PMID- 30887632 OWN - NLM STAT- MEDLINE DCOM- 20191203 LR - 20210109 IS - 1399-5618 (Electronic) IS - 1398-5647 (Print) IS - 1398-5647 (Linking) VI - 21 IP - 3 DP - 2019 May TI - Functional outcome assessment in bipolar disorder: A systematic literature review. PG - 194-214 LID - 10.1111/bdi.12775 [doi] AB - OBJECTIVES: Functional impairment is an important driver of disability in patients with bipolar disorder (BD) and can persist even when symptomatic remission has been achieved. The objectives of this systematic literature review were to identify studies that assessed functioning in patients with BD and describe the functional scales used and their implementation. METHODS: A systematic literature review of English-language articles published between 2000 and 2017 reporting peer-reviewed, original research related to functional assessment in patients with BD was conducted. RESULTS: A total of 40 articles met inclusion criteria. Twenty-four different functional scales were identified, including 13 clinician-rated scales, 7 self-reported scales, and 4 indices based on residential and vocational data. The Global Assessment of Functioning (GAF) and the Functional Assessment Short Test (FAST) were the most commonly used global and domain-specific scales, respectively. All other scales were used in /=1 domain-specific scale. The most common applications of functional scales in these studies were evaluations of the relationships between global or domain-specific psychosocial functioning and cognitive functioning (eg, executive function, attention, language, learning, memory) or clinical variables (eg, symptoms, duration of illness, number of hospitalizations, number of episodes). CONCLUSIONS: The results of this review show growing interest in the assessment of functioning in patients with BD, with an emphasis on specific domains such as work/educational, social, family, and cognitive functioning and high utilization of the GAF and FAST scales in published literature. CI - (c) 2019 The Authors. Bipolar Disorders Published by John Wiley & Sons Ltd. FAU - Chen, Maxine AU - Chen M AD - Medical Affairs, Otsuka Pharmaceutical Development & Commercialization, Inc, Princeton, New Jersey. FAU - Fitzgerald, Heather M AU - Fitzgerald HM AD - Medical Affairs - Psychiatry, Lundbeck LLC, Deerfield, Illinois. FAU - Madera, Jessica J AU - Madera JJ AD - Medical Affairs, Otsuka Pharmaceutical Development & Commercialization, Inc, Princeton, New Jersey. FAU - Tohen, Mauricio AU - Tohen M AUID- ORCID: 0000-0001-8049-4351 AD - Department of Psychiatry & Behavioral Sciences, University of New Mexico, Albuquerque, New Mexico. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Systematic Review DEP - 20190414 PL - Denmark TA - Bipolar Disord JT - Bipolar disorders JID - 100883596 SB - IM CIN - Bipolar Disord. 2019 Nov;21(7):662-663. PMID: 31400289 CIN - Bipolar Disord. 2020 Jun;22(4):411-412. PMID: 31724258 MH - Adult MH - Attention MH - Bipolar Disorder/*psychology MH - *Cognition MH - Cognition Disorders/diagnosis MH - Executive Function MH - Female MH - Humans MH - Male MH - Memory MH - Middle Aged MH - Neuropsychological Tests MH - Outcome Assessment, Health Care MH - Young Adult PMC - PMC6593429 OTO - NOTNLM OT - bipolar disorder OT - cognitive function OT - neuropsychological tests OT - patient outcome assessment OT - patient-reported outcome measures OT - psychosocial factors OT - social adjustment COIS- Maxine Chen and Jessica J. Madera are employees of Otsuka Pharmaceutical Development & Commercialization, Inc. Heather M. Fitzgerald is an employee of Lundbeck LLC. Mauricio Tohen was an employee of Eli Lilly (1997-2008) and has received honoraria from or consulted for Abbott, AstraZeneca, Alkermes, Allergan, Bristol Myers Squibb, GlaxoSmithKline, Eli Lilly, Johnson & Johnson, Otsuka, Merck, Sunovion, Forest, Roche, Elan, Lundbeck, Teva, Pamlab, Minerva, Pfizer, Wyeth, and Wiley Publishing; his spouse was a full-time employee at Eli Lilly (1998-2013). EDAT- 2019/03/20 06:00 MHDA- 2019/12/04 06:00 PMCR- 2019/06/26 CRDT- 2019/03/20 06:00 PHST- 2019/03/20 06:00 [pubmed] PHST- 2019/12/04 06:00 [medline] PHST- 2019/03/20 06:00 [entrez] PHST- 2019/06/26 00:00 [pmc-release] AID - BDI12775 [pii] AID - 10.1111/bdi.12775 [doi] PST - ppublish SO - Bipolar Disord. 2019 May;21(3):194-214. doi: 10.1111/bdi.12775. Epub 2019 Apr 14.