| Cognitive dysfunction and medical morbidity in elderly outpatients with bipolar disorder. | |
| | |
MedLine Citation:
|
PMID: 20104057 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
OBJECTIVE: The authors investigated the differences in cognitive function, medical burden, and sociodemographic characteristics between elderly community-dwelling bipolar patients and age-matched and education-matched normal individuals. DESIGN: Case-control study. SETTING: Taipei Medical University Hospital, with 75 psychiatric beds, and Taipei City Psychiatric Center-a 612-bed psychiatric teaching hospital providing comprehensive psychiatric services. PARTICIPANTS: Eighty-two euthymic outpatients with bipolar I disorder aged older than 60 years received assessment for research purpose, 59 of whom were matched with one normal control for age and years of education. MEASUREMENTS: All subjects had measurements of cognitive function (Clock-drawing test and Mini-Mental State Examination [MMSE]). Medical morbidity and health condition were according to the medical records, results of free annual elderly health examination, and physical examination on research interviewing. RESULTS: Elderly bipolar patients were found to be more likely than the comparison group to have diabetes mellitus (27.1%), atopic diseases (20.3%), abnormal education-adjusted MMSE scores (32.2%), smoking habit (23.7%), and unfavorable social functioning (22%). Despite having noticeably higher heart rates, the bipolar patients' mean systolic blood pressure and prevalence of hypertension (44.1%) were significantly lower than those of the comparison group. CONCLUSIONS: Although community-dwelling elderly patients with bipolar disorder seem to be characterized by a greater likelihood of developing cognitive dysfunction and concurrent diabetes mellitus, there is no apparent increase in the morbidity of circulatory diseases, particularly less hypertension among those without previous dementia. |
| | |
Authors:
|
Shang-Ying Tsai; Chian-Jue Kuo; Kuo-Hsuan Chung; Yi-Lin Huang; Hsin-Chien Lee; Chiao-Chicy Chen |
Related Documents
:
|
2073307 - Prevalence of delirium and urinary tract infection in a psychogeriatric unit. 14511157 - Screening for dementia by telephone using the memory impairment screen. 19627577 - Inappropriate medication use and risk of falls--a prospective study in a large communit... 3339227 - Quantifying the ease or difficulty older persons experience in opening medication conta... 1155627 - Implications of the medical model and its alternatives. 17079557 - Medication errors related to computerized order entry for children. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry Volume: 17 ISSN: 1545-7214 ISO Abbreviation: Am J Geriatr Psychiatry Publication Date: 2009 Dec |
Date Detail:
|
Created Date: 2010-01-27 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9309609 Medline TA: Am J Geriatr Psychiatry Country: United States |
Other Details:
|
Languages: eng Pagination: 1004-11 Citation Subset: IM |
Affiliation:
|
Department of Psychiatry, School of Medicine, Taipei Medical University, Taipei, Taiwan. tmcpsyts@tmu.edu.tw |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A study of orthostatic hypotension in late-life depression.
Next Document: Neuroanatomical and Neuropsychological Features of Euthymic Patients with Bipolar Disorder.