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Edorium Journal of

Disability and Rehabilitation

 
     
Original Article
 
Ability to perform Activities of Daily Living among patients with bipolar disorder in remission
Lone Decker1, Conny Träger2, Kamilla Miskowiak3, Eva Ejlersen Wæhrens 4, Maj Vinberg5
1MEd. Associate Professor, Department of Physiotherapy and Occupational Therapy, Metropolitan University College, Copenhagen, Denmark
2MD, Registrar, Psychiatric Centre Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark
3PhD, Senior Research Psychologist, Psychiatric Centre Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark
4PhD, Senior researcher, The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Frederiksberg, Denmark, Associate Professor, The Research Initiative for Activity Studies and Occupational Therapy, Institute of Public Health, University of Southern Denmark, Odense, Denmark
5DMSc, Consultant, Associate Professor, Psychiatric Centre Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark

Article ID: 100033D05LD2017
doi:10.5348/D05-2017-33-OA-9

Address correspondence to:
Lone Decker
Sigurdsgade 26
2200 Copenhagen N
Denmark
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How to cite this article
Decker L, Träger C, Miskowiak K, Wæhrens EE, Vinberg M. Ability to perform Activities of Daily Living among patients with bipolar disorder in remission. Edorium J Disabil Rehabil 2017;3:69–79.


ABSTRACT

Aims: Patients with bipolar disorder often experience disability in terms of cognitive impairments and activity limitations even in remission. However, knowledge is sparse concerning the ability to perform Activities of Daily Living (ADL) during remission. The aim of this study was to (1) investigate the observed and self-reported ability to perform ADL tasks and (2) examine the association between observed and self-reported ability to perform ADL in patients with bipolar disorder in remission.
Methods: The observed ADL ability was assessed with the Assessment of Motor and Process Skills, a standardized assessment providing interpretation of ADL ability in relation to competence, independence, and normative age expectations. Self-reported ADL ability was assessed with the standardized ADL-Questionnaire.
Results: Forty-three patients with bipolar disorder in remission (median age 35 years, range 19–58 years) were assessed and overall, they displayed decreased observed ADL motor and ADL process ability relative to normative age. They exhibited increased physical effort, clumsiness or fatigue and/or inefficiency, there was concern for safe task performance and one-third may need assistance to live in the community. While participants reported decreased ADL ability, especially within instrumental ADL, they had a tendency towards evaluating themselves as more competent than what was observed. No relationships between measures of observed and self-reported ADL ability were found.
Conclusion: Overall, patients with bipolar disorder in remission showed decreased ability to perform ADL. Clinical practice and future studies are recommended to use both observation-based and self-reported assessments of the ability to perform ADL tasks to fully capture disability in bipolar disorder.

Keywords: Activities of Daily Living , ADL-Questionnaire, Assessment of Motor and Process Skills, Functioning, Performance-based assessment, Self-reporting assessment



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Author Contributions
Lone Decker – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Conny Träger – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kamilla Miskowiak – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Eva Ejlersen Wæhrens – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Maj Vinberg – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
This study was supported by an independent grant from the Lundbeck Foundation, Denmark. The funding organization had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Lone Decker has within the past three years received speaker’s honoraria from Lundbeck. Conny Träger and Eva Ejlersen Wæhrens have no conflicts of interest. Maj Vinberg has within the past three years been a consultant for Lundbeck and AstraZeneca. Kamilla W. Miskowiak reports having received consultancy fees from Lundbeck and Allergan in the past three years.
Copyright
© 2017 Lone Decker et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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