Correlates of subjective and objective burden among caregivers of patients with bipolar disorder

M. J. Ostacher; A. A. Nierenberg; D. V. Iosifescu; P. Eidelman; H. G. Lund; R. M. Ametrano; R. Kaczynski; J. Calabrese; D. J. Miklowitz; G. S. Sachs; D. A. Perlick; Charles Bowden; Jodi Gonzalez; Jenifer Culver; Terence Ketter; Mark Fosse; Lauren Marangell; Jayendra Patel; Cheryl Chessick

doi:10.1111/j.1600-0447.2008.01201.x

Correlates of subjective and objective burden among caregivers of patients with bipolar disorder

M. J. Ostacher, A. A. Nierenberg, D. V. Iosifescu, P. Eidelman, H. G. Lund, R. M. Ametrano, R. Kaczynski, J. Calabrese, D. J. Miklowitz, G. S. Sachs, D. A. Perlick, Charles Bowden, Jodi Gonzalez, Jenifer Culver, Terence Ketter, Mark Fosse, Lauren Marangell, Jayendra Patel, Cheryl Chessick

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Abstract

Objective: We examined the relationship between mood symptoms and episodes in patients with bipolar disorder and burden reported by their primary caregivers. Method: Data on subjective and objective burden reported by 500 primary caregivers for 500 patients with bipolar disorder participating in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) were collected using semistructured interviews. Patient data were collected prospectively over 1 year. The relationship between patient course and subsequent caregiver burden was examined. Results: Episodes of patient depression, but not mood elevation, were associated with greater objective and subjective caregiver burden. Burden was associated with fewer patient days well over the previous year. Patient depression was associated with caregiver burden even after controlling for days well. Conclusion: Patient depression, after accounting for chronicity of symptoms, independently predicts caregiver burden. This study underscores the important impact of bipolar depression on those most closely involved with those whom it affects.

Original language	English
Pages (from-to)	49-56
Number of pages	8
Journal	Acta Psychiatrica Scandinavica
Volume	118
Issue number	1
DOIs	https://doi.org/10.1111/j.1600-0447.2008.01201.x
State	Published - Jul 2008

Keywords

Bipolar disorder
Depression
Interpersonal relations
Social environment

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Ostacher, M. J., Nierenberg, A. A., Iosifescu, D. V., Eidelman, P., Lund, H. G., Ametrano, R. M., Kaczynski, R., Calabrese, J., Miklowitz, D. J., Sachs, G. S., Perlick, D. A., Bowden, C., Gonzalez, J., Culver, J., Ketter, T., Fosse, M., Marangell, L., Patel, J., & Chessick, C. (2008). Correlates of subjective and objective burden among caregivers of patients with bipolar disorder. Acta Psychiatrica Scandinavica, 118(1), 49-56. https://doi.org/10.1111/j.1600-0447.2008.01201.x

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title = "Correlates of subjective and objective burden among caregivers of patients with bipolar disorder",

abstract = "Objective: We examined the relationship between mood symptoms and episodes in patients with bipolar disorder and burden reported by their primary caregivers. Method: Data on subjective and objective burden reported by 500 primary caregivers for 500 patients with bipolar disorder participating in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) were collected using semistructured interviews. Patient data were collected prospectively over 1 year. The relationship between patient course and subsequent caregiver burden was examined. Results: Episodes of patient depression, but not mood elevation, were associated with greater objective and subjective caregiver burden. Burden was associated with fewer patient days well over the previous year. Patient depression was associated with caregiver burden even after controlling for days well. Conclusion: Patient depression, after accounting for chronicity of symptoms, independently predicts caregiver burden. This study underscores the important impact of bipolar depression on those most closely involved with those whom it affects.",

keywords = "Bipolar disorder, Depression, Interpersonal relations, Social environment",

author = "Ostacher, {M. J.} and Nierenberg, {A. A.} and Iosifescu, {D. V.} and P. Eidelman and Lund, {H. G.} and Ametrano, {R. M.} and R. Kaczynski and J. Calabrese and Miklowitz, {D. J.} and Sachs, {G. S.} and Perlick, {D. A.} and Charles Bowden and Jodi Gonzalez and Jenifer Culver and Terence Ketter and Mark Fosse and Lauren Marangell and Jayendra Patel and Cheryl Chessick",

year = "2008",

month = jul,

doi = "10.1111/j.1600-0447.2008.01201.x",

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Ostacher, MJ, Nierenberg, AA, Iosifescu, DV, Eidelman, P, Lund, HG, Ametrano, RM, Kaczynski, R, Calabrese, J, Miklowitz, DJ, Sachs, GS, Perlick, DA, Bowden, C, Gonzalez, J, Culver, J, Ketter, T, Fosse, M, Marangell, L, Patel, J & Chessick, C 2008, 'Correlates of subjective and objective burden among caregivers of patients with bipolar disorder', Acta Psychiatrica Scandinavica, vol. 118, no. 1, pp. 49-56. https://doi.org/10.1111/j.1600-0447.2008.01201.x

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T1 - Correlates of subjective and objective burden among caregivers of patients with bipolar disorder

AU - Ostacher, M. J.

AU - Nierenberg, A. A.

AU - Iosifescu, D. V.

AU - Eidelman, P.

AU - Lund, H. G.

AU - Ametrano, R. M.

AU - Kaczynski, R.

AU - Calabrese, J.

AU - Miklowitz, D. J.

AU - Sachs, G. S.

AU - Perlick, D. A.

AU - Bowden, Charles

AU - Gonzalez, Jodi

AU - Culver, Jenifer

AU - Ketter, Terence

AU - Fosse, Mark

AU - Marangell, Lauren

AU - Patel, Jayendra

AU - Chessick, Cheryl

PY - 2008/7

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N2 - Objective: We examined the relationship between mood symptoms and episodes in patients with bipolar disorder and burden reported by their primary caregivers. Method: Data on subjective and objective burden reported by 500 primary caregivers for 500 patients with bipolar disorder participating in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) were collected using semistructured interviews. Patient data were collected prospectively over 1 year. The relationship between patient course and subsequent caregiver burden was examined. Results: Episodes of patient depression, but not mood elevation, were associated with greater objective and subjective caregiver burden. Burden was associated with fewer patient days well over the previous year. Patient depression was associated with caregiver burden even after controlling for days well. Conclusion: Patient depression, after accounting for chronicity of symptoms, independently predicts caregiver burden. This study underscores the important impact of bipolar depression on those most closely involved with those whom it affects.

AB - Objective: We examined the relationship between mood symptoms and episodes in patients with bipolar disorder and burden reported by their primary caregivers. Method: Data on subjective and objective burden reported by 500 primary caregivers for 500 patients with bipolar disorder participating in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) were collected using semistructured interviews. Patient data were collected prospectively over 1 year. The relationship between patient course and subsequent caregiver burden was examined. Results: Episodes of patient depression, but not mood elevation, were associated with greater objective and subjective caregiver burden. Burden was associated with fewer patient days well over the previous year. Patient depression was associated with caregiver burden even after controlling for days well. Conclusion: Patient depression, after accounting for chronicity of symptoms, independently predicts caregiver burden. This study underscores the important impact of bipolar depression on those most closely involved with those whom it affects.

KW - Bipolar disorder

KW - Depression

KW - Interpersonal relations

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ER -

Correlates of subjective and objective burden among caregivers of patients with bipolar disorder

Abstract

Keywords

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