Disability Scale (SDS) (27)] and household responsibilities (SLOF, LIFE, SDS, Q‐LES‐Q, and MCAS), both considered critical domains of human functioning (24, 30, 32, 34, 35, 40). Elements of personal management (30, 33, 34, 38), such as appearance, hygiene, and medication adherence, are also evaluated by some of these instruments (DAQ, SLOF, Q‐LES‐Q, and MCAS).…”

Section: Measures Of Functional Statusmentioning

confidence: 99%