February 3, 2014
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The role and impact of contextual factors on functioning in patients with bipolar disorder

Publicated to: DISABILITY AND REHABILITATION. 32 (SUPPL. 1): S94-S104 - 2010-11-02 32(SUPPL. 1), DOI: 10.3109/09638288.2010.520810

Authors:

Sanchez-Moreno, J; Martinez-Aran, A; Gadelrab, HF; Cabello, M; Torrent, C; Bonnin, CD; Ferrer, M; Leonardi, M; Ayuso-Mateos, JL; Vieta, E
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Affiliations

CIBER Epidemiologia y Salud Publica - Author
CIBERESP, Barcelona, Spain - Author
Ctr Invest Red Salud Mental, Inst Salud Carlos III, CIBERSAM, Madrid, Spain - Author
Foundation IRCCS Neurological Institute C. Besta - Author
Hosp Mar, IMIM, Hlth Serv Res Unit, Barcelona, Spain - Author
Hosp Univ Princesa, Inst Salud Carlos III, Madrid, Spain - Author
Hospital del Mar - Author
Instituto de Salud Carlos III - Author
Mansoura Univ, Dept Psychol, Mansoura, Egypt - Author
Mansoura University - Author
Neurol Inst C Besta IRRCS Fdn, Neurol Publ Hlth & Disabil Unit, Milan, Italy - Author
Univ Autonoma Madrid, Dept Psychiat, Madrid, Spain - Author
Univ Barcelona, Clin Inst Neurosci, Bipolar Disorders Program, Hosp Clin,IDIBAPS, Barcelona, Spain - Author
Universitat de Barcelona - Author
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Abstract

The International Classification of Functioning, Disability and Health, provides the framework to describe individual's functioning and allows the study of the interaction between patient's health status and the environmental factors involved. The main aim of this study was to analyse systematically those factors involved in the functioning of bipolar patients including the role of contextual factors.Eighty-eight euthymic patients with a diagnosis of bipolar disorder were included. To examine the importance of contextual factors above and over clinical variables after controlling of potential socio-demographic variables, a hierarchical multiple regression was used.Clinical variables that significantly predicted patient functioning were the total number of episodes, number of depressive episodes, family history of psychiatric disorders and mild subdepressive symptoms, accounting for 34.1% of the variance of functioning (F=2.14, p?=0.011). Contextual factors, including dysfunctional attitudes and perceived social support, accounted for 17.5% of the variance (F=3.04, p?<0.001).Contextual factors appear to play a significant role in explaining bipolar patients' functioning after controlling for socio-demographic and clinical factors. These findings suggest that psychosocial interventions might be helpful to reduce or prevent disability associated to bipolar disorder. From an ICF model, understanding those factors may be useful to produce policy recommendations and guidelines.
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Keywords

AttitudeBipolar disorderChecklistContextual factorsDisabilityDisability evaluationFamilyFollow-upFunctioningHealth statusHospitalizationHumansImpairmentLongitudinal studiesModels, statisticalRating-scaleRegression analysisReliabilitySocial environmentSocial support

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal DISABILITY AND REHABILITATION due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2010, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Rehabilitation.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-05:

  • WoS: 34
  • Scopus: 35
  • Europe PMC: 20
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-05:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 76 (PlumX).
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Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Egypt; Italy; London.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Sanchez-Moreno, Jose) .

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