Previous literature has focused on impaired social and occupational functioning in Bipolar Disorder (BD), however this ignores people who may be functioning well or even exceptionally. This paper presents the first systematic review of how functioning is measured and the range of functioning observed in BD to aid applied research and practice in this area. Identified measures from studies reporting use of a social and/or occupational functioning measure in BD were organised according to frequency of use over the last 10 years, resulting in six measures (Global Assessment of Functioning (GAF), Functioning Assessment Short Test (FAST), Social and Occupational Functioning Scale (SOFAS), Social Adjustment Scale (SAS)), Social Functioning Scale (SFS) and LIFE-Range of Impaired Functioning (LIFE-RIFT). Descriptive statistics of sample scores were extracted and pooled to provide cross-study values for each measure. Around 16% of individuals with BD can be estimated to function at a high level, defined as those falling within two standard deviations of the mean score on each measure. Evidence of a ceiling effect for some measures suggests that BD functioning may have been underestimated during measure development. Future research is needed to further understand higher functioning in people with BD, and factors which may support this.

先前的文献着重于躁郁症（BD）的社会和职业功能受损，但是这忽略了可能表现良好甚至异常的人。本文对BD中如何测量功能以及观察到的功能范围进行了首次系统综述，以帮助该领域的应用研究和实践。根据过去10年的使用频率，组织了报告在BD中使用社会和/或职业功能措施的研究中确定的措施，得出了六项措施（全球功能评估（GAF），功能评估短期测试（FAST） ，社会和职业功能量表（SOFAS），社会适应量表（SAS），社会功能量表（SFS）和功能受损的生活水平（LIFE-RIFT）。提取并汇总样本得分的描述性统计数据，以提供每种量度的交叉研究值。可以估计约有16％的BD患者具有较高的功能，定义为每次测量均值的两个标准差之内。一些措施存在上限效应的证据表明，在措施制定过程中，BD的功能可能被低估了。需要进一步的研究来进一步了解BD患者的更高功能，以及可能支持这一功能的因素。一些措施存在上限效应的证据表明，在措施制定过程中，BD的功能可能被低估了。需要进一步的研究来进一步了解BD患者的更高功能，以及可能支持这一功能的因素。一些措施存在上限效应的证据表明，在措施制定过程中，BD的功能可能被低估了。需要进一步的研究来进一步了解BD患者的更高功能，以及可能支持这一功能的因素。