Self-reported cognitive problems predict employment trajectory in patients with bipolar I disorder.

Journal of Affective Disorders
A M GilbertE Frank

Abstract

Cognitive impairment in bipolar disorder has been associated with poor functional outcomes. We examined the relation of self-reported cognitive problems to employment trajectory in patients diagnosed with bipolar I disorder. 154 bipolar I disorder patients were followed for 15-43months at the Bipolar Disorders Center for Pennsylvanians. Using a multinomial logistic regression we examined predictors of employment group including self-reported cognitive problems, mood symptoms, education and age. Cognitive functioning was measured via 4 self-report items assessing memory/concentration at baseline and termination. Employment status was recorded at baseline and termination. Employment was categorized as working (full-time, part-time, homemaker, volunteer) or not working (leave of absence, disability, unemployed, no longer volunteering) at each time point. Patients were categorized as good stable, improving, worsening and poor stable. Baseline self-reported concentration problems and years of education significantly predicted employment trajectory. Post-hoc analyses of existing clinical data. Self-reported concentration problems assessed in the context of specific areas of functioning may serve as a sensitive predictor of functional...Continue Reading

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Citations

Mar 28, 2012·Community Mental Health Journal·Inger Burnett-ZeiglerKara Zivin
Aug 11, 2012·Journal of Affective Disorders·Eleanor Gilbert, Steven Marwaha
Oct 1, 2011·Depression Research and Treatment·Boaz Levy, Emily Manove
Jan 23, 2016·Clinical Psychopharmacology and Neuroscience : the Official Scientific Journal of the Korean College of Neuropsychopharmacology·Young Sup WooRoger S McIntyre
Dec 17, 2015·Bipolar Disorders·Donel M MartinColleen K Loo
Feb 6, 2013·Acta Psychiatrica Scandinavica·S MarwahaS Singh
Mar 20, 2019·Bipolar Disorders·Maxine ChenMauricio Tohen

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