A Study of Instrumental Activities of Daily Living of Patients having
Bipolar Affective Disorder and Its Relationship with their Subjective Well
Being and Self Efficacy
Laxmi Kumari and Sandhya Gupta
*
College of Nursing, AIIMS, New Delhi, India
*
Corresponding author: Gupta S, College of Nursing, AIIMS New Delhi, India, E-mail: drsandhyag407@gmail.com
Received date: November 15, 2017; Accepted date: December 11, 2017; Published date: January 05, 2018
Copyright: © 2018 Kumari L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted
use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: The people suffering from bipolar disorders experience a poor quality of life as compared to the
general public, it includes difficulties in the areas of work, interpersonal relationship and activities of daily living.
During the course of illness the social and family dysfunction affect the persons having bipolar disorder their
physical, emotional, social and functional well-being impacted.
Aim: To examine the instrumental activities of daily living of patient suffering from bipolar affective disorder and its
relationship with their subjective wellbeing and self-efficacy.
Methods: A cross-section survey was done on thirty patients having bipolar affective disorder using three scales
to measure instrumental activities of daily living, subjective well-being and self-efficacy with Lawton instrumental
activities of daily living.
Results: The mean age of patients was 38 ± 12 years, with almost equal numbers from both the gender. Most of
the patients studied up to graduation (60%), most of them were unemployed. Most of the subjects were in
depressive phase (53%), while in mania (27%) and in mixed phase 20%. The activities of daily living and self-
efficacy of patients was found to be significantly correlated. The subjective well-being of patients and self-efficacy
were also positively correlated. On the other hand there is a weak positive correlation found between subjective well-
being of patients was and activities of daily living.
Conclusion: The subjective well-being and self-efficacy of patients with bipolar disorder must be assessed
independently and not to be confused with activities of daily living and the interventions need to be planned for
improving functioning of patients.
Keywords: Bipolar afective disorder; Subjective well-being; Self-
efcacy; Instrumental activities of daily living
Introduction
Bipolar afective disorder (BPAD) disorder is one of the serious
mental disorders unlike schizophrenia where cognition, afect and
reality testing get distorted; the former is characterized by alternating
or concurrent depressive and manic symptoms that may be or may not
be accompanied by psychotic symptoms. Te presentations of the
disorder can be polymorphic. Bipolar disorder in India afects majorly
males, majority of patients sufering with more number of manic
episodes and both manic as well as depressive phases of illness last an
average of 3-4 months [1]. Worldwide the prevalence rates of bipolar
afective disorder varied, i.e., bipolar I 0.6%, bipolar II 0.4% and
bipolar disorder-NOS 1.4%. In general the bipolar spectrum rate is 2.4
percent. Te United States had the highest prevalence rate of bipolar
spectrum, i.e., 4.4 percent, while India had the lowest rate of 0.1
percent. According to half of the patients who are sufering from this
disorder in their adulthood, noted that their illness began in their
adolescent years only [2]. Globally bipolar afective disorders are a
chief cause of disability. Te World Health Survey estimates that 110
million people (2.2%) have very signifcant difculties in functioning
while the Global Burden of Disease estimates 190 million (3.8%) have
“severe disability” - the equivalent of disability inferred for conditions
such as quadriplegia, severe depression, or blindness [3]. Te people
sufering from bipolar disorders experience a poor quality of life as
compared to the general public [4]. It includes difculties in the areas
of work, interpersonal relationship and community functioning [5].
Instead of good compliance there is a risk of relapse of about 73%.
Among the diferent phases depressions were more strongly related to
social and family dysfunction. Tese symptoms afect an individual’s
physical, emotional, social and functional well-being to a great extent
and have a considerable impact on their overall quality of life
[6-8]. Mania and depression phases are associated with marked
psychosocial dysfunction; the impairment covers various areas of
functioning and become chronic condition in many of the cases [9,10].
Te mixed phase constitutes approximately 20% in bipolar disorders
category. Mixed states are also associated with more co morbidity, an
inferior treatment outcome, poor prognosis and overall decline in
performance in day to day activities [11]. Till today less is known about
the experience of subjective well-being and its association with their
activities of daily living. Te activities of daily living are ofen related
with quality of life the individual is facing. Previous studies found that
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ISSN: 2472-1077
Bipolar Disorder: Open Access
Kumari and Gupta, Bipolar Disord 2018, 4:1
DOI: 10.4172/2472-1077.1000120
Research article Open Access
Bipolar Disord, an open access journal
ISSN:2472-1077
Volume 4 • Issue 1 • 1000120