Screening for bipolar depression in family medicine practices: Prevalence and clinical correlates
| Autor: | Milena S. Castelo, Paulo R. Nunes-Neto, Thomas Hyphantis, Roger S. McIntyre, André F. Carvalho, Danielle Silveira Macêdo, Dimos Dimellis, Joanna K. Soczynska, Konstantinos N. Fountoulakis, Márcio Gerhardt Soeiro-de-Souza |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Bipolar Disorder Primary care Young Adult Quality of life Surveys and Questionnaires mental disorders Prevalence medicine Humans Bipolar disorder Psychiatry Suicidal ideation Depression (differential diagnoses) Aged business.industry Mood Disorder Questionnaire Middle Aged Center for Epidemiologic Studies Depression Scale medicine.disease Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Quality of Life Female medicine.symptom Family Practice business Psychosocial Brazil Clinical psychology |
| Zdroj: | Journal of Affective Disorders. 162:120-127 |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2014.03.040 |
| Popis: | Background To compare individuals in primary care (PC) who screen positive for bipolar depression to those who screened positive for unipolar depression on mental health care ouctomes, PC service utilization, medical comorbidities, suicidal ideation, health-related quality of life (HRQoL) and psychosocial functioning. Methods In this cross-sectional study, participants (N=1197) answered self-reported measures of depressive symptoms (Center for epidemiologic studies depression scale), HRQoL (World Health Organization Quality of Life instrument-Abbreviated version), medical comorbidity (functional comorbidity index) and functioning (Functional Assessment Short test). Participants were partitioned into ‘bipolar’ and ‘unipolar’ depression groups based on a predefined cutoff on the Brazilian mood disorder questionnaire. Results The prevalence of bipolar depression was in PC was 4.6% (95% CI: 3.4–5.8). Participants with bipolar depression were more likely to endorse suicidal ideation, present with more medical comorbidities, report a worse physical HRQoL and have a higher rate of PC services utilization as compared to participants who screened positive for unipolar depression. Only six (10.9%) participants were recognized by the general practitioner as having a diagnosis of bipolar depression. Limitations The cross-sectional design prevents firm causal inferences from being drawn. A positive screen for BD does not substantiate the actual diagnosis. Co-morbid mental disorders were not accessed. Conclusions Bipolar depression is common and under-recognized in Brazilian PC services. A positive screen for bipolar depression was associated with worse clinical outcomes and greater PC service utilization. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect