TY  - JOUR
PY  - 2021//
TI  - The influence of social, psychological, and cognitive factors on the clinical course in older patients with bipolar disorder
JO  - International journal of geriatric psychiatry
A1  - Orhan, Melis
A1  - Huijser, Janette
A1  - Korten, Nicole
A1  - Paans, Nadine
A1  - Regeer, Eline
A1  - Sonnenberg, Caroline
A1  - van Oppen, Patricia
A1  - Stek, Max
A1  - Kupka, Ralph
A1  - Dols, Annemiek
SP  - 342
EP  - 348
VL  - 36
IS  - 2
N2  - OBJECTIVES: Research on factors that contribute to recurrence in older adults with bipolar disorder (OABD) is sparse. Previous research showed that clinical factors (e.g., age of onset, lifetime psychotic features, and suicide risk) were not associated with the recurrence in OABD. In younger adults, worse social functioning, coping style, and worse cognitive functioning are found to be associated with an unfavorable course of bipolar disorder. Therefore, this study is focusing on social, psychological, and cognitive factors in OABD. More insight in these factors is essential in order to develop and further specify preventive and treatment interventions.  METHODS: Data were used from the Dutch Older Bipolars (DOBi) cohort study. We included 64 patients for 3-year follow-up measurements, who were divided in a recurrent group and a nonrecurrent group. Logistic regression analyses were conducted to assess associations between social, psychological, and cognitive factors, and nonrecurrence.  RESULTS: 39.1% reported at least one recurrence during the 3-year follow-up period. No significant associations were found between the social, psychological, and cognitive factors and having a recurrence during the follow-up period.  DISCUSSION: Participants in the recurrent group were younger, more often female and less likely to have children. Our results suggest that results from the adult bipolar disorder population cannot be extrapolated to OABD patients, underlining the need for longitudinal studies in OABD.<p /> <p>Language: en</p>
LA  - en
SN  - 0885-6230
UR  - http://dx.doi.org/10.1002/gps.5431
ID  - ref1
ER  -