Ouderen met een bipolaire stoornis: achtergronden van speciale aanbevelingen in richtlijn

Translated title of the contribution: Older patients with a bipolar disorder, a distinctive group

Research output: Contribution to journalReview articleProfessional


BACKGROUND The number of older adults with bipolar disorders is growing and warrants a specific approach. Recommendations, as in the current guideline, are mostly based on research in samples with younger patients or from the United States, as best available evidence. AIM To raise awareness of the limitations of the current guidelines for older adults with bipolar disorder. METHOD We present a selection of Dutch studies on older adults with bipolar disorder and compared these findings with research done in younger patients or older patients from the United States. RESULTS Psychiatric comorbidity is relatively rare, somatic comorbidity is more frequent as is medication use. Cognition is impaired, but stable after syears of follow-up. Social functioning is associated with cognition. Less than half of the older adults with bipolar disorders reported unmet needs, mostly on company and daily activities. CONCLUSION Dutch research on older adults with bipolar disorder confirms the differences with younger patients with bipolar disorder and their American peers. Recommendations can't be extrapolated to older adults with bipolar disorders. More research is needed to provide evidence based guidelines for this special population.

Translated title of the contributionOlder patients with a bipolar disorder, a distinctive group
Original languageDutch
Pages (from-to)693-701
Number of pages9
JournalTijdschrift voor Psychiatrie
Issue number11
Publication statusPublished - 17 Nov 2017


  • Bipolar disorder
  • Elderly
  • Guidelines
  • Treatment

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