Journal ArticleDOI
Improving medical and psychiatric outcomes among individuals with bipolar disorder: a randomized controlled trial.
Amy M. Kilbourne,Edward P. Post,Agnes Nossek,Larry Drill,Susan Cooley,Mark S. Bauer,Mark S. Bauer +6 more
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TLDR
Compared with usual care, BCM care may have slowed the decline in physical health–related quality of life and reduced risk of cardiovascular disease among persons with bipolar disorder.Abstract:
Objectives: Comorbid medical conditions, notably cardiovascular disease, occur disproportionately among persons with bipolar disorder; yet the quality and outcomes of medical care for these individuals are suboptimal. This pilot study examined a bipolar disorder medical care model (BCM) and determined whether, compared with usual care, individuals randomly assigned to receive BCM care had improved medical and psychiatric outcomes. Methods: Persons with bipolar disorder and cardiovascular disease–related risk factors were recruited from a large Department of Veterans Affairs mental health facility and randomly assigned to receive BCM or usual care. BCM care consisted of four self-management sessions on bipolar disorder symptom control strategies, education and behavioral change related to cardiovascular disease risk factors, and promotion of provider engagement. Primary outcomes were physical and mental health–related quality of life; secondary outcomes included functioning and bipolar symptoms. Results: Fifty-eight persons participated. Twentyseven received BCM care, and 31 received usual care. The mean±SD age was 55±8 years, 9% were female, 90% were white, and 10% were African American. Repeated-measures analysis was used, and significant differences were observed between the two groups in change in scores from baseline to six months for the 12-Item Short-Form Health Survey (SF-12) subscale for physical health (t=2.01, df=173, p=.04), indicating that the usual care group experienced a decline in physical health over the study period. Change in SF-12 scores also indicated that compared with the usual care group, the BCM group showed improvements in mental health–related quality of life over the six-month study period; however, this finding was not significant. Conclusions: Compared with usual care, BCM care may have slowed the decline in physical health–related quality of life. Further studies are needed to determine whether BCM care leads to longterm positive changes in physical and mental health–related quality of life and reduced risk of cardiovascular disease among persons with bipolar disorder. (Psychiatric Services 59:760–768, 2008)read more
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Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) collaborative update of CANMAT guidelines for the management of patients with bipolar disorder: update 2013.
Lakshmi N. Yatham,Sidney H. Kennedy,Sagar V. Parikh,Ayal Schaffer,Serge Beaulieu,Martin Alda,Claire O'Donovan,Glenda MacQueen,Roger S. McIntyre,Verinder Sharma,Arun V. Ravindran,L. Trevor Young,Roumen Milev,David J. Bond,Benicio N. Frey,Benjamin I. Goldstein,Beny Lafer,Boris Birmaher,Kyooseob Ha,Willem A. Nolen,Michael Berk,Michael Berk +21 more
TL;DR: The Canadian Network for Mood and Anxiety Treatments published guidelines for the management of bipolar disorder in 2005, with updates in 2007 and 2009, and this third update, in conjunction with the International Society for Bipolar Disorders, reviews new evidence and is designed to be used in conjunctionWith the previous publications.
Journal ArticleDOI
A Randomized Trial of Medical Care Management for Community Mental Health Settings: The Primary Care Access, Referral, and Evaluation (PCARE) Study
Benjamin G. Druss,Silke A. von Esenwein,Michael T. Compton,Kimberly J. Rask,Liping Zhao,Ruth M. Parker +5 more
TL;DR: Findings suggest that care management is a promising approach for improving medical care for patients treated in community mental health settings.
Journal ArticleDOI
Major Depressive Disorder and Bipolar Disorder Predispose Youth to Accelerated Atherosclerosis and Early Cardiovascular Disease: A Scientific Statement from the American Heart Association
Benjamin I. Goldstein,Mercedes R. Carnethon,Karen A. Matthews,Roger S. McIntyre,Gregory E. Miller,Geetha Raghuveer,Catherine M. Stoney,Hank Wasiak,Brian W. McCrindle +8 more
TL;DR: There is an integration of the various factors that putatively underlie the association of MDD and BD with CVD, including pathophysiological mechanisms, traditional CVD risk factors, behavioral and environmental factors, and psychiatric medications.
Long-term conditions and mental health The cost of co-morbidities Authors
TL;DR: It is suggested that developing more integrated support for people with mental and physical health problems could improve outcomes and play an important part in helping the NHS meet the quality, innovation, productivity and prevention challenge.
Journal ArticleDOI
Cardiovascular disease and hypertension among adults with bipolar I disorder in the United States
TL;DR: Adults with BD-I are at increased risk of CVD and HTN, prevalent over a decade earlier than non-BD adults, and strategies are needed to prevent excessive and premature cardiovascular burden in BD- I.
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