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Caregiver Burden in Bipolar Hypomania and Mania: A Systematic Review

Authors

  • Titus A. A. Beentjes RN, PMH-CNS,

    Corresponding author
    1. Titus A. A. Beentjes, RN, PMH-CNS, is MScN student, Faculty of Clinical Health Sciences of the University of Utrecht, Utrecht, the Netherlands and Clinical Nurse Specialist, Dimence Mental Health Care Centre, Deventer, The Netherlands; Peter J. J. Goossens, RN, PMH-CNS, PhD, is Professor, Mental Health, Saxion University of Applied Sciences, Deventer, The Netherlands, Clinical Nurse Specialist, Dimence Mental Health Care Centre, Deventer, The Netherlands, and Senior Researcher, Scientific Institute for Quality of Healthcare, Radboud University, Nijmegen Medical Centre, Nijmegen, The Netherlands; and Irina E. Poslawsky, RN, MScN, is Nursing Scientist and PhD student, Division of Neuroscience, Rudolf Magnus Institute University Medical Center Utrecht and Teacher, Faculty of Clinical Health Sciences of the University of Utrecht, Utrecht, The Netherlands.
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  • Peter J. J. Goossens RN, PMH-CNS, PhD,

    1. Titus A. A. Beentjes, RN, PMH-CNS, is MScN student, Faculty of Clinical Health Sciences of the University of Utrecht, Utrecht, the Netherlands and Clinical Nurse Specialist, Dimence Mental Health Care Centre, Deventer, The Netherlands; Peter J. J. Goossens, RN, PMH-CNS, PhD, is Professor, Mental Health, Saxion University of Applied Sciences, Deventer, The Netherlands, Clinical Nurse Specialist, Dimence Mental Health Care Centre, Deventer, The Netherlands, and Senior Researcher, Scientific Institute for Quality of Healthcare, Radboud University, Nijmegen Medical Centre, Nijmegen, The Netherlands; and Irina E. Poslawsky, RN, MScN, is Nursing Scientist and PhD student, Division of Neuroscience, Rudolf Magnus Institute University Medical Center Utrecht and Teacher, Faculty of Clinical Health Sciences of the University of Utrecht, Utrecht, The Netherlands.
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  • Irina E. Poslawsky RN, MScN

    1. Titus A. A. Beentjes, RN, PMH-CNS, is MScN student, Faculty of Clinical Health Sciences of the University of Utrecht, Utrecht, the Netherlands and Clinical Nurse Specialist, Dimence Mental Health Care Centre, Deventer, The Netherlands; Peter J. J. Goossens, RN, PMH-CNS, PhD, is Professor, Mental Health, Saxion University of Applied Sciences, Deventer, The Netherlands, Clinical Nurse Specialist, Dimence Mental Health Care Centre, Deventer, The Netherlands, and Senior Researcher, Scientific Institute for Quality of Healthcare, Radboud University, Nijmegen Medical Centre, Nijmegen, The Netherlands; and Irina E. Poslawsky, RN, MScN, is Nursing Scientist and PhD student, Division of Neuroscience, Rudolf Magnus Institute University Medical Center Utrecht and Teacher, Faculty of Clinical Health Sciences of the University of Utrecht, Utrecht, The Netherlands.
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t.beentjes@dimence.nl, with a copy to the Editor: gpearson@uchc.edu

Abstract

PURPOSE:  Bipolar mania is characterized by marked impairment in social, occupational, or other important areas of functioning. One should expect to see an equally severe burden in informal caregivers. The literature was reviewed in order to provide a foundation upon which to build nursing interventions.

CONCLUSIONS:  Several characteristics of bipolar mania—patient aggressiveness, lack of insight, and financial problems—were identified as severe burdens to caregivers. Professionals might not have a total view of the extent of the burden in caregivers. This review could not link the patients' mania or hypomania to factors that were described in other literature on caregiver burden related to bipolar disorder, regardless of the type of episode.

PRACTICE IMPLICATIONS:  There is a need for further research in this area to make more explicit the burden on caregivers during times of mania or hypomania.

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