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Bipolar disorders diagnosed in the elderly: Clinical and therapeutic particularities.

Published online by Cambridge University Press:  19 July 2023

M. Karoui ,
I. Kammoun ,
R. Kammoun  and
H. Nefzi
M. Karoui*
Affiliation:
Psychiatrie, Faculté de médecine de Tunis, Tunis, Tunisia
I. Kammoun
Affiliation:
Psychiatrie, Faculté de médecine de Tunis, Tunis, Tunisia
R. Kammoun
Affiliation:
Psychiatrie, Faculté de médecine de Tunis, Tunis, Tunisia
H. Nefzi
Affiliation:
Psychiatrie, Faculté de médecine de Tunis, Tunis, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Data on the differences between young and elderly patients with bipolar disorder and between elderly patients with early and late age of onset are limited.

Objectives

to study the clinical differencies between bipolar patients with an onset in old age and other bipolar patients.

Methods

This is a retrospective study of 420 bipolar patients. In this study, patients with onset after age 60 (n=37) were compared to other patients with early-onset bipolar (EOB) (<>50 years; n=383).

Results

In the year before recruitment, older patients more frequently reported a rapid course of the illness, but fewer suicide attempts , more often a single psychotropic medication and had less severe manic and psychotic symptoms, atypical antipsychotics were administered less frequently. but no difference in depressive symptomatology was observed.

Conclusions

Elderly bipolar patients differ from younger bipolar patients in course and treatment. Medication use and the occurrence of rapid cycling in elderly bipolar patients deserve careful investigation.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S939
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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