The impact of being newly diagnosed with a bipolar disorder and the short-term outcome of disorder-specific management
Article first published online: 27 NOV 2013
© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
Volume 16, Issue 2, pages 172–179, March 2014
How to Cite
The impact of being newly diagnosed with a bipolar disorder and the short-term outcome of disorder-specific management. Bipolar Disord 2014: 16: 172–179. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd., , , , .
- Issue published online: 5 MAR 2014
- Article first published online: 27 NOV 2013
- Manuscript Accepted: 21 JUN 2013
- Manuscript Received: 6 SEP 2012
- Australian Department of Health and Ageing. Grant Number: #RN06188
- bipolar disorder;
- impact of diagnosis;
The aim of the study was to determine the impact of a first-time diagnosis of bipolar disorder in patients previously generally managed as having a unipolar disorder, and to quantify the impact of disorder-specific management strategies for such newly diagnosed patients over the following three months.
A total of 157 patients receiving a diagnosis of bipolar disorder for the first time by a psychiatrist at a specialist depression clinic completed a research interview and questionnaires, with 106 (68%) also completing 12-week quantitative and qualitative evaluations. Assessing psychiatrists undertook baseline and follow-up assessments recording management changes, reactions to the diagnosis and global changes in functioning over time.
The majority of patients had a positive response to receiving a diagnosis of bipolar disorder, and most implemented a number of clinician-suggested bipolar management strategies. Patients showed improvement on five of the six self-report measures over the three-month study period. Multivariate analyses quantified lamotrigine as making the most distinctive contribution to ‘improver’ status, particularly for the bipolar II disorder subset.
Results are encouraging in identifying a generally positive acceptance of a diagnosis of bipolar disorder, improved outcome following the introduction of diagnostic-specific management components, and a distinctive contribution of lamotrigine to improved three-month outcome.