Are patients with bipolar affective disorder socially disadvantaged? A comparison with a control group

2002 ◽  
Vol 4 (4) ◽  
pp. 243-248 ◽  
Author(s):  
Zainab Abood ◽  
Alison Sharkey ◽  
Marcus Webb ◽  
Alan Kelly ◽  
Michael Gill
2009 ◽  
Vol 2 (2) ◽  
pp. 92-105 ◽  
Author(s):  
Ueli Kramer ◽  
Guy Bodenmann ◽  
Martin Drapeau

AbstractThe construct of cognitive errors is clinically relevant for cognitive therapy of mood disorders. Beck's universality hypothesis postulates the relevance of negative cognitions in all subtypes of mood disorders, as well as positive cognitions for manic states. This hypothesis has rarely been empirically addressed for patients presenting bipolar affective disorder (BD). In-patients (n= 30) presenting with BD were interviewed, as were 30 participants of a matched control group. Valid and reliable observer-rater methodology for cognitive errors was applied to the session transcripts. Overall, patients make more cognitive errors than controls. When manic and depressive patients were compared, parts of the universality hypothesis were confirmed. Manic symptoms are related to positive and negative cognitive errors. These results are discussed with regard to the main assumptions of the cognitive model for depression; thus adding an argument for extending it to the BD diagnostic group, taking into consideration specificities in terms of cognitive errors. Clinical implications for cognitive therapy of BD are suggested.


1990 ◽  
Vol 157 (1) ◽  
pp. 107-110 ◽  
Author(s):  
R. J. Dolan ◽  
A. M. Poynton ◽  
P. K. Bridges ◽  
M. R. Trimble

The MRI T1 proton relaxation values were assessed in 14 patients with bipolar affective disorder and 10 with a unipolar disorder and a matched normal control group. The T1 values in the frontal white matter of patients significantly exceeded those of the controls. This difference was accounted for by an increase in T1 values in the frontal white matter of unipolar patients: the values for bipolar patients alone did not differ from those for controls. These preliminary findings support a hypothesis of frontal lobe dysfunction mediating pathological changes in mood.


1979 ◽  
Vol 135 (6) ◽  
pp. 551-554 ◽  
Author(s):  
Arnold Kadrmas ◽  
George Winokur ◽  
Raymond Crowe

SummaryTwenty-one patients with bipolar affective disorder (20 manic episodes, one depressive episode) during the postpartum period were evaluated. They were compared to an unselected group of women with bipolar histories, as well as to a matched control group. The postpartum group had significantly more Schneiderian symptoms and fewer recurrences of illness within the three-year period after the index admission. There was a notable trend toward postpartum patients having fewer affectively ill relatives than the controls. The practical significance of these findings with regards to lithium therapy is discussed, as is the theoretical significance in terms of heterogeneity of the bipolar syndrome.


2005 ◽  
Vol 45 (4) ◽  
pp. 317-320 ◽  
Author(s):  
Rachel S Y Cheng ◽  
Candy Lin ◽  
Marcella L Y Fok ◽  
Chi-Ming Leung

This study explores shoplifting behaviour in mentally ill patients, and evaluates the association between shoplifting and different mental illnesses in a local Chinese population. A comparison is made between shoplifting offenders and a matched control group of non-offenders among the psychiatric patients registered at a university department of psychiatry. Major depression, bipolar affective disorder (BAD) and mental retardation (MR) are the most common diagnoses among mentally ill shoplifters, while patients with a diagnosis of BAD or MR are at higher risk of committing an offence than patients with other diagnoses. Bipolar affective disorder has not been described as a risk factor for shoplifting behaviour in the psychiatric literature. Such a possibility should be seriously considered in the psychiatric assessment of shoplifting cases.


2017 ◽  
Vol 5 (1) ◽  
pp. 37-42
Author(s):  
R. Kumar ◽  
A.R. Singh

Introduction: Personality is the important core feature and identification of an individual. Some factors in personality may be vulnerable for psychiatric illness.Objective: To compare Personality profile of Bipolar Affective Dirosder with Normal control group.Method: 30 male patients diagnosed as Bipolar affective disorder (mania) and 30 normal male were included in the study, with the aim to determine the comparison of personality characteristic of Bipolar affective disorder (Mania) and Normal control group. Each individual was given the inform consent response than collected Socio demographic and Clinical data sheet after that Young mania rating scale and 16 personality factor was applied for data collection.Result: Present study explore that the Manic (BAD) groups of subject differ significantly on all the factors except Q4 from normal controls. Higher mean scores on factor Q4 means that manic (BAD) are tense, restless, fretful & driven, extremely high tension level was disrupt school and work performance.Conclusion: Both the groups differentiated significantly on all the factors except Q4. The mean score obtained by normal control has higher in comparison of BAD-manic category.


2006 ◽  
Vol 53 (2) ◽  
pp. 317-320 ◽  
Author(s):  
Andrzej Kostyrko ◽  
Joanna Hauser ◽  
Janusz K Rybakowski ◽  
Wiesław H Trzeciak

The therapeutic effect of lithium in bipolar affective disorder may be connected with decreasing intracellular Ca(2+) concentrations. Several linkage studies have identified a potential bipolar affective disorder susceptibility locus within chromosomal region 21q22.3. This locus contains two genes expressed in the brain - ADARB1 and TRPM2 - involved in regulating intracellular Ca(2+) concentrations. The aim of this study was an identification of mutations in the coding sequences of ADARB1 and TRPM2 and their association with bipolar affective disorder. For that purpose we screened 60 patients with bipolar affective disorder and a control group of 66 subjects using single strand conformation polymorphism and sequence analysis. For rapid screening we performed restriction fragment length polymorphism analysis. Screening of bipolar affective disorder patients for mutations in TRPM2 led to identification of three novel and four known transitions. Two transitions resulted in the substitutions: R755C and A890V. Screening of the coding sequence of ADARB1 did not reveal any mutations except one already known transition. A comparison of the transition frequency in patients and controls does not support association of the detected mutations with bipolar affective disorder. According to our results, bipolar affective disorder may not be caused by mutations in ADARB1. However, this study does not exclude TRPM2 as a candidate gene since we have screened only about 30 per cent of the entire coding sequence of this large gene.


2021 ◽  
Vol 11 (7) ◽  
pp. 385-393
Author(s):  
Amit Kumar Pal ◽  
Sagarika Ray ◽  
Jishnu Bhattacharya

Background: Bipolar affective disorder is an episodic illness characterized by fluctuating mood states. Association of dermatoglyphic traits with bipolar affective disorder has been observed in various studies. This study was undertaken to evaluate epidermal ridge patterns in bipolar patients as compared to healthy controls attending a super speciality district hospital in West Bengal. Context and purpose of study: Establishing dermatoglyphic parameters as biomarkers for early diagnosis and consequently, prompt intervention in bipolar affective disorder will ensure a greater scope of recovery, and thus promote a better quality of life for the individual as well as lower the burden of disease for the society. Methods: Quantitative dermatoglyphic parameters namely, Total Finger Ridge Count (TFRC), Total A-B Ridge Count (TABRC), and ATD Angle of 100 bipolar patients were compared to 100 age and gender matched healthy controls. Results: Statistically significant differences were found on comparing the dermatoglyphic parameters between cases and controls. TFRC was found to be decreased while ATD angle was increased in bipolar cases, as compared to the control group. However, no significant change was observed in TABRC between the two groups. Conclusions: This study found a significant association between dermatoglyphic pattern anomalies and the development of bipolarity. This may offer a scope of primordial prevention of bipolar disorder in future. Key words: Dermatoglyphics, ridge pattern, bipolar disorder, Total Finger Ridge Count (TFRC), Total A-B Ridge Count (TABRC), ATD angle.


2015 ◽  
Vol 3 (3) ◽  
pp. 12-16
Author(s):  
Raju Kumar Dubey ◽  
Narayan Gautam ◽  
Niraj Dhakal ◽  
Nirmal Baral ◽  
Madhab Lamsal ◽  
...  

INTRODUCTION: Brain is particularly vulnerable to oxidative free radicals. Oxidative stress might primarily or secondarily be involved in the pathogenesis of Bipolar Affective Disorder. Therefore this study was aimed to estimate & compare parameters of oxidative stress and antioxidant levels in patients with Bipolar Affective Disorder and healthy controls. MATERIAL AND METHODS: A total of 32 Bipolar Affective Disorder patients and 30 healthy subjects were recruited in this study. Plasma MDA level was measured as indicator of lipid peroxidation and SOD and CAT activities were determined as a measure of antioxidant status. RESULT: Out of total Bipolar Affective Disorder patients 21 were in mania with psychotic symptoms, 8 were in mania without psychotic symptoms and only 3 were in mixed episode. Significantly (p<0.001) elevated MDA level (nmol/ml) was found in before treatment patient group (7.11 ± 1.62) as compared to control (3.02 ± 1.30) group. Patients on follow-up also had significantly increased MDA level (nmol/ml) (5.37 ± 1.36) as compared to control group and decrease in level was significant (p<0.001) in comparison to before treatment patients. CAT and SOD activities (U/gm Hb) were significantly decreased in both before treatment (87.57 ± 28.79 & 1341 ± 167.18) and after treatment (77.12 ± 29.48 & 1305.56 ± 154.86) patients group compared to the control (155.92 ± 29.43 & 1408.14 ± 78.82) group respectively. CAT and MDA were negatively correlated in the before treatment patients group (r = -0.356, p<0.05).  CONCLUSION: The findings suggest that there is increased oxidative stress in Bipolar Affective Disorder patients in comparison to controls.


2020 ◽  

Objectives: The current study aimed to examine the correlation of the level of homocysteine (Hcy) in the serum with attention and executive functions in patients suffering from type I stable bipolar affective disorder. Methods: The present cross-sectional study was conducted on 170 participants in Huzhou, Zhejiang province, China, within July 2016 to December 2017. The subjects were divided into patients with schizophrenia (n=100) as the study group and healthy volunteers (n=70) as the control group. The Hcy and folic acid levels of fasting ulnar vein serum were determined using the chemiluminescent microparticle immunoassay. Patient attention was evaluated by the Trail Making Test A (TMTA), and executive functions were assessed using the Trail Making Test B (TMTB) and Stroop Color and Word Test (SCWT). Results: The serum Hcy value was significantly higher in the study group than that reported for the control group (19.01±5.83 and 11.40±4.62; P<0.001). The results of several tests of attention (59.39±19.27 and 53.26±14.82; P=0.027) and executive functions (123.75±40.60 and 107.52±29.31; P=0.013) were poorer in the study group. The serum Hcy value positively correlated with the disturbance variables of the TMTA, TMTB, and Trail Making Test. However, the duration of the Stroop-C test (SCT) and SCWT negatively correlated with the correct number of the SCT and SCWT. Conclusions: The increase in the level of serum Hcy is closely correlated with the impairment of attention and executive functions in patients suffering from type I stable bipolar affective disorder.


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