Schedule:
Saturday, January 14, 2017
Bissonet (New Orleans Marriott)
* noted as presenting author
Lisa O'Donnell, PhD,
Post-doctoral Fellow, University of California, Los Angeles, Los Angeles, CA
Patricia Deldin, Professor of Psychology and Psychiatry, University of Michigan-Ann Arbor, Ann Arbor, MI
Melvin G. McInnis, Thomas B and Nancy Upjohn Woodworth Professor of Bipolar Disorder and Depression, Professor of Psychiatry, University of Michigan-Ann Arbor, Ann Arbor, MI
Kelly Ryan, PhD, Clinical Lecturer, University of Michigan-Ann Arbor, Ann Arbor, MI
Andrew Grogan-Kaylor, PhD, Associate Professor, University of Michigan-Ann Arbor, Ann Arbor, MI
Joseph Himle, PhD, Associate Dean of Research, Professor of Social Work, University of Michigan-Ann Arbor, Ann Arbor, MI
Background and Purpose: Bipolar Disorder (BD) is a chronic illness characterized by impairments in psychosocial functioning and one of the most significant functional disabilities has to do with occupational functioning (OF). Previous work has shown that among all the features associated with BD illness, depression and neurocognitive deficits are the most commonly associated with poor OF. However, few studies have examined these features over time using and focusing on distinct aspects of work functioning.
Methods: The present, longitudinal study included 273 adult individuals with a DSM-IV diagnosis of bipolar I disorder (BDI; N=173), bipolar II disorder (BDII; N=69), and bipolar not otherwise specified (BDNOS; N=31) The participants underwent a thorough clinical assessment, a battery of neuropsychological testing, and completed annual mood (depression and mania) and work functioning measures over 5 years. Multilevel modeling (MLM) was employed to determine which demographic, clinical, and neurocognitive characteristics influence 4 aspects of work functioning over this 5-year period: attendance, conflict, enjoyment, performance.
Results: Using multilevel modeling, those with higher levels of depression and greater cognitive flexibility deficits were more likely to experience poorer work attendance, lower quality of work, reduced satisfaction from work, and poorer work performance, which persisted over the entire 5 years.
Conclusions and Implications: This study emphasizes the need for interventions that specifically focus on the treatment of depressive symptoms and neurocognitive deficits within the context of work functioning, particularly attendance at work, to enable BD patients to live more productive, financially secure, and satisfying lives.
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