Book contents
- Clinical Topics in Old Age Psychiatry
- ‘Clinical Topics In … ’
- Clinical Topics in Old Age Psychiatry
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Acknowledgement
- Editors’ Note
- Abbreviations
- Introductory Comments
- Section 1 Epidemiology and Types of Disorders
- Chapter 1 Epidemiology and Mental Health in Old Age
- Chapter 2 Vascular Dementia
- Chapter 3 Young-Onset Dementias
- Chapter 4 Rare and Unusual Dementias
- Chapter 5 Mania in Late Life
- Chapter 6 Alcohol Misuse in Older People
- Chapter 7 Drug Misuse in Older People
- Chapter 8 Mental Health in Parkinson’s Disease
- Section 2 Assessment and Investigations
- Section 3 Approaches to Management
- Section 4 Law, Ethics, and Philosophy
- Index
- References
Chapter 5 - Mania in Late Life
from Section 1 - Epidemiology and Types of Disorders
Published online by Cambridge University Press: 12 September 2020
Book contents
- Clinical Topics in Old Age Psychiatry
- ‘Clinical Topics In … ’
- Clinical Topics in Old Age Psychiatry
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Acknowledgement
- Editors’ Note
- Abbreviations
- Introductory Comments
- Section 1 Epidemiology and Types of Disorders
- Chapter 1 Epidemiology and Mental Health in Old Age
- Chapter 2 Vascular Dementia
- Chapter 3 Young-Onset Dementias
- Chapter 4 Rare and Unusual Dementias
- Chapter 5 Mania in Late Life
- Chapter 6 Alcohol Misuse in Older People
- Chapter 7 Drug Misuse in Older People
- Chapter 8 Mental Health in Parkinson’s Disease
- Section 2 Assessment and Investigations
- Section 3 Approaches to Management
- Section 4 Law, Ethics, and Philosophy
- Index
- References
Summary
Mania in late life is a serious disorder that demands specialist assessment and management. However, it is greatly under-researched. The mainstay of the older adult psychiatry workload will inevitably be concerned with assessing and managing dementia and depression, but the steady rise in the ageing population with longer survival means that there will be an increase in absolute numbers of older people presenting with mania. There are no specific treatment algorithms available for mania in late life. This chapter reviews mania and hypomania in late life and concentrates on diagnosis, assessment, and treatment, as well as on the management considerations associated with this important age group.
- Type
- Chapter
- Information
- Clinical Topics in Old Age Psychiatry , pp. 78 - 91Publisher: Cambridge University PressPrint publication year: 2020
References
Brooks, JO, Hoblyn, JC. Secondary mania in older adults. Am J Psychiatry 2005; 162: 2033–8.Google Scholar
Depp, CA, Jeste, DV. Bipolar disorder in older adults: a critical review. Bipolar Disord 2004; 6: 343–67.Google Scholar
World Health Organization. ICD-11 for Mortality and Morbidity Statistics (ICD-11 MMS). WHO, 2018. https://icd.who.int/browse11/l-m/en (last accessed 23 October 2019).Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5). American Psychiatric Publishing, 2013.Google Scholar
Goodwin, GM, Haddad, PM, Ferrier, IN et al. Evidence-based guidelines for treating bipolar disorder: revised third edition recommendations from the British Association for Psychopharmacology, J Psychopharmacol 2016; 30: 495–553.Google Scholar
Krauthammer, C, Klerman, GL. Secondary mania. Manic syndromes associated with antecedent physical illness or drugs. Arch Gen Psychiatry 1978; 35: 1333–9.Google Scholar
Schneck, CD. Bipolar disorder in neurologic illness. Curr Treat Options Neurol 2002; 4: 477–86.CrossRefGoogle ScholarPubMed
Shulman, KI, Herrmann, N. Manic syndromes in old age. In Oxford Textbook of Old Age Psychiatry (eds. Jacoby, R, Oppenheimer, C, Dening, T, Thomas, A): 557–62. Oxford University Press, 2008.Google Scholar
Tohen, M, Shulman, KI, Satlin, A. First episode mania in late life. Am J Psychiatry 1994; 151: 130–2.Google Scholar
Sami, M, Khan, H, Nilforooshan, R. Late onset mania as an organic syndrome: a review of case reports in the literature. J Affect Disord 2015; 188: 226–31.Google Scholar
Steffans, DC, Krishnan, KRR. Structural neuroimaging and mood disorders. Recent findings, implications for classification, and future directions. Biol Psychiatry 1998; 43: 705–12.Google Scholar
Alexopoulous, GS, Meyers, BS, Young, RC et al. Clinically defined vascular depression. Am J Psychiatry 1997; 154: 562–65.Google Scholar
Tamashiro, JH, Zung, S, Zanetti, MV et al. Increased rates of white matter hyperintensities in late-onset bipolar disorder. Bipolar Disord 2008; 10: 765–75.Google Scholar
McCrone, P, Dhanasiri, S, Patel, A et al. Paying the Price. The Cost of Mental Health Care in England to 2026. King’s Fund, 2008.Google Scholar
Byers, AL, Yaffe, K, Covinsky, KE et al. High occurrence of mood and anxiety disorders among older adults. Arch Gen Psychiatry 2010; 67: 489–96.Google Scholar
Almeida, OP, Fenner, S. Bipolar disorder: similarities and differences between patients with illness onset before and after 65 years of age. Int Psychogeriatr 2002; 14: 311–22.Google Scholar
Dols, A, Kupka, RW, van Lammeren, et al. The prevalence of late-life mania: a review. Bipolar Disord 2014; 16:113–18.Google Scholar
Hirschfeld, RM, Calabrese, JR, Weissman, MM et al. Screening for bipolar disorder in the community. J Clin Psychiatry 2003; 64: 53–9.Google Scholar
Bartels, S, Forester, B, Miles, K et al. Mental health service use by elderly patients with bipolar disorder and unipolar major depression. Am J Geriatr Psychiatry 2000; 8: 160–6.Google Scholar
Sajatovic, M, Blow, FC, Ignacio, RV. Psychiatric comorbidity in older adults with bipolar disorder. Int J Geriatr Psychiatry 2006; 21: 582–7.Google Scholar
Naylor, C, Das, P, Ross, S et al. Bringing Together Physical and Mental Health: A New Frontier for Integrated Care. The King’s Fund, 2016. Last accessed 17 October 2019 via: www.kingsfund.org.uk/publications/physical-and-mental-healthGoogle Scholar
Beyer, J, Kuchibhatla, M, Gersing, K et al. Medical comorbidity in a bipolar outpatient clinical population. Neuropsychopharmacology 2005; 30: 401–4.Google Scholar
Sajatovic, M, Strejilevich, SA, Gildengers, AG et al. A report on older-age bipolar disorder from the International Society for Bipolar Disorders Task Force. Bipolar Disord 2015; 17: 689–704.Google Scholar
Fiedorowicz, JD, Solomon, DA, Endicott, J et al. Manic/hypomanic symptom burden and cardiovascular mortality in bipolar disorder. Psychosom Med 2009; 71: 598–606.Google Scholar
Morriss, R. Metabolism, lifestyle and bipolar affective disorder. J Psychopharmacol 2005: 19: 94–101.Google Scholar
Aizenberg, D, Olmer, A, Barak, Y. Suicide attempts amongst elderly bipolar patients. J Affect Disord 2006; 91: 91–4.Google Scholar
Keks, NA, Hill, C, Sundram, S et al. Evaluation of treatment in 35 cases of bipolar suicide. Aust N Z J Psychiatry 2009; 43: 503–8.Google Scholar
Abovesh, A, Stone, C, Hobbs, WR. Antimicrobial induced mania (antibiomania). A review of spontaneous reports. J Clin Psychopharmacol 2002; 22: 71–81.Google Scholar
Scottish Intercollegiate Guidelines Network. Bipolar Affective Disorder. A National Clinical Guideline. SIGN, 2005. Last accessed on 17 October 2019 via: www.sign.ac.uk/pdf/sign82.pdfGoogle Scholar
Goldstein, BI, Herrmann, N, Shulman, KI. Comorbidity in bipolar disorder among the elderly. Results from an epidemiological community sample. Am J Psychiatry 2006; 163: 319–21.Google Scholar
Schouws, SNTM, Comijs, HC, Stek, ML et al. Cognitive impairment in early and late bipolar disorder. Am J Geriatr Psychiatry 2009; 17: 508–15.Google Scholar
Schouws, SN, Zoeteman, JB, Comijs, HC et al. Cognitive functioning in elderly patients with early onset bipolar disorder. Int J Geriatr Psychiatry 2007; 22: 856–61.Google Scholar
National Institute for Health and Clinical Excellence. Bipolar Disorder. Assessment and Management. Clinical guideline [CG185] NICE, 2014 (updated 2018). Last accessed 17 October 2019 via: www.nice.org.uk/guidance/cg185Google Scholar
De Fazio, P, Gaetano, R, Caroleo, M et al. Lithium in late-life mania: a systematic review. Neuropsychiatr Dis Treat 2017; 13: 755–66.Google Scholar
Young, RC, Mulsant, BH, Sajatovic, M et al. GERI-BD: a randomized double-blind controlled trial of lithium and divalproex in the treatment of mania in older patients with bipolar disorder. Am J Psychiatry 2017; 174: 1086–93.Google Scholar
Shulman, KI, Rochon, P, Sykora, K et al. Changing prescription patterns for lithium and valproic acid in old age. Shifting practice without evidence. Brit Med J 2003; 326: 960–1.Google Scholar
Fotso Soh, J, Klil-Drori, S, Rei, S. Using lithium in older age bipolar disorder: special considerations. Drugs Aging 2019; 36: 147–54.Google Scholar
Nunes, PV, Forlenza, OV, Gattaz, WF. Lithium and risk for Alzheimer’s disease in elderly patients with bipolar disorder. Br J Psychiatry 2007; 190: 359–60.Google Scholar
Diniz, BS, Machado-Vieira, R, Forlenza, OV. Lithium and neuroprotection: translational evidence and implications for the treatment of neuropsychiatric disorders. Neuropsychiatr Dis Treat 2013; 9: 493–500.Google Scholar
Hetmar, O, Povlsen, UJ, Ladefoged, J et al. Lithium: long-term effects on the kidney. A prospective follow-up study ten years after kidney biopsy. Br J Psychiatry 1991; 158: 53–8.Google Scholar
Rej, S, Beaulieu, S, Segal, M et al. Lithium dosing and serum concentrations across the age spectrum: from early adulthood to the tenth decade of life. Drugs Aging 2014; 31: 911–6.Google Scholar
Kripalani, M, Shawcross, J, Reilly, J et al. Lithium and chronic kidney disease. BMJ 2009; 339: 166–70.Google Scholar
Sajatovic, M. Treatment of bipolar disorder in older adults. Int J Geriatr Psychiatry 2002; 17: 865–73.Google Scholar
Walstra, G. Reversible dementia due to valproic acid therapy. Ned Tijdschr Geneeskd 1997; 141: 391–93.Google Scholar
Schreur, L, Middeljans-Tijssen, C, Hengstman, G et al. Cognitive impairment and parkinsonism due to the use of sodium valproate. Tijdschr Gerontol Geriatr 2009; 40: 29–33.Google Scholar
Livingston, G, Sommerlad, A, Orgeta, V et al. The Lancet Commissions. Dementia prevention, intervention, and care. Lancet 2017; 390: 2673–734.Google Scholar
National Institute for Health and Care Excellence. Guidance on the Use of Electroconvulsive Therapy, TA59. NICE, 2003. Last accessed 17 October 2019 via: www.nice.org.uk/guidance/ta59Google Scholar
Department of Health. (2009) New Horizons: A Shared Vision for Mental Health. Department of Health, 2009. Last accessed on 17 October 2019 via: www.ndti.org.uk/uploads/files/New_Horizons_A_Shared_Vision_For_Mental_Health_PDF.pdfGoogle Scholar
Chiang, K-J, Tsai, J-C, Liu, D et al. Efficacy of cognitive-behavioral therapy in patients with bipolar disorder: a meta-analysis of randomized controlled trials. PLoS ONE 2017; 12(5): e0176849. https://doi.org/10.1371/journal.pone.0176849 (last accessed 23 October 2019).Google Scholar
Mueser, KT, Pratt, SI, Bartels, SJ et al. Randomized trial of social rehabilitation and integrated health care for older people with severe mental illness. J Consult Clin Psychol 2010; 78: 561–73.Google Scholar
Bartels, SJ, Pratt, SI, Mueser, KT et al. Long-term outcomes of a randomized trial of integrated skills training and preventive health care for older adults with serious mental illness. Am J Geriatr Psychiatry 2014; 22: 1251–61.Google Scholar
Oostervink, F, Nolen, WA, Kok, RM. Two years’ outcome of acute mania in bipolar disorder: different effects of age and age of onset, Int J Geriatr Psychiatry 2015; 30: 201–9.Google Scholar
Shulman, KI, Herrmann, N. The nature and management of mania in old age. Psychiatr Clin North Am 1999; 22: 649–65.Google Scholar
Patient.info. Bipolar Disorder. Patient Information Publications. Patient.info, 2017. Last accessed on 17 October 2019 via: https://patient.info/health/bipolar-disorder-leafletGoogle Scholar
Royal College of Psychiatrists. Bipolar Disorder. RCPsych, 2019. Last accessed on 17 October 2019 via: www.rcpsych.ac.uk/mental-health/problems-disorders/bipolar-disorderGoogle Scholar