Authors’ response to the letter to the editor: “Pain in primary care patients with bipolar disorder”

2014 ◽  
Vol 36 (2) ◽  
pp. 229
Author(s):  
Denis G. Birgenheir ◽  
Mark A. Ilgen ◽  
Amy S.B. Bohnert ◽  
Kristen M. Abraham ◽  
Nicholas W. Bowersox ◽  
...  
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Letter To The Editor ◽  
Primary Care Patients

Bipolar Disorder is Common in Depressed Primary Care Patients

2011 ◽  
Vol 123 (5) ◽  
pp. 129-133 ◽  
Author(s):  
Steven L. Dubovsky ◽  
Kenneth Leonard ◽  
Kim Griswold ◽  
Elsa Daurignac ◽  
Burlleen Hewitt ◽  
...  
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Primary Care Patients

scholarly journals Evaluation of the 13-item Hypomania Checklist and a brief 3-item manic features questionnaire in primary care

2017 ◽  
Vol 41 (4) ◽  
pp. 187-191 ◽  
Author(s):  
Sukhmeet Singh ◽  
Paul Scouller ◽  
Daniel J. Smith
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Clinical Implications ◽  
Predictive Values ◽  
Mean Delay ◽  
Item Questionnaire ◽  
Primary Care Patients ◽  
The Mean ◽  
Recorded Diagnosis

Aims and methodThe mean delay for bipolar disorder diagnosis is 10 years. Identification of patients with previous hypomania is challenging, sometimes resulting in misdiagnosis. The aims of this study were: (a) to estimate the proportion of primary care patients with depression currently taking antidepressants who have undiagnosed bipolar disorder and (b) to compare a brief 3-item manic features questionnaire with the Hypomania Checklist (HCL-13). The sample comprised patients with a recorded diagnosis of depression, either on long-term antidepressant therapy or with previous multiple courses of antidepressants.ResultsOf 149 participants assessed, 24 (16.1%) satisfied criteria for bipolar disorder. Areas under the curve (AUC) for the 3-item questionnaire and the HCL-13 were similar (0.79 and 0.72, respectively) but positive predictive values (PPV) were low.Clinical implicationsBipolar disorder may be underdiagnosed in primary care. A 3-item questionnaire could be used by general practitioners to screen for bipolar disorder in their patients with depression.

scholarly journals Bipolar Disorder in Primary Care: Clinical Characteristics of 740 Primary Care Patients With Bipolar Disorder

2014 ◽  
Vol 65 (8) ◽  
pp. 1041-1046 ◽  
Author(s):  
Joseph M. Cerimele ◽  
Ya-Fen Chan ◽  
Lydia A. Chwastiak ◽  
Marc Avery ◽  
Wayne Katon ◽  
...  
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Clinical Characteristics ◽  
Primary Care Patients

scholarly journals Unrecognised bipolar disorder among UK primary care patients prescribed antidepressants: an observational study

2016 ◽  
Vol 66 (643) ◽  
pp. e71-e77 ◽  
Author(s):  
Tom Hughes ◽  
Alastair Cardno ◽  
Robert West ◽  
Federica Marino-Francis ◽  
Imogen Featherstone ◽  
...  
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Observational Study ◽  
Primary Care Patients

scholarly journals Pain in primary care patients with bipolar disorder

2014 ◽  
Vol 36 (2) ◽  
pp. 228 ◽  
Author(s):  
Joseph M. Cerimele ◽  
Ya-Fen Chan ◽  
Lydia A. Chwastiak ◽  
Jürgen Unützer
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Primary Care Patients

scholarly journals O Transtorno Bipolar do Humor em Pacientes Atendidos em Unidade Básica de Saúde / Bipolar Disorder in Primary Care Patients

2019 ◽  
Vol 13 (48) ◽  
pp. 796-806
Author(s):  
Nádia Nara Rolim Lima ◽  
Modesto Leite Rolim Neto
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Rating Scale ◽  
Dsm V ◽  
Primary Care Patients ◽  
Hamilton Rating Scale

O objetivo do presente estudo foi compreender as ações comportamentais e temperamentais envolvidas no transtorno bipolar, através da história pessoal e familiar envolvidas nas narrativas de pacientes oriundos da zona rural, em unidade de atenção básica de saúde, no interior da Paraíba, levando-se em consideração a hipótese diagnóstica de espectro bipolar. Métodos: Participaram do nosso estudo 30 pacientes com idade média variando entre 12 a 67 anos, encaminhados por uma equipe de PSF (Programa Saúde da Família), da zona rural de Aparecida, localizada no interior da Paraíba, com hipótese diagnóstica de Transtorno Bipolar (DSM-V). Para a coleta de dados utilizamos a entrevista não estruturada, com características específicas interligadas ao transtorno bipolar. Este processo nos levou à análise quanti-qualitativa no sentido de análise de conteúdo clássica. A análise foi complementada com a Hamilton Rating Scale for Depression (HAMD) como instrumento de avaliação dos pacientes. Resultados: Dos 30 pacientes entrevistados, 21 atingiram os parâmetros pré-estabelecidos ao espectro bipolar, predominando a atuação depressiva associada à euforia de grau moderado/grave; sendo que destes, 11 pacientes apresentaram indicadores de história familiar do transtorno.12 pacientes mostraram dificuldades em precisar o início do transtorno, informando várias nomenclaturas veiculadas ao diagnóstico, o que sinalizou um diagnóstico não preciso na 1ª consulta. O episódio de mania e hipomania prevaleceram no sexo masculino, e a presença de sintomas psicóticos no sexo feminino. Conclusão: Através da identificação do espectro bipolar pacientes carecem de tradução as diferentes maneiras mobilizadas pelas ações comportamentais e temperamentais na tradução dos prejuízos a sua vida quotidiana. 

Diagnosing bipolar disorder in trauma exposed primary care patients

2007 ◽  
Vol 9 (4) ◽  
pp. 318-323 ◽  
Author(s):  
Ruth Elaine Graves ◽  
Tanya N Alim ◽  
Notalelomwan Aigbogun ◽  
Kris Chrishon ◽  
Thomas A Mellman ◽  
...  
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Primary Care Patients

scholarly journals Unrecognised bipolar disorder in primary care patients with depression

2011 ◽  
Vol 199 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Daniel J. Smith ◽  
Emily Griffiths ◽  
Mark Kelly ◽  
Kerry Hood ◽  
Nick Craddock ◽  
...  
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Psychosocial Functioning ◽  
Unipolar Depression ◽  
Major Depressive ◽  
Manic Symptoms ◽  
History Of ◽  
Primary Care Patients

BackgroundBipolar disorder is complex and can be difficult to diagnose. It is often misdiagnosed as recurrent major depressive disorder.AimsWe had three main aims. To estimate the proportion of primary care patients with a working diagnosis of unipolar depression who satisfy DSM–IV criteria for bipolar disorder. To test two screening instruments for bipolar disorder (the Hypomania Checklist (HCL–32) and Bipolar Spectrum Diagnostic Scale (BSDS)) within a primary care sample. To assess whether individuals with major depressive disorder with subthreshold manic symptoms differ from those individuals with major depressive disorder but with no or little history of manic symptoms in terms of clinical course, psychosocial functioning and quality of life.MethodTwo-phase screening study in primary care.ResultsThree estimates of the prevalence of undiagnosed bipolar disorder were obtained: 21.6%, 9.6% and 3.3%. The HCL–32 and BSDS questionnaires had quite low positive predictive values (50.0 and 30.1% respectively). Participants with major depressive disorder and with a history of subthreshold manic symptoms differed from those participants with no or little history of manic symptoms on several clinical features and on measures of both psychosocial functioning and quality of life.ConclusionsBetween 3.3 and 21.6% of primary care patients with unipolar depression may have an undiagnosed bipolar disorder. The HCL–32 and BSDS screening questionnaires may be more useful for detecting broader definitions of bipolar disorder than DSM–IV-defined bipolar disorder. Subdiagnostic features of bipolar disorder are relatively common in primary care patients with unipolar depression and are associated with a more morbid course of illness. Future classifications of recurrent depression should include dimensional measures of bipolar symptoms.

scholarly journals The Prevalence of Bipolar Disorder in Primary Care Patients With Depression or Other Psychiatric Complaints: A Systematic Review

2013 ◽  
Vol 54 (6) ◽  
pp. 515-524 ◽  
Author(s):  
Joseph M. Cerimele ◽  
Lydia A. Chwastiak ◽  
Sherry Dodson ◽  
Wayne J. Katon
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Bipolar Disorder ◽  
Primary Care Patients
Sign in / Sign up

Export Citation Format

Share Document