Functional Ability of Clients with Bipolar Disorders in Tertiary Hospital, Puducherry.
Rajendran Rangasamy Kavitha, Sethuramachandran Kamalam, Ravi Philip Rajkumar
PMID 29344532WHAT IT FOUND
Admitted clients with bipolar disorder had worse functioning than those in remission, but remission did not mean normal function.
Functional assessment should continue during remission.
Key findings
01Functioning differed significantly by group: LIFE-RIFT means were 26.7±4.7 for admitted clients and 21±12.5 for clients in remission, and FAST means were 51±4.5 and 24±12.1, each P=0.001.
02Even in remission, only 11 (24.4%) clients reached full functional level on LIFE-RIFT and only 9 (20%) reached optimum function on FAST.
03No socio-demographic factor had a significant influence on functional level (P>0.05), while admission status was significantly associated with functional level (P=0.001).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional, so it compared different clients who were admitted with different clients in remission rather than following the same clients over time. It was done at one tertiary hospital in Puducherry, and clients with dual diagnosis or comorbid medical illness were excluded. The sample size was limited by the one-year study period; 45 admitted clients fulfilled the criteria and an equal number of outpatient clients were recruited for comparison.
The easy way to misread this
Do not read remission as evidence that functioning has returned to normal. Even in remission, only 11 (24.4%) clients reached full functional level on LIFE-RIFT and only 9 (20%) reached optimum function on FAST.