Quality of Life in Bipolar Disorder
Bipolar disorder (BD) is a complex clinical syndrome where patients alternate episodes of mania and depression with intervals of euthymia. In addition, BD has been recently shown to induce cognitive and functioning impairment that may worsen with cumulat
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Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3592
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Quality of Life and Mood in Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3593
3 3.1 3.2 3.3 3.4
Quality of Life and Comorbidities in Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . 3594 Anxiety Comorbidity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3594 Substance Use Disorders Comorbidity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3595 Multiple Comorbidities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3596 Medical Comorbidity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3596
4 4.1 4.2 4.3 4.4
Quality of Life and Cognition in Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3597 Cognition in Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3597 Cognition and Quality of Life in Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3598 Cognitive Domains and Quality of Life in Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . 3599 Possible Implications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3600
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Quality of Life and Functioning in Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3600
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Quality of Life and Insight in Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3602 Summary Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3603
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Springer Science+Business Media LLC 2010 (USA)
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Quality of Life in Bipolar Disorder
Abstract: > Bipolar disorder (BD) is a complex clinical syndrome where patients alternate episodes of mania and depression with intervals of euthymia. In addition, BD has been recently shown to induce cognitive and functioning impairment that may worsen with cumulative episodes. Such new findings brought to the field the need of assessing a more general appraisal of patients about the course of their illness. The construct of ‘‘> quality of life’’ (QOL) has provided the field with a means to assess the suffering and subjective burden related to BD. In the present chapter, we will present new data on how QOL is changed by mood states and the extent to which QOL may serve as a psychometric construct related to comorbidities, cognition, functioning and the ability of the patient to be aware of his own illness. Overall, QOL seems to provide a useful tool to assess acute states of BD illness as w
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