scholarly journals Bipolar Disorder: Comorbidity with Other Mental Disorders

Psychiatry ◽  
2021 ◽  
Vol 19 (3) ◽  
pp. 15-21
Author(s):  
S. N. Vasilieva ◽  
G. G. Simutkin ◽  
E. D. Schastnyy ◽  
E. V. Lebedeva ◽  
N. A. Bokhan
Keyword(s):  
Bipolar Disorder ◽  
Mental Disorders ◽  
Behavioral Disorders ◽  
Mental Health Research ◽  
Study Group ◽  
Type I ◽  
Affective States ◽  
Icd 10 ◽  
High Level ◽  
Mental And Behavioral Disorders

Failure to diagnose bipolar disorder (BD) in time leads to an increase in suicide risk, worse prognosis of the disease, and an increase in the socioeconomic burden. Aim: to assess the incidence of comorbidity of bipolar disorder (BD) and other mental and behavioral disorders, as well as the sequence of formation of this multimorbidity. Patients and methods: in the Affective States Department of the Mental Health Research Institute TNRMC, 121 patients with a diagnosis of bipolar disorder were selected for the study group according to the ICD-10 diagnostic criteria. The predominance of women in the study group was revealed (n = 83; 68.6%; p < 0.01). Median age of male patients was 36 [30; 54] years, for females — 47 [34; 55] years. Results: data were obtained on a high level of comorbidity in the study group: in 46.3% of patients, BD was combined with another mental disorder. It was found that personality disorders as a comorbid disorder in type I bipolar disorder are less common than in type II bipolar disorder. Gender differences were found in the incidence of anxiety-phobic spectrum and substance use disorders in bipolar disorder. The features of the chronology of the development of bipolar disorder and associated mental disorders have been revealed. Conclusion: in the case of bipolar disorder, there is a high likelihood of comorbidity with other mental disorders. Certain patterns in the chronology of the formation of comorbid relationships between BD and concomitant mental and behavioral disorders were revealed.

Assessing Mental and Behavioral Disorder Impairment: Overview of Sixth Edition Approaches

2008 ◽  
Vol 13 (6) ◽  
pp. 1-7
Author(s):  
Norma Leclair ◽  
Steve Leclair ◽  
Robert Barth
Keyword(s):  
Mental Disorders ◽  
Behavioral Disorders ◽  
Psychotic Disorders ◽  
Behavioral Disorder ◽  
Behavioral Impairment ◽  
Central Nervous System Damage ◽  
Brain Functioning ◽  
Sixth Edition ◽  
Diagnostic And Statistical Manual ◽  
Mental And Behavioral Disorders

Abstract Chapter 14, Mental and Behavioral Disorders, in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, defines a process for assessing permanent impairment, including providing numeric ratings, for persons with specific mental and behavioral disorders. These mental disorders are limited to mood disorders, anxiety disorders, and psychotic disorders, and this chapter focuses on the evaluation of brain functioning and its effects on behavior in the absence of evident traumatic or disease-related objective central nervous system damage. This article poses and answers questions about the sixth edition. For example, this is the first since the second edition (1984) that provides a numeric impairment rating, and this edition establishes a standard, uniform template to translate human trauma or disease into a percentage of whole person impairment. Persons who conduct independent mental and behavioral evaluation using this chapter should be trained in psychiatry or psychology; other users should be experienced in psychiatric or psychological evaluations and should have expertise in the diagnosis and treatment of mental and behavioral disorders. The critical first step in determining a mental or behavioral impairment rating is to document the existence of a definitive diagnosis based on the current edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. The article also enumerates the psychiatric disorders that are considered ratable in the sixth edition, addresses use of the sixth edition during independent medical evaluations, and answers additional questions.

Opioid use disorders national registries and opioids sales registries: A 10-year prevalence study from a middle-income country

2021 ◽  
Vol 17 (5) ◽  
pp. 383-388
Author(s):  
Daniela Yucumá, MD ◽  
Ana Beatriz Pizarro, RN ◽  
Diego Alberto Moreno, MD ◽  
Juan David Mosos, MD ◽  
Marian Rincón-Montaña, MD ◽  
...  
Keyword(s):  
Behavioral Disorders ◽  
Progressive Increase ◽  
National Registry ◽  
Middle Income Country ◽  
Opioid Use ◽  
Middle Income ◽  
Middle Income Countries ◽  
Icd 10 ◽  
Opioid Use Disorders ◽  
Mental And Behavioral Disorders

Objectives: (1) To estimate the prevalence, geographic distribution, and demographic characteristics of patients diagnosed with mental and behavioral disorders due to the use of opioids in Colombia, between 2009 and 2018. (2) To describe the opioid sales trends in Colombia over the last few years.Methods: We conducted an observational study analyzing information from Individual National Registry of Health Services and the Colombian official database for pharmaceuticals prices and quantities sold. The included ICD-10 codes were mental and behavioral disorders due to the use of opioids (F11) codes subdivisions.Results: 12,557 cases of mental and behavioral disorders due to opioid use were reported, with a rate of 3.0 per 100,000 inhabitants for the studied period. Men represented 74.2 percent, with a male:female ratio of 2.9:1. The highest prevalence was found between 20 and 24 years, in the northwest Colombian area. A progressive increase in the total number of opioid units sold during the study period was found, and the most frequently sold opioids were tramadol (55 percent) and codeine (20 percent).Conclusions: Recognition of opioid use disorders has increased in the last 10 years; it affects more males than females, mostly young adults, and is higher in certain affluent regions of Colombia. We found a progressive annual increase in the sales of opioids in the country, which could be related to the increase in the rate of registries. Studies that have analyzed opioid abuse in Latin America are limited, and further studies are needed to evaluate this situation in middle-income countries from the region.

Neurocognitive disorders: Cluster 1 of the proposed meta-structure for DSM-V and ICD-11

2009 ◽  
Vol 39 (12) ◽  
pp. 2001-2012 ◽  
Author(s):  
P. Sachdev ◽  
G. Andrews ◽  
M. J. Hobbs ◽  
M. Sunderland ◽  
T. M. Anderson
Keyword(s):  
Mental Disorders ◽  
Task Force ◽  
Cognitive Disorders ◽  
Neurocognitive Disorders ◽  
Study Group ◽  
Normal Brain ◽  
Dsm V ◽  
Co Morbidity ◽  
Icd 10 ◽  
Dsm Iv

BackgroundIn an effort to group mental disorders on the basis of aetiology, five clusters have been proposed. In this paper, we consider the validity of the first cluster, neurocognitive disorders, within this proposal. These disorders are categorized as ‘Dementia, Delirium, and Amnestic and Other Cognitive Disorders’ in DSM-IV and ‘Organic, including Symptomatic Mental Disorders’ in ICD-10.MethodWe reviewed the literature in relation to 11 validating criteria proposed by a Study Group of the DSM-V Task Force as applied to the cluster of neurocognitive disorders.Results‘Neurocognitive’ replaces the previous terms ‘cognitive’ and ‘organic’ used in DSM-IV and ICD-10 respectively as the descriptor for disorders in this cluster. Although cognitive/organic problems are present in other disorders, this cluster distinguishes itself by the demonstrable neural substrate abnormalities and the salience of cognitive symptoms and deficits. Shared biomarkers, co-morbidity and course offer less persuasive evidence for a valid cluster of neurocognitive disorders. The occurrence of these disorders subsequent to normal brain development sets this cluster apart from neurodevelopmental disorders. The aetiology of the disorders is varied, but the neurobiological underpinnings are better understood than for mental disorders in any other cluster.ConclusionsNeurocognitive disorders meet some of the salient criteria proposed by the Study Group of the DSM-V Task Force to suggest a classification cluster. Further developments in the aetiopathogenesis of these disorders will enhance the clinical utility of this cluster.

Mental disorders in patients with tuberculosis

2020 ◽  
pp. 24-31
Author(s):  
Andrey Rashchupkin ◽  
Vitaliy Maksyutov
Keyword(s):  
Mental Disorders ◽  
Behavioral Disorders ◽  
Clinical Picture ◽  
Mental And Behavioral Disorders

Mental and behavioral disorders, as well as tuberculosis, are included in the list of socially significant diseases. In this regard, the topic of studying the clinical picture of mental disorders that occur in patients with tuberculosis is always an urgent topic.

scholarly journals Externalizing disorders: Cluster 5 of the proposed meta-structure for DSM-V and ICD-11

2009 ◽  
Vol 39 (12) ◽  
pp. 2061-2070 ◽  
Author(s):  
R. F. Krueger ◽  
S. C. South
Keyword(s):  
Mental Disorders ◽  
Substance Dependence ◽  
Task Force ◽  
Externalizing Disorders ◽  
Study Group ◽  
Good Reliability ◽  
Dsm V ◽  
Co Morbidity ◽  
Valid Cluster ◽  
Icd 10

BackgroundThe extant major psychiatric classifications DSM-IV and ICD-10 are purportedly atheoretical and largely descriptive. Although this achieves good reliability, the validity of a medical diagnosis is greatly enhanced by an understanding of the etiology. In an attempt to group mental disorders on the basis of etiology, five clusters have been proposed. We consider the validity of the fifth cluster, externalizing disorders, within this proposal.MethodWe reviewed the literature in relation to 11 validating criteria proposed by the Study Group of the DSM-V Task Force, in terms of the extent to which these criteria support the idea of a coherent externalizing spectrum of disorders.ResultsThis cluster distinguishes itself by the central role of disinhibitory personality in mental disorders spread throughout sections of the current classifications, including substance dependence, antisocial personality disorder and conduct disorder. Shared biomarkers, co-morbidity and course offer additional evidence for a valid cluster of externalizing disorders.ConclusionExternalizing disorders meet many of the salient criteria proposed by the Study Group of the DSM-V Task Force to suggest a classification cluster.

Emotional intelligence in bipolar disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. S330-S330
Author(s):  
E. Chapela ◽  
J. Quintero ◽  
M. Félix-Alcántara ◽  
I. Morales ◽  
C. Javier ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Emotional Intelligence ◽  
Mental Disorders ◽  
Social Cognitive ◽  
Type I ◽  
Severe Mental Disorders ◽  
Factors Affecting ◽  
Principal Factors ◽  
Competing Interest ◽  
Bipolar Patients

IntroductionEmotional intelligence is defined as the ability to process, understand and manage emotions. In bipolar disorder seem to be more conserved, with less functional impairment than other severe mental disorders as schizophrenia. So far, there are few studies analyzing emotional intelligence in bipolar disorder.ObjectiveThe objective of this research is to better understand the different characteristics and the factors affecting these social-cognitive dysfunctions in bipolar disorder.AimsTo explore possible factors related to emotional intelligence in these severe mental disorders: symptoms, cognitive functioning, quality of life and psychosocial function.Material and methodsTwenty-six adults bipolar type I patients were examined using MSCEIT (the most validated test for emotional intelligence), BPRS, YMRS, HDRS, WAIS-IV, TMT and Rey Figure in order to determine the level of emotional intelligence and factors relate.ResultsBipolar patients show lack of emotional intelligence when compared with general population. Cognitive impairment and age are the principal factors related.DiscussionResults are discussed and compared with recent literature.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Incidence of mental disorders in the population of municipal areas of the Сhelyabinsk region in the remote period after accidental radioactive contamination

2021 ◽  
pp. 22-30
Author(s):  
E. Y. Burtovaia ◽  
A. V. Akleyev ◽  
L. P. Barkovskaia ◽  
T. E. Kantina ◽  
E. A. Litvinchuk
Keyword(s):  
Mental Disorders ◽  
Behavioral Disorders ◽  
Radioactive Contamination ◽  
Descriptive Analysis ◽  
International Classification Of Diseases ◽  
Incidence Rates ◽  
Wide Range ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Chelyabinsk Region

Relevance. Both Russian and foreign researchers pay attention to the mental disorders in people with a history of accidental radiation exposure. A wide range of mental pathologies have been observed among the Chernobyl NPP clean-up workers, victims of the accident at the Fukushima Daiichi NPP, etc.Intention – To assess primary incidence of mental disorders and behavioral disorders in residents of the municipal areas of the Chelyabinsk region affected by radioactive contamination.Methodology. Primary incidence rates of mental disorders and behavioral disorders (F00–09, F20–99 ICD-10) were assessed for the period from 2005 to 2018 in residents of municipal areas of the Chelyabinsk regions (Kunashaksky, Krasnoarmeysky, Argayashsky, Kaslinsky, Sosnovsky districts) affected by radioactive contamination in 1949–1951 and 1957 as a result of the activities of the “Mayak” production association. These data were compared to that from non-contaminated Etkulsky district with similar population and economic activity. Mental disorders were classified according to the groups of the chapter V “Mental and behavioral disorders” of the International Classification of Diseases of the 10th revision (ICD-10). Incidence was calculated per 10 thousand population (0/000). Descriptive analysis of the registered primary incidence of mental disorders in residents of these districts of the Chelyabinsk region is presented.Results and discussion. The primary incidence rate of mental disorders in the Chelyabinsk region (49.1 ± 3.6) 0/000 significantly (p < 0.001) exceeds those in the Sverdlovsk (30.3 ± 4.2), Kurgan (30.2 ± 6.9) 0/000 regions and overall estimates for the Russian Federation (32.9 ± 3.8) 0/000 . In the remote period, primary incidence rates of mental disorders in the residents of some radioactively contaminated districts were higher vs Etkulsky district, but significantly lower than overall rates in the Chelyabinsk region (p < 0.001). Taking into account the territorial distribution of the exposed residents and their offspring in the Chelyabinsk region, mental retardation in residents of the Kunashak district should be closely monitored.Conclusion. Mental morbidity in areas accidentally contaminated more than 70 years ago now reflects the general trend of deterioration in the mental health of the population of the Chelyabinsk region. It can be assumed that the incidence of mental disorders in the population of the Chelyabinsk region is determined by a constellation of interacting factors (socio-economic, personal-psychological, radiation, informational and others), among which socially determined mechanisms of the mental pathology prevail.

scholarly journals Comorbidities of mental and behavioral disorders in chemically dependent patients in different periods of abstinence

2012 ◽  
Vol 61 (3) ◽  
pp. 139-147 ◽  
Author(s):  
Maria de Lourdes Pereira Costa ◽  
Luiz Carlos Marques de Oliveira
Keyword(s):  
Behavioral Disorders ◽  
Psychotic Disorders ◽  
Psychosocial Care ◽  
Response To Treatment ◽  
Additional Information ◽  
Icd 10 ◽  
Group 3 ◽  
Group 2 ◽  
Mental And Behavioral Disorders ◽  
Group 1

OBJECTIVE: To assess the frequency of comorbidities of mental and behavioral disorders (CMBD) in psychoactive substance (PAS)-dependent patients with different periods of abstinence cared for at Alcohol and Other Drug Psychosocial Care Centers (CAPS-ad). METHOD: All patients under treatment in the two CAPS-ad of the city of Uberlândia-MG, between April and September 2010, were consecutively assessed. The ICD-10 symptom checklist was used to diagnose CMBD; additional information was obtained from interviews and medical records. The patients were divided according to duration of abstinence: < 1 week (Group 1); 1-4 weeks (Group 2); and > 4 weeks (Group 3). RESULTS: Of all patients assessed, 62.8% were diagnosed with CMBD, which were more frequent (p < 0.05) in Group 1 (72%) than Group 3 (54.2%), and both groups were similar to Group 2 (61%). Depressive and anxiety disorders were more frequent among patients of Group 1. Mood disorders were more frequent (p < 0.05) in women [22/34 (65%) vs. 54/154 (35.1%)], whereas psychotic disorders were more frequent (p = 0.05) in men [16/154 (10.4%) vs. 0]. The presence of CMBD was associated with more severe clinical conditions. CONCLUSIONS: The higher frequency of diagnosis of CMBD in patients of Group 1 may have resulted from the difficulties in distinguishing mental disorders that are due to PAS intoxication or withdrawal from those that are not. However, to make the diagnosis of CMBD, even during detoxification, can increase the likelihood of better response to treatment.

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