Bauer Rita, Glenn Tasha, Strejilevich Sergio, Conell Jörn, Alda Martin, Ardau Raffaella, Baune Bernhard T, Berk Michael, Bersudsky Yuly, Bilderbeck Amy, Bocchetta Alberto, Castro Angela M Paredes, Cheung Eric Y W, Chillotti Caterina, Choppin Sabine, Cuomo Alessandro, Del Zompo Maria, Dias Rodrigo, Dodd Seetal, Duffy Anne, Etain Bruno, Fagiolini Andrea, Fernández Hernandez Miryam, Garnham Julie, Geddes John, Gildebro Jonas, Gitlin Michael J, Gonzalez-Pinto Ana, Goodwin Guy M, Grof Paul, Harima Hirohiko, Hassel Stefanie, Henry Chantal, Hidalgo-Mazzei Diego, Lund Anne Hvenegaard, Kapur Vaisnvy, Kunigiri Girish, Lafer Beny, Larsen Erik R, Lewitzka Ute, Licht Rasmus W, Misiak Blazej, Piotrowski Patryk, Miranda-Scippa Ângela, Monteith Scott, Munoz Rodrigo, Nakanotani Takako, Nielsen René E, O'Donovan Claire, Okamura Yasushi, Osher Yamima, Reif Andreas, Ritter Philipp, Rybakowski Janusz K, Sagduyu Kemal, Sawchuk Brett, Schwartz Elon, Slaney Claire, Sulaiman Ahmad H, Suominen Kirsi, Suwalska Aleksandra, Tam Peter, Tatebayashi Yoshitaka, Tondo Leonardo, Veeh Julia, Vieta Eduard, Vinberg Maj, Viswanath Biju, Zetin Mark, Whybrow Peter C, Bauer Michael
Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
ChronoRecord Association, Fullerton, CA, USA.
Int J Bipolar Disord. 2018 Sep 4;6(1):20. doi: 10.1186/s40345-018-0127-7.
The world population is aging and the number of older adults with bipolar disorder is increasing. Digital technologies are viewed as a framework to improve care of older adults with bipolar disorder. This analysis quantifies Internet use by older adults with bipolar disorder as part of a larger survey project about information seeking.
A paper-based survey about information seeking by patients with bipolar disorder was developed and translated into 12 languages. The survey was anonymous and completed between March 2014 and January 2016 by 1222 patients in 17 countries. All patients were diagnosed by a psychiatrist. General estimating equations were used to account for correlated data.
Overall, 47% of older adults (age 60 years or older) used the Internet versus 87% of younger adults (less than 60 years). More education and having symptoms that interfered with regular activities increased the odds of using the Internet, while being age 60 years or older decreased the odds. Data from 187 older adults and 1021 younger adults were included in the analysis excluding missing values.
Older adults with bipolar disorder use the Internet much less frequently than younger adults. Many older adults do not use the Internet, and technology tools are suitable for some but not all older adults. As more health services are only available online, and more digital tools are developed, there is concern about growing health disparities based on age. Mental health experts should participate in determining the appropriate role for digital tools for older adults with bipolar disorder.
世界人口正在老龄化，患有双相情感障碍的老年人数量也在增加。数字技术被视为改善双相情感障碍老年人护理的一个框架。作为一项关于信息寻求的更大规模调查项目的一部分，本分析对患有双相情感障碍的老年人的互联网使用情况进行了量化。
开展了一项关于双相情感障碍患者信息寻求的纸质调查，并将其翻译成12种语言。该调查是匿名的，在2014年3月至2016年1月期间由17个国家的1222名患者完成。所有患者均由精神科医生诊断。使用广义估计方程来处理相关数据。
总体而言，47%的老年人（60岁及以上）使用互联网，而87%的年轻人（不到60岁）使用互联网。受教育程度更高以及出现干扰日常活动的症状会增加使用互联网的几率，而60岁及以上则会降低这种几率。在排除缺失值后，分析纳入了187名老年人和1021名年轻人的数据。
患有双相情感障碍的老年人使用互联网的频率远低于年轻人。许多老年人不使用互联网，技术工具适合部分但并非所有老年人。由于越来越多的健康服务仅在线提供，且开发了更多数字工具，人们担心基于年龄的健康差距会不断扩大。心理健康专家应参与确定数字工具在患有双相情感障碍的老年人中所应发挥的适当作用。
