Patients' perspectives on residual symptoms in bipolar disorder: a focus group study. Samalin, L., Bellivier, F., Giordana, B., Yon, L., Milhiet, V., El-Hage, W., Courtet, P., Hacques, E., Bedira, N., Dillenschneider, A., Llorca, & Michel, P. The Journal of Nervous and Mental Disease, 202(7):550--555, July, 2014.
doi  abstract   bibtex   
Euthymic bipolar patients are often impacted by residual symptoms (RSs) that increase the risk of relapse or low functioning. We aimed to identify the perceptions of RSs, barriers to management, and service needs in euthymic bipolar patients. A qualitative methodology (focus group) was used. The interviews were investigated using a semistructured guide, tape-recorded, transcribed verbatim, and analyzed thematically. Twenty-three bipolar patients expressed concern about several RSs, such as emotional dysregulation, circadian rhythm disruption, cognitive impairment, low self-esteem, and physical symptoms. They reported concern about the impact of RSs on their functioning and about the need for more systematic assessment of RSs during interepisode visits. Selection bias may have occurred because the recruitment was limited to France and there may be cultural differences in the perceptions of RSs. Bipolar patients experienced bipolar disorder as a chronic disorder because they frequently continued to suffer from RSs associated with a functional impact.
@article{ samalin_patients_2014,
  title = {Patients' perspectives on residual symptoms in bipolar disorder: a focus group study},
  volume = {202},
  issn = {1539-736X},
  shorttitle = {Patients' perspectives on residual symptoms in bipolar disorder},
  doi = {10.1097/NMD.0000000000000157},
  abstract = {Euthymic bipolar patients are often impacted by residual symptoms (RSs) that increase the risk of relapse or low functioning. We aimed to identify the perceptions of RSs, barriers to management, and service needs in euthymic bipolar patients. A qualitative methodology (focus group) was used. The interviews were investigated using a semistructured guide, tape-recorded, transcribed verbatim, and analyzed thematically. Twenty-three bipolar patients expressed concern about several RSs, such as emotional dysregulation, circadian rhythm disruption, cognitive impairment, low self-esteem, and physical symptoms. They reported concern about the impact of RSs on their functioning and about the need for more systematic assessment of RSs during interepisode visits. Selection bias may have occurred because the recruitment was limited to France and there may be cultural differences in the perceptions of RSs. Bipolar patients experienced bipolar disorder as a chronic disorder because they frequently continued to suffer from RSs associated with a functional impact.},
  language = {eng},
  number = {7},
  journal = {The Journal of Nervous and Mental Disease},
  author = {Samalin, Ludovic and Bellivier, Frank and Giordana, Bruno and Yon, Liova and Milhiet, Vanessa and El-Hage, Wissam and Courtet, Philippe and Hacques, Evguenia and Bedira, Nabil and Dillenschneider, Anne and Llorca, Pierre Michel},
  month = {July},
  year = {2014},
  pmid = {24921420},
  keywords = {Adult, Bipolar Disorder, Female, Focus Groups, France, Humans, Male, Middle Aged, Patient Participation, Qualitative Research, Recurrence, Remission Induction},
  pages = {550--555}
}

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