Screening for bipolar disorder among outpatients with substance use disorders

2011 ◽  
Vol 28 (3) ◽  
pp. 147-153 ◽  
Author(s):  
A. Nallet ◽  
B. Weber ◽  
S. Favre ◽  
M. Gex-Fabry ◽  
R. Voide ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Bipolar Disorders ◽  
Treatment Compliance ◽  
Opiate Dependence ◽  
Negative Consequences ◽  
Not Otherwise Specified ◽  
Mood Disorder Questionnaire ◽  
Axis I

AbstractBackgroundComorbidity of bipolar disorder and alcohol or substance abuse/dependence is frequent and has marked negative consequences on the course of the illness and treatment compliance. The objective of this study was to compare the validity of two short instruments aimed at screening bipolar disorders among patients treated for substance use disorders.MethodsThe Mood Disorder Questionnaire (MDQ) and the Hypomania Checklist-32 (HCL-32) were tested with reference to the mood section of the Structured Clinical Interview for DSM-IV axis I disorders (SCID) in 152 patients, recruited in two outpatient clinics providing specialized treatment for alcohol and opiate dependence.ResultsAccording to the SCID, 33 patients (21.7%) had a diagnosis within the bipolar spectrum (two bipolar I, 21 bipolar II and 10 bipolar not otherwise specified). The HCL-32 was more sensitive (90.9% vs. 66.7%) and the MDQ more specific (38.7% vs. 77.3%) for the whole sample. The MDQ displayed higher sensitivity and specificity in patients treated for alcohol than for opiate dependence, whereas the HCL-32 was highly sensitive but poorly specific in both samples. Both instruments had a positive predictive value under 50%.ConclusionsCaution is needed when using the MDQ and HCL-32 in patients treated for substance use disorders.

scholarly journals Screening for bipolar disorders in patients with alcohol or substance use disorders: Performance of the Mood Disorder Questionnaire

2012 ◽  
Vol 124 (3) ◽  
pp. 235-241 ◽  
Author(s):  
Jan van Zaane ◽  
Belinda van den Berg ◽  
Stasja Draisma ◽  
Willem A. Nolen ◽  
Wim van den Brink
Keyword(s):  
Substance Use ◽  
Mood Disorder ◽  
Substance Use Disorders ◽  
Bipolar Disorders ◽  
Mood Disorder Questionnaire

Association of Bipolar and Substance Use Disorders in Parents of Adolescents With Bipolar Disorder

2007 ◽  
Vol 62 (2) ◽  
pp. 129-134 ◽  
Author(s):  
Timothy E. Wilens ◽  
Joseph Biederman ◽  
Joel Adamson ◽  
Michael Monuteaux ◽  
Aude Henin ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Substance Use ◽  
Substance Use Disorders

Substance use disorders in bipolar disorders: Clinical correlates and treatment response to mood stabilizers

2022 ◽  
Author(s):  
Giulia Menculini ◽  
Luca Steardo ◽  
Norma Verdolini ◽  
Federica Cirimbilli ◽  
Patrizia Moretti ◽  
...  
Keyword(s):  
Substance Use ◽  
Treatment Response ◽  
Substance Use Disorders ◽  
Bipolar Disorders ◽  
Mood Stabilizers ◽  
Clinical Correlates

scholarly journals Axis I comorbidity in adolescent inpatients referred for treatment of substance use disorders

2010 ◽  
Vol 4 (1) ◽  
Author(s):  
Tobias Langenbach ◽  
Alexandra Spönlein ◽  
Eva Overfeld ◽  
Gaby Wiltfang ◽  
Niklas Quecke ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Axis I ◽  
Adolescent Inpatients

Risk for Substance Use Disorders in Youths With Child- and Adolescent‐Onset Bipolar Disorder

1999 ◽  
Vol 38 (6) ◽  
pp. 680-685 ◽  
Author(s):  
TIMOTHY E. WILENS ◽  
JOSEPH BIEDERMAN ◽  
RACHAEL B. MILLSTEIN ◽  
JANET WOZNIAK ◽  
AMY L. HAHESY ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Child And Adolescent

Risk classes of patients diagnosed with substance use disorders in Dutch forensic psychiatric centers

2021 ◽  
Vol 23 (1) ◽  
pp. 39-52
Author(s):  
Michele Schmitter ◽  
Jeroen Vermunt ◽  
Eric Blaauw ◽  
Stefan Bogaerts
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Latent Class ◽  
Mental Health Problems ◽  
Treatment Approach ◽  
Future Research ◽  
Content Type ◽  
Forensic Patients ◽  
Axis I ◽  
Forensic Psychiatric

Purpose Given the complex association between substance use disorders (SUD), comorbid mental health problems and criminal recidivism in forensic patients, homogenous patient classes can contribute to a refined treatment. This paper aims to construct those classes in forensic patients (N = 286) diagnosed with SUD, unconditionally released between 2004 and 2013 of one of ten Dutch forensic psychiatric centers. Design/methodology/approach Retrospective data were derived from electronic patient files. Classes were based on the Dutch risk assessment tool, the Historisch Klinisch Toekomst-Revisie (Historical Clinical Future–Revised [HKT-R]) and identified by means of explorative Latent Class Analysis in Latent Gold version 5.1. In a three-step approach, posterior class memberships were related to external variables (i.e. diagnoses, type of drug and type of offence). Findings Four classes were identified that differ in the risk of recidivism, as well as Axis I and II diagnoses and type of drug consumption. Practical implications This study informed on the heterogeneity of forensic patients with SUD and identified four homogenous classes that differ in important variables for the treatment approach. Based on these classes, a more refined treatment approach can be developed. Possible treatment approaches are discussed, but future research is needed to provide evidence. Originality/value This study is the first to identify classes within forensic patients with SUD and, therefore, sets the first step to develop a tailored treatment approach based on characteristics informative for treatment.

scholarly journals Tobacco smoking and other substance use disorders associated with recurrent suicide attempts in bipolar disorder

2019 ◽  
Vol 256 ◽  
pp. 348-357
Author(s):  
R. Icick ◽  
I. Melle ◽  
B. Etain ◽  
P.A. Ringen ◽  
S.R. Aminoff ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Tobacco Smoking ◽  
Suicide Attempts

Pediatric mania: a developmental subtype of bipolar disorder?

2000 ◽  
Vol 12 (3) ◽  
pp. 131-131
Author(s):  
J. Biederman ◽  
E. Mick ◽  
S.V. Faraone ◽  
Th. Spencer ◽  
T. Wilens ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Case Reports ◽  
Response To Treatment ◽  
Systematic Research ◽  
List Type ◽  
Childhood Onset ◽  
Ongoing Controversy

Despite ongoing controversy, the view that pediatric mania is rare or non-existent has been increasingly challenged not only by case reports but also by systematic research. This research strongly suggests that pediatric mania may not be rare but that it may be difficult to diagnose. Since children with mania are likely to become adults with bipolar disorder, the recognition and characterization of childhood-onset mania may help identify a meaningful developmental subtype of bipolar disorder worthy of further investigation. The major difficulties that complicate the diagnosis of pediatric mania include:- its pattern of comorbidity may be unique by adult standards, especially its overlap with ADHD, aggression and conduct disorder;- its overlap with substance use disorders;- its association with trauma and adversity;- its response to treatment is atypical by adult standards.These issues will be reviewed in the presentation.

The Duration of Undiagnosed Bipolar Disorder: Impact of Substance use Disorders co-morbidity

2017 ◽  
Vol 41 (S1) ◽  
pp. S132-S132
Author(s):  
S. Ben Mustapha ◽  
W. Homri ◽  
L. Jouini ◽  
R. Labbane
Keyword(s):  
Bipolar Disorder ◽  
Substance Use ◽  
Standard Deviation ◽  
Substance Use Disorders ◽  
Mood Stabilizer ◽  
Type I ◽  
Addictive Behaviour ◽  
Bipolar Disease ◽  
Co Morbidity ◽  
The Impact

AimsStudy the impact of substance use disorders (SUD) co-morbidity on the duration of undiagnosed bipolar disorder (DUBP).MethodsCase-control study during a period of six months from July 2015 to December 2015. One hundred euthymic patients with BD (type I, II or unspecified) were recruited in the department of psychiatry C Razi Hospital, during their follow-up. Two groups were individualized by the presence or not of a SUD co-morbidity. In our study DUBP was defined as the period between the first symptoms and the beginning of treatment by a mood stabilizer.ResultsThe beginning of addictive behaviour preceded the installation of bipolar disease in 32% of cases. Installation of bipolar disorder preceded the installation of addictive behaviour in 12% of cases. The beginning of addictive behaviour was concomitant with the installation of bipolar disease in 6% of cases. The average DUBP in the full sample was 4.80 years with a standard deviation of 8.04 and extremes ranging from 0.08 to 37.5.The average DUBP in patients with SUD co-morbidity was 5.91 years with a standard deviation of 8.16 and extremes ranging from 0.08 to 35, and 3.68 years with a standard deviation of 7.84 and extremes ranging from 0.08 to 37.5 in patients without SUD co-morbidity.ConclusionsAccording to studies over two thirds of patients with bipolar disorder received misdiagnoses before diagnosis of BD, and among the factors involved can report the presence of SUD co-morbidity. Hence, we should detect BD among patients with SUD.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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