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Cognitive Behavioral Therapy for Older Adults with Bipolar Disorder

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Handbook of Behavioral and Cognitive Therapies with Older Adults

Bipolar disorder, a chronic and often debilitating mental health illness, can involve recurrent episodes of either mania or depression throughout the lifespan (Goodwin & Jamison, 1990). A large percentage of patients with bipolar disorder, have been hospitalized psychiatrically at least once; more than half have been hospitalized twice or more (Lish et al., 1994). The financial burden of this disorder for patients, their families, and society at-large, is extremely high, estimated by some to exceed $45 billion a year (Wyatt & Henter, 1995). Despite extensive research on bipolar disorder in younger individuals, there is limited empirical data pertaining to symptomatology, course, risk factors, and treatment in older adults (Bartels, Forester, Miles, & Joyce, 2000).

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References

  • Agronin, M. E., & Maletta, G. (2006). Principles and Practice of Geriatric Psychiatry. Philadelphia: Lippencott, Williams, & Wilkens.

    Google Scholar 

  • Aizenberg, D., Olmer, A., & Barak, Y. (2006). Suicide attempts amongst elderly bipolar patients. Journal of Affective Disorders, 91(1), 91–94.

    Article  PubMed  Google Scholar 

  • Almeida, O. P., & Fenner, S. (2002). Bipolar disorder: Similarities and differences between patients with illness onset before and after 65 years of age. International Psychogeriatrics, 14, 311–322.

    Article  PubMed  Google Scholar 

  • Altman, E. G., Hedeker, D., Peterson J. L., & Davis J. M. (1997). The Altman Self-rating Mania Scale. Biological Psychiatry, 42(10), 948–955.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual of mental disorders (4th ed., text revision). Washington, DC: Author.

    Google Scholar 

  • Bartels, S. J., Forester, B., Miles, K. M., & Joyce, T. (2000). Mental health service use by elderly patients with bipolar disorder and unipolar major depression. American Journal of Geriatric Psychiatry, 8(2), 160–166.

    PubMed  Google Scholar 

  • Bech, P. (2002). The Bech–Rafaelsen Mania Scale in clinical trials of therapies for bipolar disorders: A 20-year review of its use as an outcome measure. CNS Drugs, 16(1), 47–63.

    Article  PubMed  Google Scholar 

  • Bech, P., Baastrup, P. C., de Bleeker, E., & Ropert, R. (2001). Dimensionality, responsiveness, and standardization of the Bech–Rafaelsen Mania Scale in the ultra-short therapy with antipsychotics in patients with severe manic episodes. Acta Psychiatrica Scandinavica, 104, 25–30.

    Article  PubMed  Google Scholar 

  • Beullens, J., & Aertgeerts, B. (2004). Screening for alcohol abuse and dependence in older people using DSM criteria: A review. Aging & Mental Health, 8(1), 76–82.

    Article  Google Scholar 

  • Cassano, G. B., Dell’Osso, L., & Frank, E. (1999). A clinical reality in search of diagnostic criteria and an assessment methodology. Journal of Affective Disorders, 54(3), 319–328.

    Article  PubMed  Google Scholar 

  • Cassano, G. B., McElroy, S. L., Brady, K., Nolen, W. A., & Placidi, G. F. (2000). Current issues in the identification and management of bipolar spectrum disorders in ‘special populations’. Journal of Affective Disorders, 59(Suppl. 1), S69–S79.

    Article  PubMed  Google Scholar 

  • Cassidy, F., & Carroll, B. J. (2002). Vascular risk factors in late-onset mania. Psychological Medicine, 32, 359–362.

    Article  PubMed  Google Scholar 

  • Charney, D., Reynolds, C., Lewis, L., Lebowitz, B., Sunderland, T., et al. (2003). Depression and bipolar support alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life. Archives of General Psychiatry, 60, 664–672.

    Article  PubMed  Google Scholar 

  • Colom, F., Vieta, E., Sanchez-Moreno, J., Martinez-Aran, A., Torrent, C., Reinares, M., Goikolea, J. M., Benabarre, M., & Comes, R. (2003). Psychoeducation in bipolar patients with comorbid personality disorders. Bipolar Disorders: An International Journal of Psychiatry & Neuroscience, 6, 294–298.

    Article  Google Scholar 

  • Dell’Osso, L., Armani, A., & Rucci, P. (2002). Comparison of interview (SCI-MOODS) and self-report (MOODS-SR) instruments. Comprehensive Psychiatry, 43(1), 69–73.

    Article  PubMed  Google Scholar 

  • Denicoff, K. D., Ali, S. O., Sollinger, A. B., Smith-Jackson, E. E., Leverich, G. S., & Post, R. M. (2002). Utility of the daily prospective National Institute of Mental Health Life-Chart Method (NIMH-LCM-P) ratings in clinical trials of bipolar disorder. Depression and Anxiety, 15, 1–9.

    Article  PubMed  Google Scholar 

  • Dhingra, U., & Rabins, P. V. (1991). Mania in the elderly: a 5–7 follow-up. Journal of American Geriatric Society, 39, 531–539.

    Google Scholar 

  • Forester, B., Antognini, F. C., & Stoll, A. (2006). Geriatric bipolar disorder. In M. Agronin & G. Maletta (Eds.), Principles and practice of geriatric psychiatry (pp. 369–391). Philadelphia: Lippincott Williams & Wilkens.

    Google Scholar 

  • Frank, A., & Thase, M. E. (1999). Treatment Outcome Studies. In S. L. Johnson & R. L. Leahy (Eds), Psychological Treatment of Bipolar Disorder (pp. 226–241). New York, NY: Guiford Press.

    Google Scholar 

  • Frank, E., Swartz, H., & Kuper, D. (2000). Interpersonal and social rhythms therapy: managing the chaos of bipolar disorder. Biological Psychiatry, 48, 234–246.

    Google Scholar 

  • Frank, E., Swartz, H. A., & Kupfer, D. J. (2000). Interpersonal and social rhythm therapy: managing the chaos of bipolar disorder <http://linkinghub.elsevier.com/retrieve/pii/S0006322300009690>. Biological Psychiatry, 48, 593–604.

  • Gildengers, A., Mulsant, B., Begley, A., McShea, M., Stack, J., Miller, M., et al. (2005). A pilot study of standardized treatment in geriatric bipolar disorder. American Journal of Geriatric Psychiatry, 134, 319–323.

    Google Scholar 

  • Goodwin, F. K., & Jamison, K. R. (1990). Manic-depressive illness. New York: Oxford University Press.

    Google Scholar 

  • Judd, L. L., & Kunovac, J. L. (1998). Bipolar and unipolar depressive disorders in geriatric patients. Mental Disorders in the Elderly: New Therapeutic Approaches, 13, 1–10.

    Article  Google Scholar 

  • Lam, D., & Wong, G. (1997). Prodromes, coping strategies, insight and social functioning in bipolar affective disorders. Psychological Medicine, 27, 1091–1100.

    Article  PubMed  Google Scholar 

  • Lam, D. H., Watkins, E. R., Hayward, P., et al. (2003). Psychoeducation and cognitive behavioral therapy for bipolar disorder. Archives of General Psychiatry, 60, 145–152.

    Article  PubMed  Google Scholar 

  • Laidlaw, K., Thompson, L. W., Dick-Siskin, L., & Gallagher-Thompson, D. (2003).Cognitive Behavioral Therapy with Older Adults, Chichester: John Wiley & Sons.

    Book  Google Scholar 

  • Lish, J., Dime-Meenan, S., Whybrow, P. C., Price, R. A., & Hirschfeld, M. (1994). The National Depressive and Manic-depressive Association survey of bipolar members. Journal of Affective Disorders, 31, 281–294.

    Article  PubMed  Google Scholar 

  • Malkoff-Schwartz, S., Frank, E., Anderson, B. P., Hilastala, S. A., Luther, J. F., Sherrill, J. R., Houck, P. R., & Kupfer, D. J. (1998). Social rhythm disruption and stressful life events in the onset of bipolar and unipolar episodes. Psychological Medicine, 30, 1005–1016.

    Article  Google Scholar 

  • Mattis, S. (1988). Dementia Rating Scale (DRS). A professional manual. Odessa, FL: Psychological Assessment Resources, Inc.

    Google Scholar 

  • McDonald, W. M., & Nemeroff, K. R. (1998). Practice guidelines for diagnosing and treating mania and bipolar disorder in the elderly. Medscape Psychiatry & Mental Health Column ejournal.

    Google Scholar 

  • McDonald, W. M. (2000). Epidemiology, etiology, and treatment of geriatric mania. Journal of Clinical Psychiatry, 61(Suppl. 13), 3–11.

    PubMed  Google Scholar 

  • Moorhead, S. R., & Young, A. H. (2003). Evidence for a late-onset bipolar I disorder subgroup from 50 years. Journal of Affective Disorders, 73, 271–277.

    Article  PubMed  Google Scholar 

  • Nguyen, T., Truong, D., Feit, A., Marquett, R., & Reiser, R. (2006). Response to group-based cognitive behavioral therapy for older adults with bipolar disorder. The Clinical Gerontologist, 30(2), 103–110.

    Article  Google Scholar 

  • Otto, M., Reilly-Harrington, N., & Sachs, G. S. (2003). Psychoeducational and cognitive-behavioral strategies in the management of bipolar disorder. Journal of Affective Disorder, 73, 171–181.

    Article  Google Scholar 

  • Perry, A., Tarrier, N., Morriss, R., McCarthy, E., & Limb, K. (1999). Randomized controlled trial of efficacy of teaching patients with bipolar disorder to identify early symptoms of relapse and obtain treatment. British Medical Journal, 318, 149–153.

    PubMed  Google Scholar 

  • Post, R. A., & Altshuler, M. D. (2005). Risk of switch in mood polarity to hypomania or mania in patients with bipolar depression during acute and continuation trials of venlafaxine, sertraline, and bupropion as adjuncts to mood stabilizers. The American Journal of Psychiatry, 163, 232–239.

    Google Scholar 

  • Rihmer, Z., & Angst, J. (2005). Mood disorders: Epidemiology. In B. J. Sadock, & A. J Sadock (Eds.), Kaplan & Sadock’s comprehensive textbook of Psychiatry (Vol. 8). New York: Lippincott, Williams & Wilkins.

    Google Scholar 

  • Sajatovic, M. (2002). Treatment of bipolar disorder in older adults. International Journal of Geriatric Psychiatry, 17, 865–873.

    Article  PubMed  Google Scholar 

  • Sajatovic, M., Blow, F. C., Ignacio, R. V., & Kales, H. C. (2005). New-onset bipolar disorder in later life. American Journal of Geriatric Psychiatry, 13(4), 282–289.

    PubMed  Google Scholar 

  • Sajatovic, M., Gyulai, L., Calabrese, J., Thompson, T. R., Wilson, B. G., White, R., et al. (2005). Maintenance treatment outcomes in older patients with bipolar I disorder. American Journal of Geriatric Psychiatry, 134, 305–311.

    Google Scholar 

  • Shulman, K., Tohen, M., Satlin, A., Mallya, G., & Kalunian, D. (1992). First-episode mania in late life. The American Journal of Psychiatry, 151, 130–132.

    Google Scholar 

  • Spearing, M. K., Post, R. M., & Leverich, G. S. (1997). Modifications of the Clinical Global Impressions (CGI) Scale for use in bipolar illness (BP): The CGI-BP. Psychiatry Research, 73(3), 159–171.

    Article  PubMed  Google Scholar 

  • Swartz, H. A., & Frank, E. (2001). Psychotherapy for bipolar depression: a phase-specific treatment strategy. Bipolar Disorder: An International Journal of Psychiatry & Neuroscience, 3, 11–22.

    Article  Google Scholar 

  • Umpathy, C., Mulsant, B. H., & Pollock, B. G. (2000). Bipolar disorder in the elderly. Psychiatric Annals, 30(7), 473–480.

    Google Scholar 

  • Weissman, M. M., Leaf, P. J., Tischler, G. L., Blazer, D. G., Karno, M., Bruce, M. L., et al., (1988). Affective disorders in five United States communities. Psychological Medicine, 18(1), 141–153.

    Article  PubMed  Google Scholar 

  • Winell, J., & Roth, J. A. (2005). Psychiatric assessment and symptom management in elderly cancer patients. Oncology, 19, 1479–1507.

    PubMed  Google Scholar 

  • Wyatt, R. J., & Hunter, J. (1995). An economic evaluation of manic-depressive illness. Social Psychiatry and Psychiatric Epidemiology, 30, 213–219.

    PubMed  Google Scholar 

  • Yassa, R., Nair, N. P. V., & Iskandar, H. (1988). Late-onset bipolar disorder. Psychaitric Clinics of North America, 11, 117–131.

    Google Scholar 

  • Young, R. C., Biggs, J. T., Ziegler, V. E., & Meyer, D. A. (1978). A rating scale for mania: reliability, validity, and sensitivity. British Journal of Psychiatry, 133, 429–435.

    Article  PubMed  Google Scholar 

  • Young, R. C., & Falk, J. R. (1989). Age, manic psychopathology and treatment response. International Journal of Geriatric Psychiatry, 4, 73–78.

    Article  Google Scholar 

  • Young, R. C., Heo, M., Schulberg, H. C., & Alexopolous, G. S. (2006). Cognitive impairment in bipolar disorder in old age: literature review and findings in manic patients. Journal of Affective Disorder, 92, 125–131.

    Article  Google Scholar 

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Reiser, R. et al. (2008). Cognitive Behavioral Therapy for Older Adults with Bipolar Disorder. In: Gallagher-Thompson, D., Steffen, A.M., Thompson, L.W. (eds) Handbook of Behavioral and Cognitive Therapies with Older Adults. Springer, New York, NY. https://doi.org/10.1007/978-0-387-72007-4_16

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