Patient perceptions of physical health and bipolar symptoms: The intersection of mental and physical health

作者: Emily E. Bernstein , Dustin J. Rabideau , Margaret E. Gigler , Andrew A. Nierenberg , Thilo Deckersbach

DOI: 10.1016/J.JAD.2015.09.052

关键词: ManiaDepression (differential diagnoses)PsychiatryMoodHypomaniaBipolar disorderPsychologyClinical psychologyQuality of life (healthcare)Mental healthLife satisfaction

摘要: Abstract Background Affective symptoms and medical comorbidities have a negative impact on the course of bipolar disorder. The aim this analysis was to examine how perceptions physical health functioning in individuals with disorder relate their mood symptoms. Methods We analyzed longitudinal data from Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) subscales Short Form Health Survey (SF-36) (physical functioning, role limitations due problems, bodily pain, general health). Results Participants’ perception overall predicted severity mania/hypomania, depression, life satisfaction at concurrent future visits. Perceptions problems depressive poor satisfaction. Worse pain mania/hypomania. Reports specific or concrete daily showed no associations psychiatric assessments, but did predict worse illness one year later. SF-36 scores significant, small presence comorbidities. Limitations: quality were self-report, potentially lending themselves transient biases, particularly among depressed participants. Additionally, selected as generic, widely used measure; result, it not burden Conclusion Overall, broad associated over 24 months study. Though further research is warranted, changes subjective related life, even independent objective changes, may offer important insight into global wellbeing be targets psychotherapy treatment.

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