PDF(Pubmed)
Abstract：
Background: Older adults with bipolar disorder (OABD) are individuals aged 50 years and older with bipolar disorder (BD). People with BD may have fewer coping strategies or resilience. A long duration of the disease, as seen in this population, could affect the development of resilience strategies, but this remains under-researched. Therefore, this study aims to assess resilience levels within the OABD population and explore associated factors, hypothesizing that resilience could improve psychosocial functioning, wellbeing and quality of life of these patients. Methods: This study sampled 33 OABD patients from the cohort at the Bipolar and Depressive Disorders Unit of the Hospital Clinic of Barcelona. It was an observational, descriptive and cross-sectional study. Demographic and clinical variables as well as psychosocial functioning, resilience and cognitive reserve were analyzed. Resilience was measured using the CD-RISC-10. Non-parametric tests were used for statistical analysis. Results: The average CD-RISC-10 score was 25.67 points (SD 7.87). Resilience negatively correlated with the total number of episodes (p = 0.034), depressive episodes (p = 0.001), and the FAST (p < 0.001). Participants with normal resilience had a lower psychosocial functioning (p = 0.046), a higher cognitive reserve (p = 0.026), and earlier onset (p = 0.037) compared to those with low resilience. Conclusions: OABD individuals may have lower resilience levels which correlate with more psychiatric episodes, especially depressive episodes and worse psychosocial functioning and cognitive reserve. Better understanding and characterization of resilience could help in early identification of patients requiring additional support to foster resilience and enhance OABD management.
摘要：
背景：患有双相情感障碍（OABD）的老年人是50岁及以上的双相情感障碍（BD）患者。患有BD的人可能有较少的应对策略或弹性。这种疾病持续时间长，正如在这个人群中看到的，可能会影响复原力战略的发展，但这仍然研究不足。因此,这项研究旨在评估OABD人群的复原力水平，并探讨相关因素，假设韧性可以改善心理社会功能，这些患者的健康和生活质量。方法：这项研究从巴塞罗那医院诊所双相和抑郁障碍组的队列中抽取了33名OABD患者。这是一个观察，描述性和横断面研究。人口统计学和临床变量以及社会心理功能，对心理弹性和认知储备进行了分析。使用CD-RISC-10测量弹性。非参数检验用于统计分析。结果：CD-RISC-10平均得分为25.67分（SD7.87）。弹性与发作总数呈负相关(p=0.034)，抑郁发作（p=0.001），和FAST(p<0.001)。具有正常弹性的参与者具有较低的心理社会功能(p=0.046)，较高的认知储备(p=0.026)，与低弹性的患者相比，发病更早(p=0.037)。结论：OABD个体的复原力水平可能较低，这与更多的精神病发作有关，尤其是抑郁发作和更糟糕的心理社会功能和认知储备。更好地理解和表征韧性可以帮助早期识别需要额外支持的患者，以培养韧性并加强OABD管理。
