The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Course and outcome in bipolar affective disorder: a longitudinal follow- up study
Abstract
OBJECTIVE: A number of recent studies have questioned whether, despite modern treatment, the natural course of bipolar illness today still involves multiple relapses and impaired psychosocial functioning. This prospective follow-up study examined longitudinal outcome in a large group of inpatients with affective disorders. METHOD: Fifty-one bipolar manic patients and 49 unipolar depressed patients were interviewed three times: 1) during hospitalization, 2) approximately 2 years after discharge, and 3) approximately 4.5 years after discharge. Subjects were treated under routine conditions and assessed for global adjustment, rehospitalization, and work and social functioning. RESULTS: Only 41% of the bipolar group had a good overall outcome by the time of the 4.5-year follow-up. The bipolar patients had more severe work impairment than the unipolar group. More than one-half of the bipolar patients were rehospitalized at least once during the 4.5-year follow-up period. Outcome for both diagnostic groups improved significantly over time. CONCLUSIONS: Many contemporary bipolar patients demonstrate gradual improvement in the first several years after hospitalization. However, a subgroup approaching 60% still experience poor posthospital adjustment in one or more areas of functioning.
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Citations
Cites
Research Diagnostic Criteria: Rationale and Reliability
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Outcome in Manic Disorders: A Naturalistic Follow-up Study
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Cited by
Validity and reliability of the Functioning Assessment Short Test (FAST) in bipolar disorder
Rosa, A. R., Sánchez-Moreno, J., Martínez-Aran, A., Salamero, M., Torrent, C., Reinares, M., Comes, M., Colom, F., Van Riel, W., Ayuso-Mateos, J., et al. (2007) · Clinical Practice and Epidemiology in Mental Health · doi:10.1186/1745-0179-3-5 · Cited by 905
Perlis, R. H., Ostacher, M. J., Patel, J. K., Marangell, L. B., Zhang, H., Wisniewski, S. R., Ketter, T. A., Miklowitz, D. J., Otto, M. W., Gyulai, L., et al. (2006) · American Journal of Psychiatry · doi:10.1176/appi.ajp.163.2.217 · Cited by 689
Bowden, C. L. (2000) · Archives of General Psychiatry · doi:10.1001/archpsyc.57.5.481 · Cited by 678
Practice Guideline for the Treatment of Patients With Bipolar Disorder (Revision)
Hirschfeld, R. M. A., Bowden, C. L., Gitlin, M. J., Keck, P. E., Perlis, R. H., Suppes, T., Thase, M. E., & Wagner, K. D. (2003) · Focus · doi:10.1176/foc.1.1.64 · Cited by 585
Functional outcome in bipolar disorder: the role of clinical and cognitive factors
Martinez‐Aran, A., Vieta, E., Torrent, C., Sanchez‐Moreno, J., Goikolea, J., Salamero, M., Malhi, G., Gonzalez‐Pinto, A., Daban, C., Alvarez‐Grandi, S., et al. (2007) · Bipolar Disorders · doi:10.1111/j.1399-5618.2007.00327.x · Cited by 585
Metadata
- Venue
- American Journal of Psychiatry
- Published
- 1995-03-01
- Volume
- 152
- Issue
- 3
- Pages
- 379-384
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2151089765
- Cited by
- 369
- References
- 15
- FWCI
- 6.92
- Type
- journal article
- Language
- en
- Open access
- closed
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