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http://hdl.handle.net/2445/111705
Title: | Clinical features, comorbidity, and cognitive impairment in elderly bipolar patients |
Author: | Rise, Ida Vikan Haro Abad, Josep Maria Gjervan, Bjorn |
Keywords: | Trastorn bipolar Malalties de les persones grans Persones grans Comorbiditat Manic-depressive illness Older people diseases Older people Comorbidity |
Issue Date: | 17-May-2016 |
Publisher: | Dove Medical Press |
Abstract: | INTRODUCTION: Data specific to late-life bipolar disorder (BD) are limited. Current research is sparse and present guidelines are not adapted to this group of patients. OBJECTIVES: We present a literature review on clinical characteristics, comorbidities, and cognitive impairment in patients with late-life BD. This review discusses common comorbidities that affect BD elders and how aging might affect cognition and treatment. METHODS: Eligible studies were identified in MedLine by the Medical Subject Headings terms 'bipolar disorder' and 'aged'. We only included original research reports published in English between 2012 and 2015. RESULTS: From 414 articles extracted, 16 studies were included in the review. Cardiovascular and respiratory conditions, type II diabetes, and endocrinological abnormalities were observed as highly prevalent. BD is associated with a high suicide risk. Bipolar elderly had an increased risk of dementia and performed worse on cognitive screening tests compared to age-matched controls across different levels of cognition. Despite high rates of medical comorbidity among bipolar elderly, a systematic under-recognition and undertreatment of cardiovascular disease have been suggested. CONCLUSION: There was a high burden of physical comorbidities and cognitive impairment in late-life BD. Bipolar elderly might be under-recorded and undertreated in primary medical care, indicating that this group needs an adapted clinical assessment and specific clinical guidelines need to be established. |
Note: | Reproducció del document publicat a: https://doi.org/10.2147/NDT.S100843 |
It is part of: | Neuropsychiatric Disease And Treatment, 2016, vol. 12, p. 1203-1213 |
URI: | http://hdl.handle.net/2445/111705 |
Related resource: | https://doi.org/10.2147/NDT.S100843 |
ISSN: | 1176-6328 |
Appears in Collections: | Articles publicats en revistes (Medicina) |
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