Bipolar symptoms, somatic burden and functioning in older-age bipolar disorder: A replication study from the global aging & geriatric experiments in bipolar disorder database (GAGE-BD) project

Objectives: The Global Aging & Geriatric Experiments in Bipolar Disorder Database (GAGE-BD) project pools archival datasets on older age bipolar disorder (OABD). An initial Wave 1 (W1; n = 1369) analysis found both manic and depressive symptoms reduced among older patients. To replicate this fin...

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Detalhes bibliográficos
Autores: Sajatovic, M, Rej, S, Almeida, OP, Altinbas, K, Balanzá-Martínez, V, Barbosa, IG, Beunders, AJM, Blumberg, HP, Briggs, FBS, Dols, A, Forester, BP, Forlenza, OV, Gildengers, AG, Jimenez, E, Klaus, F, Lafer, B, Mulsant, B, Mwangi, B, Nunes, PV, Olagunju, AT, Oluwaniyi, S, Orhan, M, Patrick, RE, Radua, J, Rajji, T, Sarna, K, Schouws, S, Simhandl, C, Sekhon, H, Soares, JC, Sutherland, AN, Teixeira, AL, Tsai, SY, Vidal-Rubio, S, Vieta, E, Yala, J, Eyler, LT
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p16893
Acesso em linha:https://fisabio.portalinvestigacion.com/publicaciones/16893
Access Level:acceso abierto
Palavra-chave:aging
bipolar disorder
depression
functioning
mania
medical burden
Descrição
Resumo:Objectives: The Global Aging & Geriatric Experiments in Bipolar Disorder Database (GAGE-BD) project pools archival datasets on older age bipolar disorder (OABD). An initial Wave 1 (W1; n = 1369) analysis found both manic and depressive symptoms reduced among older patients. To replicate this finding, we gathered an independent Wave 2 (W2; n = 1232, mean +/- standard deviation age 47.2 +/- 13.5, 65% women, 49% aged over 50) dataset. Design/Methods: Using mixed models with random effects for cohort, we examined associations between BD symptoms, somatic burden and age and the contribution of these to functioning in W2 and the combined W1 + W2 sample (n = 2601). Results: Compared to W1, the W2 sample was younger (p < 0.001), less educated (p < 0.001), more symptomatic (p < 0.001), lower functioning (p < 0.001) and had fewer somatic conditions (p < 0.001). In the full W2, older individuals had reduced manic symptom severity, but age was not associated with depression severity. Age was not associated with functioning in W2. More severe BD symptoms (mania p <= 0.001, depression p <= 0.001) were associated with worse functioning. Older age was significantly associated with higher somatic burden in the W2 and the W1 + W2 samples, but this burden was not associated with poorer functioning. Conclusions: In a large, independent sample, older age was associated with less severe mania and more somatic burden (consistent with previous findings), but there was no association of depression with age (different from previous findings). Similar to previous findings, worse BD symptom severity was associated with worse functioning, emphasizing the need for symptom relief in OABD to promote better functioning.

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