Addiction co-morbidity in bipolar disorder.
In: European Psychiatry, Jg. 41 (2017-04-01), S. S312
Online
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Zugriff:
Introduction Addiction is often underdiagnosed in bipolar disorder (BD), although it is frequent and known to complicate its clinical course. Objectives The aim of our study was to study socio-demographic and clinical factors associated with addiction in BD patients. Methods This is a retrospective, cross-sectional, descriptive and comparative study on 100 patients followed in our department and diagnosed with BD type I according to DSM 5. Demographic and clinical data was compared across the groups: Addiction + (A + ) and Addiction–(A − ). Results Nighteen patients had an addiction co-morbidity (A + ), whereas 81 had not (A − ). The mean age of the (A + ) group was 39.47 years whereas it was 42.52 years in the (A − ) group. Males represented 68.4% of the (A + ) group and 48.1% of the (A − ) group. Age of illness onset was lower in the (A + ) group (mean = 23.16, median = 21) compared to the (A − ) group (mean = 26.04, median = 27). Addiction co-morbidity was significantly associated with predominant manic polarity ( P = 0.03). All (A + ) patients presented mood episodes with psychotic features, whereas psychotic features were only found in 86.6% of (A − ) patients. Co-morbid addiction was significantly associated with a higher number of mood episodes ( P = 0.04), a higher number and duration of hospitalisations ( P = 0.02, P = 0.015), and a poorer compliance ( P = 0.07). All A+ subjects received antipsychotics, and they were significantly more to receive long-acting antipsychotics ( P = 0.06). Conclusions Addictions worsen the prognosis of bipolar disorder and require specific therapeutic strategies. They deserve therefore the particular attention of clinicians. [ABSTRACT FROM AUTHOR]
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Addiction co-morbidity in bipolar disorder.
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Autor/in / Beteiligte Person: | Baatout, A. ; Ouali, U. ; Jomli, R. ; Elkefi, H. ; Oumaya, A. ; Nacef, F. |
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Zeitschrift: | European Psychiatry, Jg. 41 (2017-04-01), S. S312 |
Veröffentlichung: | 2017 |
Medientyp: | academicJournal |
ISSN: | 0924-9338 (print) |
DOI: | 10.1016/j.eurpsy.2017.02.217 |
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