Quality of life in patients with bipolar I depression: data from 920 patients.

Abstract:

OBJECTIVE:To determine the impact of acute depression on quality of life (QOL) in patients with bipolar I disorder and to compare these results with published data on QOL in patients with unipolar depression. METHODS:Quality of life was assessed using the SF-36 in bipolar patients (n = 958) who had recently experienced an episode of acute bipolar depression and participated in a large randomized, double-blind, safety and efficacy trial. Seven studies that included SF-36 data from patients with unipolar depression were identified in the published literature and descriptive comparisons of SF-36 scores were made between the unipolar depression trials and this bipolar depression trial. RESULTS:There were 920 patients who completed the SF-36. Mean transformed scores, which could range from 0 to 100, were very low in bipolar depressed patients for the role-physical (36.7), vitality (22.4), social functioning (29.9), role-emotion (11.4), and mental health (31.0) subscales. Mean SF-36 scores for all subscales were significantly and inversely correlated (p < 0.0001) with the HAM-D indicating that patients with milder depressive symptoms had better QOL. Further, the mean SF-36 scores for the bipolar sample were consistently lower compared with published data on QOL in unipolar depression on four of the eight subscales: general health; social functioning; role-physical, and role-emotional. CONCLUSIONS:While both unipolar and bipolar depression have serious detrimental effects on patient QOL, our results suggest that some aspects of QOL may be worse in bipolar depression.

journal_name

Bipolar Disord

journal_title

Bipolar disorders

authors

Yatham LN,Lecrubier Y,Fieve RR,Davis KH,Harris SD,Krishnan AA

doi

10.1111/j.1399-5618.2004.00134.x

keywords:

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

379-85

issue

5

eissn

1398-5647

issn

1399-5618

pii

BDI134

journal_volume

6

pub_type

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