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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
Manic-depressive illness
Older people diseases
Older people
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.
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It is part of: Neuropsychiatric Disease And Treatment, 2016, vol. 12, p. 1203-1213
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ISSN: 1176-6328
Appears in Collections:Articles publicats en revistes (Medicina)

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