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Malhi GS 《Bipolar disorders》2010,12(7):681-684
Malhi GS. The king is dead, long live the king! The restoration of BALANCE.Bipolar Disord 2010: 12: 681–684. © 2010 The Author.Journal compilation © 2010 John Wiley & Sons A/S. 相似文献
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Berk M Brnabic A Dodd S Kelin K Tohen M Malhi GS Berk L Conus P McGorry PD 《Bipolar disorders》2011,13(1):87-98
Berk M, Brnabic A, Dodd S, Kelin K, Tohen M, Malhi GS, Berk L, Conus P, McGorry PD. Does stage of illness impact treatment response in bipolar disorder? Empirical treatment data and their implication for the staging model and early intervention.Bipolar Disord 2011: 13: 87–98. © 2011 The Authors.Journal compilation © 2011 John Wiley & Sons A/S. Objective: The staging model suggests that early stages of bipolar disorder respond better to treatments and have a more favourable prognosis. This study aims to provide empirical support for the model, and the allied construct of early intervention. Methods: Pooled data from mania, depression, and maintenance studies of olanzapine were analyzed. Individuals were categorized as having had 0, 1–5, 6–10, or >10 prior episodes of illness, and data were analyzed across these groups. Results: Response rates for the mania and maintenance studies ranged from 52–69% and 10–50%, respectively, for individuals with 1–5 previous episodes, and from 29–59% and 11–40% for individuals with >5 previous episodes. These rates were significantly higher for the 1–5 group on most measures of response with up to a twofold increase in the chance of responding for those with fewer previous episodes. For the depression studies, response rates were significantly higher for the 1–5 group for two measures only. In the maintenance studies, the chance of relapse to either mania or depression was reduced by 40–60% for those who had experienced 1–5 episodes or 6–10 episodes compared to the >10 episode group, respectively. This trend was statistically significant only for relapse into mania for the 1–5 episode group (p = 0.005). Conclusion: Those individuals at the earliest stages of illness consistently had a more favourable response to treatment. This is consistent with the staging model and underscores the need to support a policy of early intervention. 相似文献
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Martinez-Aran A Vieta E Torrent C Sanchez-Moreno J Goikolea JM Salamero M Malhi GS Gonzalez-Pinto A Daban C Alvarez-Grandi S Fountoulakis K Kaprinis G Tabares-Seisdedos R Ayuso-Mateos JL 《Bipolar disorders》2007,9(1-2):103-113
INTRODUCTION: Few studies have examined the clinical, neuropsychological and pharmacological factors involved in the functional outcome of bipolar disorder despite the gap between clinical and functional recovery. METHODS: A sample of 77 euthymic bipolar patients were included in the study. Using an a priori definition of low versus good functional outcome, based on the psychosocial items of the Global Assessment of Functioning (GAF, DSM-IV), and taking also into account their occupational adaptation, the patients were divided into two groups: good or low occupational functioning. Patients with high (n = 46) and low (n = 31) functioning were compared on several clinical, neuropsychological and pharmacological variables and the two patient groups were contrasted with healthy controls (n = 35) on cognitive performance. RESULTS: High- and low-functioning groups did not differ with respect to clinical variables. However, bipolar patients in general showed poorer cognitive performance than healthy controls. This was most evident in low-functioning patients and in particular on verbal memory and executive function measures. CONCLUSIONS: Low-functioning patients were cognitively more impaired than highly functioning patients on verbal recall and executive functions. The variable that best predicted psychosocial functioning in bipolar patients was verbal memory. 相似文献
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Magalhães PV Dean OM Bush AI Copolov DL Weisinger D Malhi GS Kohlmann K Jeavons S Schapkaitz I Anderson-Hunt M Berk M 《Progress in neuro-psychopharmacology & biological psychiatry》2012,37(1):132-135