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Review
. 2023 Sep;25(6):457-468.
doi: 10.1111/bdi.13368. Epub 2023 Jul 26.

Functioning in older adults with bipolar disorder: A report on recommendations by the International Society of bipolar disorder (ISBD) older adults with bipolar disorder (OABD) task force

Laura Montejo  1 , Melis Orhan  2 , Peijun Chen  3   4 , Lisa T Eyler  5   6 , Ariel Gildengers  7 , Anabel Martinez-Aran  1   8 , Paula Villela Nunes  9 , Andrew T Olagunju  10 , Regan Patrick  11   12 , Eduard Vieta  1   8 , Annemiek Dols  13 , Esther Jimenez  1
Affiliations
Review

Functioning in older adults with bipolar disorder: A report on recommendations by the International Society of bipolar disorder (ISBD) older adults with bipolar disorder (OABD) task force

Laura Montejo et al. Bipolar Disord. 2023 Sep.

Abstract

Objectives: Despite the importance of psychosocial functioning impairment in Bipolar Disorder (BD), its role among Older Adults with BD (OABD) is not well known. The development of guidelines for the assessment of psychosocial functioning helps to facilitate a better understanding of OABD and can lead to better tailored interventions to improve the clinical outcomes of this population.

Methods: Through a series of virtual meetings, experts from eight countries in the International Society of Bipolar Disorder (ISBD) on OABD task force developed recommendations for the assessment of psychosocial functioning.

Results: We present (1) a conceptualization of functioning in OABD and differences compared with younger patients; (2) factors related to functioning in OABD; (3) current measures of functioning in OABD and their strengths and limitations; and, (4) other potential sources of information to assess functioning.

Conclusions: The task force created recommendations for assessing functioning in OABD. Current instruments are limited, so measures specifically designed for OABD, such as the validated FAST-O scale, should be more widely adopted. Following the proposed recommendations for assessment can improve research and clinical care in OABD and potentially lead to better treatment outcomes.

Keywords: functioning; older adults with bipolar disorder; recommendations.

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References

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