Bipolar disorder in the elderly: clinical and socio-demographic characteristics [Abstract in English]
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/5565 |
Resumo: | Aims: To describe the clinical, psychiatric and socio-demographic characteristics of elderly patients with bipolar disorder. Methods: Patients with bipolar disorder aged 60 or more were selected, and their socio-demographic and clinical characteristics were obtained from the medical charts and from interviews with each patient and with at least one close relative. Results: A sample of 135 individuals was enrolled in the study. Elderly bipolar patients in the sample had higher rate of hypothyroidism, cancer and diabetes mellitus when compared to published data about the general elderly population. Presence of psychotic symptoms was associated with lower levels of educational attainment, earlier age of disease onset, more manic episodes and more frequent psychiatric hospitalizations. The mean age of onset was higher when compared to other studies, and the nature of the first affective episode indicates more episodes from the same polarity. Conclusions: The present study, performed in elderly patients with bipolar disorder, confirmed important clinical findings of investigations conducted in adult patients with such disorder, and brings the novelty of consolidating these findings by studying a sample of elderly patients with a long time of recorded disorder progression. |
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Bipolar disorder in the elderly: clinical and socio-demographic characteristics [Abstract in English]Transtorno afetivo bipolar em idosos: características clínicas e sociodemográficasBIPOLAR DISORDERAGEDAGEINGDIAGNOSISDUAL (PSYCHIATRY)COMORBIDITYPOPULATION CHARACTERISTICSSOCIAL CLASS.Aims: To describe the clinical, psychiatric and socio-demographic characteristics of elderly patients with bipolar disorder. Methods: Patients with bipolar disorder aged 60 or more were selected, and their socio-demographic and clinical characteristics were obtained from the medical charts and from interviews with each patient and with at least one close relative. Results: A sample of 135 individuals was enrolled in the study. Elderly bipolar patients in the sample had higher rate of hypothyroidism, cancer and diabetes mellitus when compared to published data about the general elderly population. Presence of psychotic symptoms was associated with lower levels of educational attainment, earlier age of disease onset, more manic episodes and more frequent psychiatric hospitalizations. The mean age of onset was higher when compared to other studies, and the nature of the first affective episode indicates more episodes from the same polarity. Conclusions: The present study, performed in elderly patients with bipolar disorder, confirmed important clinical findings of investigations conducted in adult patients with such disorder, and brings the novelty of consolidating these findings by studying a sample of elderly patients with a long time of recorded disorder progression.Objetivos: descrever as características clínicas, psiquiátricas e sociodemográficas de pacientes idosos com transtorno afetivo bipolar. Métodos: foram selecionados pacientes com transtorno bipolar, com idade maior ou igual a 60 anos. Suas características clínicas e sociodemográficas foram obtidas por meio de consulta aos prontuários médicos, bem como através de entrevista com cada paciente e pelo menos com um familiar próximo. Resultados: uma amostra de 135 indivíduos foi incluída no estudo. Os pacientes com transtorno afetivo bipolar da presente amostra apresentaram taxas mais elevadas de hipotireoidismo, câncer e diabete melito, quando comparados com dados publicados sobre a população de idosos em geral. A presença de sintomas psicóticos foi associada a níveis menores de escolaridade, idade mais precoce de início do transtorno, mais episódios de mania e maior frequência de internações psiquiátricas. A idade média de início do transtorno bipolar foi maior quando comparada a outros estudos, e a natureza do primeiro episódio afetivo indicou a maior frequência de episódios da mesma polaridade. Conclusões: o presente estudo, conduzido em pacientes idosos com transtorno afetivo bipolar, confirmou achados clínicos importantes de investigações realizadas em pacientes adultos, acrescentando o fato inédito de consolidar esses achados através da investigação em uma população de pacientes idosos com longo tempo de evolução de seu quadro clínico.Editora da PUCRS - ediPUCRS2009-12-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/5565Scientia Medica; Vol. 19 No. 4 (2009); 162-169Scientia Medica; v. 19 n. 4 (2009); 162-1691980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/5565/4735https://revistaseletronicas.pucrs.br/scientiamedica/article/view/5565/5071Zung, StevinCordeiro, QuirinoLafer, BenyNascimento, Andréia de FátimaVallada, Homeroinfo:eu-repo/semantics/openAccess2013-07-17T13:06:04Zoai:ojs.revistaseletronicas.pucrs.br:article/5565Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-07-17T13:06:04Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Bipolar disorder in the elderly: clinical and socio-demographic characteristics [Abstract in English] Transtorno afetivo bipolar em idosos: características clínicas e sociodemográficas |
title |
Bipolar disorder in the elderly: clinical and socio-demographic characteristics [Abstract in English] |
spellingShingle |
Bipolar disorder in the elderly: clinical and socio-demographic characteristics [Abstract in English] Zung, Stevin BIPOLAR DISORDER AGED AGEING DIAGNOSIS DUAL (PSYCHIATRY) COMORBIDITY POPULATION CHARACTERISTICS SOCIAL CLASS. |
title_short |
Bipolar disorder in the elderly: clinical and socio-demographic characteristics [Abstract in English] |
title_full |
Bipolar disorder in the elderly: clinical and socio-demographic characteristics [Abstract in English] |
title_fullStr |
Bipolar disorder in the elderly: clinical and socio-demographic characteristics [Abstract in English] |
title_full_unstemmed |
Bipolar disorder in the elderly: clinical and socio-demographic characteristics [Abstract in English] |
title_sort |
Bipolar disorder in the elderly: clinical and socio-demographic characteristics [Abstract in English] |
author |
Zung, Stevin |
author_facet |
Zung, Stevin Cordeiro, Quirino Lafer, Beny Nascimento, Andréia de Fátima Vallada, Homero |
author_role |
author |
author2 |
Cordeiro, Quirino Lafer, Beny Nascimento, Andréia de Fátima Vallada, Homero |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Zung, Stevin Cordeiro, Quirino Lafer, Beny Nascimento, Andréia de Fátima Vallada, Homero |
dc.subject.por.fl_str_mv |
BIPOLAR DISORDER AGED AGEING DIAGNOSIS DUAL (PSYCHIATRY) COMORBIDITY POPULATION CHARACTERISTICS SOCIAL CLASS. |
topic |
BIPOLAR DISORDER AGED AGEING DIAGNOSIS DUAL (PSYCHIATRY) COMORBIDITY POPULATION CHARACTERISTICS SOCIAL CLASS. |
description |
Aims: To describe the clinical, psychiatric and socio-demographic characteristics of elderly patients with bipolar disorder. Methods: Patients with bipolar disorder aged 60 or more were selected, and their socio-demographic and clinical characteristics were obtained from the medical charts and from interviews with each patient and with at least one close relative. Results: A sample of 135 individuals was enrolled in the study. Elderly bipolar patients in the sample had higher rate of hypothyroidism, cancer and diabetes mellitus when compared to published data about the general elderly population. Presence of psychotic symptoms was associated with lower levels of educational attainment, earlier age of disease onset, more manic episodes and more frequent psychiatric hospitalizations. The mean age of onset was higher when compared to other studies, and the nature of the first affective episode indicates more episodes from the same polarity. Conclusions: The present study, performed in elderly patients with bipolar disorder, confirmed important clinical findings of investigations conducted in adult patients with such disorder, and brings the novelty of consolidating these findings by studying a sample of elderly patients with a long time of recorded disorder progression. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-12-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/5565 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/5565 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/5565/4735 https://revistaseletronicas.pucrs.br/scientiamedica/article/view/5565/5071 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 19 No. 4 (2009); 162-169 Scientia Medica; v. 19 n. 4 (2009); 162-169 1980-6108 1806-5562 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101748990640128 |