Twelve-Month Outcome in Bipolar Patients With and Without Personality Disorders
| Autor: | Brian J. McConville, Stephen M. Strakowski, Susan L. McElroy, Michael T. Sorter, Eduardo Dunayevich, Paul E. Keck, Kenji W. Sax |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Pediatrics
medicine.medical_specialty Multivariate analysis media_common.quotation_subject medicine.disease Logistic regression Personality disorders Psychiatry and Mental health Prevalence of mental disorders mental disorders medicine Personality In patient Bipolar disorder medicine.symptom Psychiatry Psychology Mania media_common |
| Zdroj: | The Journal of Clinical Psychiatry. 61:135-140 |
| ISSN: | 0160-6689 |
| DOI: | 10.4088/jcp.v61n0209 |
| Popis: | Background: We studied the 12-month course of illness after hospitalization for patients with a DSM-III-R diagnosis of bipolar disorder, manic or mixed episode, to identify the impact of a co-occurring personality disorder on measures of outcome. Method: Fifty-nine patients with bipolar disorder hospitalized for the treatment of a manic or mixed episode were recruited. Diagnostic, symptomatic, and functional evaluations were obtained at the index hospitalization. Personality disorders were assessed using the Structured Clinical Interview for DSM-III-R, personality disorders version (SCID-II). Patients were then reevaluated at 2, 6, and 12 months after discharge to assess syndromic, symptomatic, and functional recovery. Factors associated with outcome were identified using multivariate analyses. Results: Survival analyses showed that in the 12-month follow-up period, subjects with bipolar disorder and co-occurring personality disorder were significantly less likely to achieve recovery. Logistic regression analyses indicated that both a diagnosis of personality disorder and noncompliance with treatment were significantly associated with lack of syndromic recovery. Conclusion: Co-occurring personality disorders in patients with bipolar disorder are associated with poor outcome after hospitalization for mania. |
| Databáze: | OpenAIRE |
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