Association between median family income and self-reported mood symptoms in bipolar disorder

Bauer, Michael and Glenn, Tasha and Rasgon, Natalie and Marsh, Wendy and Sagduyu, Kemal and Munoz, Rodrigo and Schmid, Rita and Haack, Sara and Whybrow, Peter C. (2011) Association between median family income and self-reported mood symptoms in bipolar disorder. COMPREHENSIVE PSYCHIATRY, 52 (1). pp. 17-25. ISSN 0010-440X, 1532-8384

Full text not available from this repository. (Request a copy)

Abstract

Objective: There is broad consensus from epidemiologic research that lower socioeconomic status is related to poorer health. This study investigated the relation between median family income and self-reported mood symptoms in patients with bipolar disorder who reside in the United States. Methods: Two hundred eighty-four patients with bipolar disorder provided daily self-reported mood ratings for 6 months (50 054 days of data). Regardless of income, all patients were treated by a psychiatrist, took psychotropic medications, and participated in computerized self-monitoring throughout the study. Median family income was obtained from US census tract data. The association between income and mood was analyzed using income as both a continuous and categorical variable. Demographic characteristics were compared by income group. Education level was included in the analysis a priori. Results: Both the continuous and categorical approaches found a positive association between income and euthymia, a negative association between income and manic/hypomanic symptoms including those due to mixed states, and no association between income and depressive symptoms. Patients in the lower-income group spent 12.4% fewer days euthymic than those in the upper-income group and 9.7% fewer days euthymic than those in the middle-income group. Patients in the lower-income group spent 7.1% more days with manic/hypomanic symptoms than those in the upper-income group. There was no association between education and income. Conclusion: Median family income is associated with mood symptoms in patients with bipolar disorder. Inclusion of income as a measure of socioeconomic status is recommended for future studies of outcome in bipolar disorder. (C) 2011 Elsevier Inc. All rights reserved.

Item Type: Article
Uncontrolled Keywords: EPIDEMIOLOGIC CATCHMENT-AREA; MANIC-DEPRESSIVE ILLNESS; QUALITY-OF-LIFE; SOCIOECONOMIC-STATUS; MENTAL-DISORDERS; UNITED-STATES; EDUCATIONAL-ATTAINMENT; I DISORDER; CLINICAL CHARACTERISTICS; PSYCHIATRIC-DISORDERS;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 29 Jun 2020 09:26
Last Modified: 29 Jun 2020 09:26
URI: https://pred.uni-regensburg.de/id/eprint/21543

Actions (login required)

View Item View Item