Key findings on bipolar disorders from the longitudinal FondaMental Advanced Center of Expertise-Bipolar Disorder (FACE-BD) cohort.
Biomarkers
Bipolar disorders
Cohort
Course
Environment
Longitudinal
Journal
Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073
Informations de publication
Date de publication:
15 06 2022
15 06 2022
Historique:
received:
24
10
2021
revised:
28
01
2022
accepted:
18
03
2022
pubmed:
28
3
2022
medline:
27
4
2022
entrez:
27
3
2022
Statut:
ppublish
Résumé
The FACE-BD cohort is an observational cohort of individuals with bipolar disorders (BD) who benefited from a systematic evaluation with evidence-based treatment recommendations and who were followed-up every year for 3 years in France. The objectives were to describe the lifetime course of BD, associated psychiatric and somatic comorbidities, and cognition profile. This cohort aims to identify clinical/biological signatures of outcomes, trajectories of functioning and transition between clinical stages. This article summarizes 10 years of findings of the FACE-BD cohort. We included 4422 individuals, all having a baseline assessment, among which 61.2% had at least one follow-up visit at either one, two or three years. A subsample of 1200 individuals had at least one biological sample (serum, plasma, DNA). Assessments include family history of psychiatric disorders, psychiatric diagnosis, current mood symptoms, functioning, hospitalizations, suicidal attempts, physical health, routine blood tests, treatment history, psychological dimensions, medico-economic data and a cognitive assessment. Studies from this cohort illustrate that individuals with BD display multiple coexistent psychiatric associated conditions including sleep disturbances, anxiety disorders, substance use disorders and suicide attempts as well as a high prevalence of metabolic syndrome. During follow-up, we observed a 55% reduction of the number of days of hospitalization and a significant improvement in functioning. The FACE-BD cohort provides a strong research infrastructure for clinical research in BD and has a unique position among international cohorts because of its comprehensive clinical assessment and sustainable funding from the French Ministry of Health.
Sections du résumé
BACKGROUND
The FACE-BD cohort is an observational cohort of individuals with bipolar disorders (BD) who benefited from a systematic evaluation with evidence-based treatment recommendations and who were followed-up every year for 3 years in France. The objectives were to describe the lifetime course of BD, associated psychiatric and somatic comorbidities, and cognition profile. This cohort aims to identify clinical/biological signatures of outcomes, trajectories of functioning and transition between clinical stages. This article summarizes 10 years of findings of the FACE-BD cohort.
METHOD & RESULTS
We included 4422 individuals, all having a baseline assessment, among which 61.2% had at least one follow-up visit at either one, two or three years. A subsample of 1200 individuals had at least one biological sample (serum, plasma, DNA). Assessments include family history of psychiatric disorders, psychiatric diagnosis, current mood symptoms, functioning, hospitalizations, suicidal attempts, physical health, routine blood tests, treatment history, psychological dimensions, medico-economic data and a cognitive assessment. Studies from this cohort illustrate that individuals with BD display multiple coexistent psychiatric associated conditions including sleep disturbances, anxiety disorders, substance use disorders and suicide attempts as well as a high prevalence of metabolic syndrome. During follow-up, we observed a 55% reduction of the number of days of hospitalization and a significant improvement in functioning.
CONCLUSIONS
The FACE-BD cohort provides a strong research infrastructure for clinical research in BD and has a unique position among international cohorts because of its comprehensive clinical assessment and sustainable funding from the French Ministry of Health.
Identifiants
pubmed: 35339569
pii: S0165-0327(22)00300-7
doi: 10.1016/j.jad.2022.03.053
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
149-156Investigateurs
B Etain
(B)
E Olié
(E)
M Leboyer
(M)
P M Llorca
(PM)
V Barteau
(V)
S Bensalem
(S)
O Godin
(O)
H Laouamri
(H)
K Souryis
(K)
S Hotier
(S)
A Pelletier
(A)
J P Sanchez
(JP)
E Saliou
(E)
C Hebbache
(C)
J Petrucci
(J)
L Wuillaume
(L)
E Bourdin
(E)
F Bellivier
(F)
M Carminati
(M)
V Hennion
(V)
E Marlinge
(E)
J Meheust
(J)
C Zekri
(C)
A Desage
(A)
S Gard
(S)
K M'Bailara
(K)
I Minois
(I)
J Sportich
(J)
L Zanouy
(L)
C Abettan
(C)
L Bardin
(L)
A Cazals
(A)
P Courtet
(P)
B Deffinis
(B)
D Ducasse
(D)
M Gachet
(M)
A Henrion
(A)
E Martinerie
(E)
F Molière
(F)
B Noisette
(B)
E G Tarquini
(EG)
Informations de copyright
Copyright © 2022. Published by Elsevier B.V.