title: [Factors predicting functioning in type 1 bipolar patients during remission period].
abstract: BACKGROUND
  Recent studies indicate that bipolar disorder is associated with a profound impairment in almost all areas of functioning. This study aims to evaluate functional recovery in type 1 bipolar patients during remission period.
  
  
  METHODS
  We conducted a cross-sectional study of euthymic type 1 bipolar patients followed up on an ambulatory basis. In the analysis to be reported here we used Hamilton Depression Scale, Young Mania Rating Scale (YMRS), Rosenberg Self-Esteem Scale, and Functioning Assessment Short Test (FAST).
  
  
  RESULTS
  More than half of the study population (53.3%) had overall functional impairment. The overall functioning was associated with age, education level, professional activity, the number of manic and depressive episodes, the number of hospitalizations, a higher HDRS score as well as with the two self-esteem subscores: "self-confidence" and "self-deprecation".
  
  
  CONCLUSIONS
  Our results suggest that a paradigm shift in the treatment of bipolar disorders should happen and that the goals of therapy should be modified from symptomatic remission to functional remission.
authors.affiliation: Université de Tunis El Manar, Faculté de Medecine de Tunis, Tunisie; Hopital Razi, La Mannouba, Tunisie.
authors.forename: Feten
authors.initials: F
authors.lastname: Fekih-Romdhane
authors.affiliation: Université de Tunis El Manar, Faculté de Medecine de Tunis, Tunisie; Hopital Razi, La Mannouba, Tunisie.
authors.forename: Wided
authors.initials: W
authors.lastname: Homri
authors.affiliation: Université de Tunis El Manar, Faculté de Medecine de Tunis, Tunisie; Unité de surveillance épidémiologique, Direction Générale de la Santé Militaire, Tunisie.
authors.forename: Ali
authors.initials: A
authors.lastname: Mrabet
authors.affiliation: Université de Tunis El Manar, Faculté de Medecine de Tunis, Tunisie; Hopital Razi, La Mannouba, Tunisie.
authors.forename: Raja
authors.initials: R
authors.lastname: Labbane
mesh_terms: D000328:Adult; D000367:Age Factors; D001714:Bipolar Disorder / Q000503:physiopathology* / Q000628:therapy; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012074:Remission Induction / Q000379:methods; D012649:Self Concept
keywords: Bipolar disorder; disability; euthymia; functioning; self esteem