Bipolarity: Which Mask Today? - 09/06/15
Résumé |
Introduction |
The limits of bipolar disorder can be difficult to trace and they merge with other syndromic groups, and this is a diagnostic and therapeutic challenge. Indeed, an early diagnosis can reduce the duration and severity of the episodes as well as the risk of suicide.
Objective |
The objective of our study was to determine the different clinical diagnoses made before the bipolarity and the main therapeutic errors and their consequences.
Methods |
This is a retrospective descriptive study based on the records of bipolar patients hospitalized . Data were collected using a medical form assessing sociodemographic and clinical data, the diagnoses obtained before the bipolarity, corollaries therapeutic conducts and the time required to adjust the diagnosis.
Results |
Seventy cases of bipolar patients hospitalized in our department were reviewed.
• | In 28.5% of cases, the first retained diagnosis was other than bipolar disorder: the most frequent initial diagnosis was major depressive disorder (35%), followed by a not specified psychotic disorder (25%), schizophrenia (12.1%) of personality disorder (10%) and substance abuse (6.3%). |
• | An average of eight years was necessary for the diagnosis of bipolar disorder, starting from the first hospitalization. |
• | In over 60% of the cases, treatment with incisive antipsychotic was introduced and lasted more than six months. An antidepressant was prescribed in 35% of the cases. The prescription of mood stabilizers was absent in the majority of cases (> 70%). |
Conclusion |
In one third of the cases, the diagnosis of bipolar disorder is delayed causing an inadequate therapy management.
Le texte complet de cet article est disponible en PDF.
Vol 30 - N° S1
P. 456 - mars 2015 Retour au numéro
Article précédent
- A Trend of Medication Prescription Pattern for Outpatients with Bipolar Disorder in a University Hospital: Focusing On Atypical Antipsychotics
- D. Jon, W. Bahk, Y. Kwon, K. Lee, M. Kim, S. Lee, B. Yoon, W. Kim, J. Seo
- Clinical, Evolutionary and Therapeutic Characteristics of Mixed States
- F. Medini, W. Homri, I. Ben Romdhane, A. Belkiria, R. Labbane
Bienvenue 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 ?