scholarly journals Disability and Quality of Life of Subjects with Bipolar Affective Disorder in Remission

2016 ◽  
Vol 38 (4) ◽  
pp. 336-340 ◽  
Author(s):  
Soumya P. Thomas ◽  
A. Nisha ◽  
P. Joseph Varghese
Keyword(s):  
Quality Of Life ◽  
Affective Disorder ◽  
Bipolar Affective Disorder

COMPARING SOCIOEMOTIONAL COGNITION AND QUALITY OF LIFE IN REMITTED BIPOLAR AFFECTIVE DISORDER

2021 ◽  
pp. 18-22
Author(s):  
Nimitha K J ◽  
Rajmohan V ◽  
T M Raghuram
Keyword(s):  
Quality Of Life ◽  
Affective Disorder ◽  
Psychosocial Functioning ◽  
Emotional Regulation ◽  
Economic Status ◽  
Bipolar Affective Disorder ◽  
Cross Sectional Study ◽  
Social Emotional ◽  
Cross Sectional

BACKGROUND-Bipolar affective disorder (BPAD) is characterized by abnormalities in social cognition and emotional regulation are detrimental to psychosocial functioning and quality of life. OBJECTIVES- To understand the sociodemographic background, clinical characteristics in BPAD in remission and its relation with social emotional cognition and its impact on quality of life and functioning of the patient. METHODS-A cross sectional study with a sample size of 100 consenting patients based on convenience sampling who are diagnosed to have BPAD in remission. Sociodemographic questionnaire and clinical details of the patient were noted. SECT (cog state battery) was applied to all patients under calm and similar environment. RESULTS-Results showed there is a signicant difference in SECTspeed, response and stimuli based on the nature of rst and last episode, SECT score based on severity of episodes, SECT speed and stimuli based on education, SECT responses based on occupation. Middle socio-economic group had the best psychological QoL followed by high socio-economic group and it was worst in low socio-economic group. Physical and psychological domain has signicant difference based on residence. WHO QoL social quality of life had signicant difference between ECT treatments in the past, with people receiving ECT having a higher score on the social QoLscore. There was no signicant correlation seen between SEC sub scores and QoLdomain scores. CONCLUSION-The study concluded the QoLwas signicantly associated with socio-economic status, semi urban residence and ECT. There was no correlation between SEC and QoLscore in remitted bipolar.

scholarly journals Quality of Life in Schizophrenia and Bipolar Affective Disorder

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Pratima
Keyword(s):  
Quality Of Life ◽  
Bipolar Disorder ◽  
Affective Disorder ◽  
Expressed Emotion ◽  
Bipolar Affective Disorder ◽  
Poor Quality ◽  
Living Environment ◽  
The Family ◽  
Bipolar Patients

Family caregivers of persons with bipolar disorder and schizophrenia experience high level of burden and compromised quality of life. A considerable amount of burden on the caregivers often leads to display of certain attitudes towards persons with severe mental illness called expressed emotion, which then leads to poor quality of patients as well. Although numerous studies dealing with these issues separately are present, but studies dealing with relationship, using mixed methodology, among these issues are scarce. The aim of the present study was to understand how actually the construct of quality of life in different demographic conditions affect life conditions of schizophrenic and bipolar patients and determining relapse. The present study was designed mainly to assess the quality of life on patients and the families of a particular group of patients namely those with schizophrenia and bipolar disorder. The objectives if the present research were to study: (i) the quality of life of patients with Schizophrenia and Bipolar Affective disorder. (ii) the quality of life of caregivers of patients with Schizophrenia and Bipolar Affective disorder. Patients with disorders such as schizophrenia and bipolar affective disorder are more likely to relapse when there is high expressed emotion present in their living environment. The stress from the remarks and attitudes of the family is overwhelming because they feel like the cause of the problems. The patient then falls into the cycle of relapse. The only way to escape this vortex for the family is to go through therapy together to prevent the relapse. But before that it becomes necessary to understand that what is the reason behind such attitude towards a family member who is mentally ill, what is the cause of burden and what all changes the caregivers’ and the patients’ quality of life come across.

scholarly journals MODERN APPROACHES TO THE TREATMENT OF PATIENTS WITH A PRIMARY EPISODE OF BIPOLAR AFFECTIVE DISORDER

2019 ◽  
Vol 85 (4) ◽  
pp. 55-61
Author(s):  
Yu.I. Mysula
Keyword(s):  
Quality Of Life ◽  
Affective Disorder ◽  
Mental State ◽  
Bipolar Affective Disorder ◽  
Depression Scale ◽  
Biomedical Ethics ◽  
Psychosocial Therapy ◽  
Traditional Scheme ◽  
Complete Clinical Remission

A comprehensive system of treatment and rehabilitation measures for the initial episode of bipolar affective disorder is proposed, which is implemented in three interrelated stages: a psychodiagnostic stage, which provides a comprehensive clinical and psychodiagnostic analysis to determine the clinical option; the stage of complex therapy, which involves the combination of psychopharmacology with normotymics, antidepressants, atypical neuroleptics with psychoeducation, compliance therapy, family therapy, work with comorbid mental and narcological pathology; and the stage of psychosocial rehabilitation and prevention, which includes supportive psychopharmacological therapy and psychosocial therapy and rehabilitation activities. We conducted a clinical psychodiagnostic examination of 88 patients with a primary episode of Bipolar Affective Disorder (PE BAD) who were treated at the Ternopil Regional Psychoneurological Hospital during the period 2011-2016 in compliance with the principles of biomedical ethics. The following groups were formed from them: 1) 34 patients with depressed variant of PE BAD, who received treatment according to the proposed scheme; 2) 33 patients with depressive variant of PE BAD who received treatment according to the traditional scheme; 3) 11 patients with a manic variant of PE BAD who received treatment according to the proposed scheme; 4) 10 patients with a manic variant of PE BAD who received treatment according to the traditional scheme. The results were compared in pairs in each of the clinical groups according to the clinical version of PE BAD. The evaluation was performed before the start of treatment and 6 months after the start of treatment in three main areas: dynamics of mental state (complete clinical remission, significant improvement of mental state, improvement of mental state, slight improvement of mental state); dynamics of changes in psycho-emotional state based on the results of evaluation using standardized psychodiagnostic tools (M. Hamilton Depression and Anxiety Scales, The Zung self-Rating Depression Scale, Bipolar Diagnostic Scale); the dynamics of quality of life indicators according to the Scale of Quality of Life Mezzich et al. in the adaptation of N.O. Maruta. The comparative analysis showed a higher effectiveness of the proposed therapy compared to the traditional relative clinical effect, normalization of the affective sphere and improvement of the quality of life of patients.

scholarly journals Quality of life in Bipolar affective disorder: Relationship with demographic and clinical variables

2020 ◽  
Vol 6 (1) ◽  
pp. 48-58
Author(s):  
Kiran Kumar K ◽  
◽  
Malini Govinadan ◽  
Fiaz Ahmed Sattar ◽  
Swapna B ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Affective Disorder ◽  
Bipolar Affective Disorder ◽  
Clinical Variables

888 – Quality of life in bipolar affective disorder and recurrent depressive disorder in a romanian sample

2013 ◽  
Vol 28 ◽  
pp. 1
Author(s):  
F. Romosan ◽  
M.L. Ienciu ◽  
R.S. Romosan ◽  
I. Papava ◽  
V.-R. Enatescu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Depressive Disorder ◽  
Affective Disorder ◽  
Bipolar Affective Disorder

scholarly journals Comprehensive assessment of the quality of life in primary episode of bipolar affective disorder

2020 ◽  
pp. 60-63
Author(s):  
Yuriy Mysula
Keyword(s):  
Quality Of Life ◽  
Affective Disorder ◽  
Bipolar Affective Disorder ◽  
Self Esteem ◽  
The Self ◽  
Assessment Data ◽  
Self Assessment ◽  
Quality Of Life Indicators ◽  
Mixed Medium

A study of quality of life in 153 patients with a primary episode of bipolar aff ective disorder found a signifi cantly lower quality of life score in women in individual areas and in general, these differences were most pronounced in manic and depressive variant of primary episode of bipolar affective disorder. The clinical variant of primary episode of BD had a decisive influence on the self-esteem of quality of life in patients: patients with the depressive variant had low quality of life indicators, with manic — high, and with mixed — medium ones. When comparing quality of life self-assessment data, a tendency was found for the quality of life to decrease in all key areas in the depressive variant, and a tendency for overestimation — in the manic one. In the mixed version, the self-esteem indicators of quality of life did not have significant differences from the qualification score by a specialist psychiatrist. The identifi ed patterns should be taken into account when determining treatment and rehabilitation measures. Keywords: bipolar affective disorder, primary episode, quality of life

scholarly journals Family Interaction Pattern and Quality Of Life of Caregivers Having Violent Patients with Bipolar Affective Disorder (Current Episode Mania)

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Ashok. S ◽  
Dr. Amool R Singh
Keyword(s):  
Quality Of Life ◽  
Family Violence ◽  
Affective Disorder ◽  
Bipolar Affective Disorder ◽  
Family Interaction ◽  
Interaction Pattern ◽  
Quality Of Life Scale ◽  
The Family ◽  
Leadership Pattern

Background: Bipolar affective disorder (BAD) is a multi-factorial disorder with various clinical presentations. ‘The manic episodes are manifestated by decreased sleep, irritability, aggression, dramatic fluctuation in mood or emotions caused to violent acts’. The clinical importance of hostility is in its close association with violence and non-adherence to treatment. BAD symptoms can result in damaged relationships, poor job or school performance that can seriously affect the lives of patients and their families. All caregivers share a similar fate; and they take responsibility for their mentally ill family members. Aim and Objectives: Aim was to examine the family interaction pattern and quality of life of caregivers having violent patients with bipolar affective disorder (current episode mania). Methodology: The Present study was a cross sectional hospital based and approved by ethical committee. Total 858 family members/caregiver interviewed for history of violence with diagnosed patient with BAD current episode mania (age 21 – 45 years) fulfilling ICD-10 criteria selected using probability sampling, when they brought patient in OPD. Total thirty (n=30) adult persons with BAD patient’s caregivers sample were recruited as per inclusion, exclusion-criteria for data collection tools such as Semi-structured socio-demographic data sheet, Family Violence Scale (Bhatti et al., 1985), Family interaction pattern scale (Bhatti et al., 1986) and WHO-Quality of Life Scale (WHO-QoL-BREF, 1998).  Results: There was no significant difference found in all domains of the Family Violence Scale. In correlation Physical violence domain positively correlated with Family Interaction Pattern’s domain of Leadership pattern at 0.05 level and Emotional violence positively correlated with Communication at 0.05 level and with Leadership pattern at 0.01 level. As well as Social violence positively correlated with the domain Leadership at 0.05 level. Also total score of family violence positively correlated with Leadership pattern at 0.01 level of the Family Interaction Pattern Scale. With QoL family violence domain emotional violence negatively correlated with the Psychological health, Social relationship and Environmental/Financial at 0.05 level and with Total score of QoL at 0.01 level. As well as total score of the family violence negatively correlated with the domain Social relationship at 0.05 level of the WHO – Quality of life Scale. Conclusion: It is very important for the mental health professionals to identify the needs of the family caregivers. Finding out areas need attention and strategies to restore the wellbeing of an individual and caregiver requires knowledge and skill based comprehensive assessment. Mental health issues need multidimensional approaches to bring fruitful outcomes. Engagement and implementation strategies, as well as the interventions themselves, must be tailored to local and cultural characteristics.

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