Co-morbidity in Bipolar Disorder: A Retrospective Study

Munoli, Ravindra N and Praharaj, Samir Kumar and Sharma, PSVN (2014) Co-morbidity in Bipolar Disorder: A Retrospective Study. Indian Journal of Psychological Medicine, 36 (3). pp. 270-275.

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Background: Bipolar disorder is a relatively common, long-term, and disabling psychiatric illness that is associated with high levels of functional impairment, morbidity, mortality, and an increased risk of suicide. Psychiatric co-morbidity in bipolar disorder ranges from 57.3% to 74.3%, whereas medical co-morbidity varies from 2.7-70%. Indian scenario in this aspect is not clear. Materials and Methods: The objective was to ascertain the prevalence of physical and psychiatric comorbidities in patients attending a tertiary care center over a period of 1 year and its relationship with socio-demographic and clinical variables. One hundred and twenty-five case record files were included in the review. OPCRIT software was used for re-establishing the diagnosis of bipolar disorder, which yielded 120 cases. A semi-structured pro-forma, specifically designed for the study, was used to collect the socio-demographic and clinical details. Results: Co-morbid psychiatric disorders were found in 52 (43.3%) of the sample, whereas co-morbid physical illness was present in 77 (64.2%) patients. The most common psychiatric disorder associated was substance use disorder (27.5%), whereas co-morbid cardiovascular disorder was the most frequent physical diagnosis in the sample (20%). Discussion: The prevalence of comorbid psychiatric disorders in bipolar patients was lower than that reported in western literature. It could be related to retrospective nature of study or reflect true lower prevalence rates. Also, certain disorders such as eating disorders were absent in our sample, and migraine diagnosis was very infrequent.

Item Type: Article
Uncontrolled Keywords: Bipolar disorder; co-morbidity; mood disorder.
Subjects: Medicine > KMC Manipal > Psychiatry
Depositing User: KMC Manipal
Date Deposited: 22 Jul 2014 06:26
Last Modified: 22 Jul 2014 06:26

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