1916 – Influence of temperament on patients with bipolar disorder in association with comorbid substance abuse disorders

2013 ◽  
Vol 28 ◽  
pp. 1
Author(s):  
F. Pompei ◽  
C. Ferrara ◽  
S. De Persis ◽  
R. Porrari ◽  
S. De Filippis
2004 ◽  
Vol 34 (1) ◽  
pp. 41-45 ◽  
Author(s):  
William B Lawson ◽  
Walter P Bland

2009 ◽  
Vol 118 (1-3) ◽  
pp. 19-27 ◽  
Author(s):  
Stefanie Hassel ◽  
Jorge R. Almeida ◽  
Ellen Frank ◽  
Amelia Versace ◽  
Sharon A. Nau ◽  
...  

2006 ◽  
Vol 18 (4) ◽  
pp. 727-738 ◽  
Author(s):  
Lars Vedel Kessing

Background: It is currently not known whether elderly men and women present with different subtypes of depression and mania/bipolar disorder. The aim of this study was to compare the prevalence of subtypes of a single depressive episode and mania/bipolar disorder according to the ICD-10 for elderly men and women in a nationwide sample of all out- and inpatients in psychiatric settings.Methods: All patients older than 65 years who received a diagnosis of a single depressive episode and mania/bipolar disorder in the period from 1994 to 2002 at the end of their first outpatient treatment or at their first discharge from psychiatric hospitalization in Denmark were identified in a nationwide register.Results: A total of 9837 patients aged more than 65 years received a diagnosis of a single depressive episode (69.9% were women) and 443 a diagnosis of mania/bipolar disorder (61.6% were women) at the end of their first contact with psychiatric health care. Slightly more women than men received a diagnosis of mild (70.8%) or moderate depression (67.4%) compared to severe depression (65.9%). Men more often presented with a single depressive episode with comorbid substance abuse or comorbid somatic illness. No gender differences were found in the prevalence of depression with or without melancholic or psychotic symptoms. Men more often presented with mania/bipolar disorder with comorbid substance abuse.Conclusions: The distributions of the subtypes of a single depressive episode or mania/bipolar disorder are remarkably similar for male and female patients aged over 65 years with first contact with the psychiatric health-care system.


2009 ◽  
Vol 28 (4) ◽  
pp. 348-355 ◽  
Author(s):  
Daniel Z. Lieberman ◽  
George Kolodner ◽  
Suena H. Massey ◽  
Kenneth P. Williams

2010 ◽  
Vol 9 (2) ◽  
pp. 53-63 ◽  
Author(s):  
Pushpa Gummattira ◽  
Katherine A. Cowan ◽  
Kelly A. Averill ◽  
Svetlana Malkina ◽  
Edward L. Reilly ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Rowena Shalini Theodore ◽  
Monica Ramirez Basco ◽  
John R. Biggan

Substance abuse can produce symptoms similar to other psychiatric disorders, thus confusing the diagnostic picture. This paper attempts to elucidate how misdiagnosis in bipolar disorder might be explained by the presence of substance abuse comorbidities. The overlap of symptoms, limited information about symptom onset, and inexperienced clinicians can result in the misinterpretation of symptoms of substance abuse disorders for bipolar disorder. The present study found that the presence of a substance abuse comorbidity, the polarity of last episode (depressed, manic, mixed, not otherwise specified), and the total number of comorbidities affected the reliability of a bipolar disorder diagnosis.


Author(s):  
Tilman Wetterling ◽  
Klaus Junghanns

Abstract. Aim: This study investigates the characteristics of older patients with substance abuse disorders admitted to a psychiatric department serving about 250.000 inhabitants. Methods: The clinical diagnoses were made according to ICD-10. The data of the patients with substance abuse were compared to a matched sample of psychiatric inpatients without substance abuse as well as to a group of former substance abusers with long-term abstinence. Results: 19.3 % of the 941 patients aged > 65 years showed current substance abuse, 9.4 % consumed alcohol, 7.9 % took benzodiazepines or z-drugs (zolpidem and zopiclone), and 7.0 % smoked tobacco. Multiple substance abuse was rather common (30.8 %). About 85 % of the substance abusers had psychiatric comorbidity, and about 30 % showed severe withdrawal symptoms. As with the rest of the patients, somatic multimorbidity was present in about 70 % of the substance abusers. Remarkable was the lower rate of dementia in current substance abusers. Conclusion: These results underscore that substance abuse is still a challenge in the psychiatric inpatient treatment of older people.


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