Epidemiology of DSM-5 bipolar I disorder: Results from the National Epidemiologic Survey on Alcohol and Related Conditions – III
Autor: | Carlos Blanco, Benjamin I. Goldstein, Tulshi D. Saha, Bridget F. Grant, W. June Ruan, Boji Huang, Wilson M. Compton |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male medicine.medical_specialty Bipolar Disorder Bipolar I disorder Adolescent Poison control Comorbidity Article DSM-5 Disability Evaluation Young Adult 03 medical and health sciences Sex Factors 0302 clinical medicine Interview Psychological Prevalence medicine Humans Psychiatry Biological Psychiatry Aged business.industry Age Factors Odds ratio Middle Aged medicine.disease Personality disorders United States 030227 psychiatry Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Socioeconomic Factors Quality of Life Pacific islanders Anxiety Female medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | J Psychiatr Res |
ISSN: | 0022-3956 |
DOI: | 10.1016/j.jpsychires.2016.10.003 |
Popis: | Background The objective of this study was to present 12-month and lifetime prevalence, correlates, comorbidity, treatment and disability of DSM-5 bipolar I disorder. Methods Nationally representative U.S. adult sample (N = 36,309), the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions - III. Results Prevalences of 12-month and lifetime DSM-5 bipolar I disorder were 1.5% and 2.1% and did not differ between men (1.6% and 2.2%) and women (1.5% and 2.0%). Prevalences of bipolar I disorder were greater among Native Americans, and lower among Blacks, Hispanics and Asians/Pacific Islanders than whites. Rates were also lower among younger than older individuals, those previously married than currently married and with lower education and income relative to higher education and income. Bipolar I disorder was more strongly related to borderline and schizotypal personality disorders (adjusted odds ratios (AORS) = 2.2-4.7)), than to anxiety disorders (AORs = 1.3-2.9), and substance use disorders (AORs = 1.3-2.1) overall and among men and women. Quality of life was lower among individuals with bipolar I disorder relative to those without the disorder. Treatment rates among individuals with bipolar I disorder were low in the total sample (46%, SE = 2.63), among men (36.7%, SE = 3.82) and among women (55.8%, SE = 3.32). Conclusions Bipolar I disorder continues to be common disabling and highly comorbid disorder among men and women, contributing substantially to low quality of life and burden of disease in our society. |
Databáze: | OpenAIRE |
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