Język metadanych
Tytuł:
Psychiatric comorbidity in bipolar disorder
Autor:
Temat i słowa kluczowe:
comorbidity ; bipolar disorder
Abstrakt:
The main objective of the presented study was to investigate relationships between lifetime comorbidity in BP with demographic and clinical variables and level of functioning in current remission. Additionally the prevelance of comorbidity and bipolar subtype and gender differences in this area were assessed. 73 out of 80 consequitive outpatients, over 18 years of age, with the established BP I or II DSM-IV diagnoses, in remission were included in the study. Measure instruments employed were: HDRS, YMRS, GAF, CIDI, self - constructed catamnestic questionaire. Lifetime psychiatrie comorbidity was 71.2%. The comorbid anxiety disorders were found in 63% of the sample and substance use disorders in 37%. The most prevelant disorders were GAD (31.5%) and alcohol abuse/dependance (30.1%). Although the rate of comorbidity was higher in men (80.6%) than in women (64.3%) it did not reach statistical significance. The only significant differences between sexes were found in generał SUDs comorbidity (58.1% in men vs 21.4% in women), alcohol abuse/dependance (54.8% in men vs 11.9% in women) and nicotine abuse/dependance (74.2% in men vs 47.6% in women). There were no statistical difference in comorbidity between BP I and BP II. Only PD±Ago (24% vs 4.3%) and nicotine abuse/dependance (72% vs 30.4%) were significantly more prevelant in BP I than in BP II. Significant diff ; erneces between no-comorbid group and comorbid groups were found in same investigated variabels, i.e. occupational status, pension utilisation, traumatic experiences, GAF-scores, suicidal ideation and acts, number of psychiatrie hospitalizations and smoking.