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Psychiatric comorbidity in older adults with bipolar disorder

dc.contributor.authorSajatovic, Marthaen_US
dc.contributor.authorBlow, Frederic C.en_US
dc.contributor.authorIgnacio, Rosalinda V.en_US
dc.date.accessioned2007-07-11T18:16:11Z
dc.date.available2007-07-11T18:16:11Z
dc.date.issued2006-06en_US
dc.identifier.citationSajatovic, Martha; Blow, Frederic C.; Ignacio, Rosalinda V. (2006). "Psychiatric comorbidity in older adults with bipolar disorder." International Journal of Geriatric Psychiatry 21(6): 582-587. <http://hdl.handle.net/2027.42/55236>en_US
dc.identifier.issn0885-6230en_US
dc.identifier.issn1099-1166en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/55236
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=16783798&dopt=citationen_US
dc.description.abstractIntroduction Comorbidity patterns and correlates among older adults with bipolar disorder (BPD) are not well understood. The aim of this analysis was to examine the prevalence of comorbid PTSD and other anxiety disorders, substance abuse and dementia in a population of 16,330 geriatric patients with BPD in a Veterans Health Administration administrative database. Methods Patients were identified from case registry files during Federal Fiscal Year 2001(FY01). Comorbidity groups were compared on selected clinical characteristics, inpatient and outpatient health resource use, and costs of care. Results Four thousand six hundred and sixty-eight geriatric veterans with BPD were comorbid for either substance abuse, PTSD and other anxiety disorder, or dementia (28.6% of all veterans with BPD age 60 or older). Mean age of all veterans in the four comorbidity groups was 70.0 years (±SD 7.2 years). Substance abuse was seen in 1,460 (8.9%) of elderly veterans with BPD, while PTSD was seen in 875 (5.4%), other anxiety disorders in 1592 (9.7%), and dementia in 741 (4.5%) of elderly veterans. Individuals with substance abuse in this elderly bipolar population are more likely to be younger, minority, unmarried and homeless compared to elderly bipolar populations with anxiety disorders or dementia. Inpatient use was greatest among geriatric veterans with BPD and dementia compared to veterans with BPD and other comorbid conditions. Conclusion Clinical characteristics, health resource use and healthcare costs differ among geriatric patients with BPD and comorbid anxiety, substance abuse or dementia. Additional research is needed to better understand presentation of illness and modifiable factors that may influence outcomes. Copyright © 2006 John Wiley & Sons, Ltd.en_US
dc.format.extent74827 bytes
dc.format.extent3118 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherJohn Wiley & Sons, Ltd.en_US
dc.subject.otherLife and Medical Sciencesen_US
dc.subject.otherNeuroscience, Neurology and Psychiatryen_US
dc.titlePsychiatric comorbidity in older adults with bipolar disorderen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelGay/Lesbian/Bisexual/Transgender Studiesen_US
dc.subject.hlbsecondlevelGeriatricsen_US
dc.subject.hlbsecondlevelInternal Medicine and Specialtiesen_US
dc.subject.hlbsecondlevelJudaic Studiesen_US
dc.subject.hlbsecondlevelPharmacy and Pharmacologyen_US
dc.subject.hlbsecondlevelPsychiatryen_US
dc.subject.hlbsecondlevelSocial Worken_US
dc.subject.hlbsecondlevelWomen's and Gender Studiesen_US
dc.subject.hlbtoplevelHumanitiesen_US
dc.subject.hlbtoplevelSocial Sciencesen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumSerious Mental Illness Treatment Research and Evaluation Center (SMITREC), Health Services Research and Development, Ann Arbor VA Healthcare System, MI, USA ; Department of Psychiatry, University of Michigan, Ann Arbor, MI, USAen_US
dc.contributor.affiliationumSerious Mental Illness Treatment Research and Evaluation Center (SMITREC), Health Services Research and Development, Ann Arbor VA Healthcare System, MI, USA ; Department of Psychiatry, University of Michigan, Ann Arbor, MI, USAen_US
dc.contributor.affiliationotherDepartment of Psychiatry Case Western Reserve University School of Medicine, Cleveland, OH, USA ; Department of Psychiatry, University Hospitals of Cleveland, 11100 Euclid Avenue, Cleveland, Ohio 44106, USA.en_US
dc.identifier.pmid16783798en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/55236/1/1527_ftp.pdfen_US
dc.identifier.doihttp://dx.doi.org/10.1002/gps.1527en_US
dc.identifier.sourceInternational Journal of Geriatric Psychiatryen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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