TY - JOUR
KW - Adult
KW - Arthritis
KW - Bipolar Disorder/psychology/therapy
KW - Chronic Pain
KW - Community Mental Health Centers
KW - Cross-Sectional Studies
KW - Depression
KW - Female
KW - Health Services Research
KW - Health Surveys
KW - Humans
KW - Male
KW - Middle Aged
KW - Primary Health Care
KW - Quality of Life
KW - Treatment Outcome
AU - C. J. Miller
AU - K. M. Abraham
AU - L. A. Bajor
AU - Z. Lai
AU - H. M. Kim
AU - K. M. Nord
AU - D. E. Goodrich
AU - M. S. Bauer
AU - A. M. Kilbourne
A1 - 
AB - INTRODUCTION: Bipolar disorder is associated with functional impairment across a number of domains, including health-related quality of life (HRQOL). Many patients are treated exclusively in primary care (PC) settings, yet little is known how HRQOL outcomes compare between PC and community mental health (CMH) settings. This study aimed to explore the correlates of HRQOL across treatment settings using baseline data from a multisite, randomized controlled trial for adults with bipolar disorder. METHODS: HRQOL was measured using the SF-12 physical (PCS) and mental (MCS) composite scale scores. Independent sample t-tests were calculated to compare differences in HRQOL between settings. Multivariate regression models then examined the effect of treatment setting on HRQOL, adjusting for covariate demographic factors, mood symptoms (Internal State Scale), hazardous drinking (AUDIT-C), and substance abuse. RESULTS: A total of 384 enrolled participants completed baseline surveys. MCS and PCS scores reflected similar impairment in HRQOL across PC and CMH settings (p=0.98 and p=0.49, respectively). Depressive symptoms were associated with lower MCS scores (B=-0.68, p<0.001) while arthritis/chronic pain was strongly related to lower PCS scores (B=-5.23, p<0.001). LIMITATIONS: This study lacked a formal diagnostic interview, relied on cross-sectional self-report, and sampled from a small number of sites in two states. DISCUSSION: Participants reported similar impairments in both mental and physical HRQOL in PC and CMH treatment settings, emphasizing the need for integrated care for patients with bipolar disorder regardless of where they present for treatment.
BT - Journal of affective disorders
C5 - General Literature
CP - 1
CY - Netherlands
DO - 10.1016/j.jad.2012.08.045
IS - 1
JF - Journal of affective disorders
N2 - INTRODUCTION: Bipolar disorder is associated with functional impairment across a number of domains, including health-related quality of life (HRQOL). Many patients are treated exclusively in primary care (PC) settings, yet little is known how HRQOL outcomes compare between PC and community mental health (CMH) settings. This study aimed to explore the correlates of HRQOL across treatment settings using baseline data from a multisite, randomized controlled trial for adults with bipolar disorder. METHODS: HRQOL was measured using the SF-12 physical (PCS) and mental (MCS) composite scale scores. Independent sample t-tests were calculated to compare differences in HRQOL between settings. Multivariate regression models then examined the effect of treatment setting on HRQOL, adjusting for covariate demographic factors, mood symptoms (Internal State Scale), hazardous drinking (AUDIT-C), and substance abuse. RESULTS: A total of 384 enrolled participants completed baseline surveys. MCS and PCS scores reflected similar impairment in HRQOL across PC and CMH settings (p=0.98 and p=0.49, respectively). Depressive symptoms were associated with lower MCS scores (B=-0.68, p<0.001) while arthritis/chronic pain was strongly related to lower PCS scores (B=-5.23, p<0.001). LIMITATIONS: This study lacked a formal diagnostic interview, relied on cross-sectional self-report, and sampled from a small number of sites in two states. DISCUSSION: Participants reported similar impairments in both mental and physical HRQOL in PC and CMH treatment settings, emphasizing the need for integrated care for patients with bipolar disorder regardless of where they present for treatment.
PP - Netherlands
PY - 2013
SN - 1573-2517; 0165-0327
SP - 100
EP - 105
EP - 
T1 - Quality of life among patients with bipolar disorder in primary care versus community mental health settings
T2 - Journal of affective disorders
TI - Quality of life among patients with bipolar disorder in primary care versus community mental health settings
U1 - General Literature
U2 - 22981021
U3 - 10.1016/j.jad.2012.08.045
VL - 146
VO - 1573-2517; 0165-0327
Y1 - 2013
ER -