RT journal article
T1 Bipolar Disorder in Disabled Adult Spanish Population—Factors Associated with Self-Reported Health Status in These Subjects: Population-Based Cross-Sectional Study
A1 Failde Martínez, Inmaculada
A1 Palomo Osuna, Jenifer
A1 Salazar Couso, Alejandro
A2 BiomedicinaBiotecnología y Salud Pública
A2 Estadística e Investigación Operativa
K1 bipolar disorder
K1 persons with disabilities
K1 health status
K1 anxiety
K1 health resources
K1 activities of daily living
AB Background/Objectives: We aimed to determine the prevalence of bipolar disorder (BD) in a Spanish disabled adult population (DAP), the differences in sociodemographic and clinical variables in the DAP with and without BD, and the factors associated with self-reported health status in the DAP with BD. Methods: This is a population-based cross-sectional study including N = 11,130 adults from the “Disability, Personal Autonomy and Dependency Situations Survey 2020” carried out in Spain by the Spanish National Institute of Statistics (INE). We used secondary data with self-reported information on sociodemographic, mental and physical health status (HS), difficulties in daily living, and use of health services. We estimated the prevalence of BD in the DAP. Bivariate analyses were carried out to compare the DAP with/without BD and multinomial logistic regression was performed to analyse factors associated with self-reported HS in the DAP with BD. Results: The prevalence of BD in the DAP is 2.42%. People with BD were younger, showed more anxiety and musculoskeletal diseases, reported worse HS, performed less physical and social activities, had more social difficulties and less contact with other people, used more health services, and reported discrimination due to their disability. Older age (OR = 1.030) and the presence of anxiety (OR = 4.479) were related to worse self-reported HS. Conclusions: BD is present in 2.42% of the Spanish DAP with significant consequences for their HS. Our findings summarise some of the main factors that characterise the BD population with disability versus those without BD and show that anxiety is an important factor affecting the perception of HS.
PB MDPI
SN 2077-0383
YR 2025
FD 2025-11
LK http://hdl.handle.net/10498/39401
UL http://hdl.handle.net/10498/39401
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 05-nov-2026