Underdiagnosis of Bipolar Disorder in Patients with Primary Diagnoses of Schizophrenia and Recurrent Depressive Disorder in Russian Federation (Observational, Non-interventional, Multicenter, Cross-sectional Diagnostic Study Maria). - 09/06/15
Résumé |
Introduction |
The Bipolar Disorder (BD) is underdiagnosed condition worldwide. In Russia BD-II is mostly diagnosed as recurrent depressive disorder (RDD), and most cases of mania or depression with psychotic symptoms (so-called affective-delusional states) have diagnosis of schizophrenia.
Objective |
To evaluate BD symptoms within the cohorts of inpatients with primary diagnoses of schizophrenia or RDD.
Methods |
Patients with primary diagnosis of schizophrenia, schizoaffective disorder RDD were included. Bipolarity Index (BI) was the primary variable. Mini International Neuropsychiatric Interview (MINI) was used as a diagnostic tool. Personal and Social Performance Scale (PSP), Hypomania Checklist (HCL-32), Angst criteria for bipolarity were used for evaluation. Medical history, demographic and clinical data were analyzed.
Results |
From 741 patients included in the study, only 12% of them reached diagnostic validity for BD using only BI (score ≥60). Using MINI and clinical data the diagnosis was revised to BD in 286 patients (38.6%). BD-I was diagnosed mostly in patients with former diagnosis of acute schizophrenia, BD-II was diagnosed exclusively in patients with former diagnosis of RDD. Mean PSP score in patients with BD was significantly higher (61.5±17.4 score) than in patients with the diagnosis of psychotic syndrome (39.3±16.2) and closer to that one in patients with RDD (63.0±16.8).
Conclusions |
In our study BI has not shown to be proper screening instrument for bipolar spectrum disorders. BD is underdiagnosed in Russia.
ClinicalTrials.gov Identifier: NCT01028196.
Supported by funding from AstraZeneca Pharmaceuticals.
Le texte complet de cet article est disponible en PDF.Vol 30 - N° S1
P. 560 - mars 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?