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Factors related to hospitalization in elderly manic patients with early and late-onset bipolar disorder
- Authors:
- LEHMANN Susan W., RABINS Peter V.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(11), November 2006, pp.1060-1064.
- Publisher:
- Wiley
The objective was to identify factors contributing to relapse and hospitalization in elderly patients with bipolar disorder. Retrospective chart review surveyed consecutive patients over age 65 admitted to the Johns Hopkins Hospital for a manic episode over a five year period (n = 73). Factors precipitating index admission were compared in patients with early-onset bipolar disorder (<or = age 45, n = 38) and late-onset bipolar disorder (>age 45, n = 35). The distribution of ages of onset of bipolar disorder was most consistent with a bimodal pattern with a cut-point at age 45. Early-onset patients were more likely to have been aggressive and threatening prior to admission (p = 0.014) compared to late-onset patients and were more likely to have been brought to the emergency room on emergency petition for evaluation (p = 0.028). Early-onset patients were also more likely to have been non-adherent with prescribed psychiatric medication (p = 0.032). Relapse and rehospitalization were common among elderly manic patients with early-onset and late-onset bipolar disorder. Strategies which improve medication adherence are needed to help prevent recurring hospitalization.
The pits and the pendulum: a life with bipolar disorder
- Author:
- ADAMS Brian
- Publisher:
- Jessica Kingsley
- Publication year:
- 2003
- Pagination:
- 158p.
- Place of publication:
- London
Writing a prize-winning play; spending a week doing nothing but build Lego constructions; sinking all his savings into wildly impractical money-making schemes - these are just some results of the periods of intense creative energy the author has experienced throughout his adult life. As a sufferer of bipolar disorder, he has also been hospitalised several times with debilitating depression and undergone electric shock treatment, and gained and lost eleven jobs. This account gives insight into how it feels to experience bipolar disorder.
Art therapy in practice
- Editor:
- LIEBMANN Marian
- Publisher:
- Jessica Kingsley
- Publication year:
- 1990
- Pagination:
- 191p.,illus.,bibliog.
- Place of publication:
- London
Written by a group of art therapists working for a variety of organisations including the NHS, a probation service, an education authority and voluntary organisations. Aims to explain the practice of art therapy. Includes chapters on art therapy and manic depression; in day hospitals; in community based rehabilitation; in psychogeriatrics; with dyslexic children; and with people with learning difficulties.
The service and illness experiences described by users of the Mood Swings Network
- Author:
- BAKER John A.
- Journal article citation:
- Journal of Mental Health, 11(4), August 2002, pp.453-463.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This article explores the experience of illness, service and treatment from users of the Mood Swings Network. From a literature review a questionnaire was developed to ascertain users' illness experiences. Questionnaires were distributed to eighteen support groups based throughout the North West of England. Fifty questionnaires were returned, and results showed a range of positive and negative opinions about hospital and community services; pharmacological treatments; psychological and social effects of the illness, including stigma; and the personal experience of being high or low. The paper concludes by suggesting that these findings have added important information for the development of psychosocial interventions for clients with bipolar disorders.