caa a22 4500 475847563 CHVBK 20180406123918.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1023/A:1008979825704 doi (NATIONALLICENCE)springer-10.1023/A:1008979825704 Health values of patients with bipolar disorder [Elektronische Daten] [Joel Tsevat, Paul Keck, Richard Hornung, Susan McElroy] Background: Despite a growing number of studies of patients' health values (utilities), little is known about health values of patients with mental illness, particularly bipolar (manic-depressive) disorder. Methods: We administered a computerized rating scale, time tradeoff, and standard gamble to 53 patients. Patients were asked to rate or value their current state of health overall and then their current mental health. In addition, we administered the SF-36; Inventory of Depressive Symptoms (IDS-C); Positive and Negative Syndrome Scale (PANSS); Young Mania Rating Scale (YMRS); and Global Assessment of Functioning Scale. Results: The patients' median (25th, 75th percentile) age was 43 (37, 50); 62% were female. Mean (±SD) health ratings for current overall health were 68.0 (±20.3) vs. 61.0 (±25.7) for current mental health (p-value for difference = 0.02). On the time tradeoff, scores for current overall health averaged 0.71 (±0.37) vs. 0.61 (±0.39) for current mental health (p = 0.02); on the standard gamble, mean scores were 0.77 (±0.32) for current overall health vs. 0.70 (±0.35) for current mental health (p = 0.11). In univariate analyses, rating scale, time-tradeoff, and standard gamble scores for both current overall health and for current mental health were correlated with the SF-36 and all psychiatric scales (|r| = 0.22-0.76) except the YMRS (|r| ≤ 0.13). In multivariable analyses, health values for current overall health were related to factors different from those that were related to health values for current mental health (R 2 = 0.38-0.65), and none of the health value measures was related to the YMRS. Conclusion: Health values of patients with bipolar disorder are higher for their current health overall than for their current state of mental health. Health values are related to certain health status attributes and to level of depression but perhaps not to level of mania. Kluwer Academic Publishers, 2000 Bipolar disorder nationallicence Health status nationallicence Mental health nationallicence Outcome assessment (health care) nationallicence Quality of life nationallicence Tsevat Joel Section of Outcomes Research, Division of General Internal Medicine, Department of Internal Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio, USA aut Keck Paul Biological Psychiatry Program, Department of Psychiatry, University of Cincinnati Medical Center, Cincinnati, Ohio, USA aut Hornung Richard Institute for Health Policy and Health Services Research, University of Cincinnati Medical Center, Cincinnati, Ohio, USA aut McElroy Susan Biological Psychiatry Program, Department of Psychiatry, University of Cincinnati Medical Center, Cincinnati, Ohio, USA aut Quality of Life Research Kluwer Academic Publishers 9/5(2000-05-01), 579-586 0962-9343 9:5<579 2000 9 11136 https://doi.org/10.1023/A:1008979825704 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1008979825704 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tsevat Joel Section of Outcomes Research, Division of General Internal Medicine, Department of Internal Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio, USA aut NATIONALLICENCE 700 1- Keck Paul Biological Psychiatry Program, Department of Psychiatry, University of Cincinnati Medical Center, Cincinnati, Ohio, USA aut NATIONALLICENCE 700 1- Hornung Richard Institute for Health Policy and Health Services Research, University of Cincinnati Medical Center, Cincinnati, Ohio, USA aut NATIONALLICENCE 700 1- McElroy Susan Biological Psychiatry Program, Department of Psychiatry, University of Cincinnati Medical Center, Cincinnati, Ohio, USA aut NATIONALLICENCE 773 0- Quality of Life Research Kluwer Academic Publishers 9/5(2000-05-01), 579-586 0962-9343 9:5<579 2000 9 11136 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer