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Comparison of sociodemographic and clinical characteristics of bipolar patients with and without seasonal patterns/ Bipolar bozuklukta mevsimselligi olan ve olmayan hastalarin sosyodemografik ve klinik ozelliklerinin karsilastirilmasi

Berkol, Tonguc Demir ; Kirlioglu, Simge Seren ; Balcioglu, Yasin Hasan ; Ustun, Nese ; Islam, Serkan ; Ozyildirim, Ilker

Anadolu psikiyatri dergisi, 2017-11, Vol.18 (6), p.571 [Periódico revisado por pares]

Anadolu Psikiyatri Dergisi

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  • Título:
    Comparison of sociodemographic and clinical characteristics of bipolar patients with and without seasonal patterns/ Bipolar bozuklukta mevsimselligi olan ve olmayan hastalarin sosyodemografik ve klinik ozelliklerinin karsilastirilmasi
  • Autor: Berkol, Tonguc Demir ; Kirlioglu, Simge Seren ; Balcioglu, Yasin Hasan ; Ustun, Nese ; Islam, Serkan ; Ozyildirim, Ilker
  • Assuntos: Anxiety ; Bipolar disorder ; Care and treatment ; Comorbidity ; Comparative analysis ; Demographic aspects ; Diagnosis ; Medical research ; Seasonal variations (Diseases)
  • É parte de: Anadolu psikiyatri dergisi, 2017-11, Vol.18 (6), p.571
  • Descrição: Objective: Bipolar disorder (BD) affects 1-4% of the population worldwide and presents with seasonal patterns with an incidence of 20-30%. Limited studies exist on seasonality, its relation to sociodemographic and clinical characteristics, and effects on treatment in BD in Turkey. Methods: This retrospective study included 174 patients with a major diagnosis of BD according to the DSM-?V. Comorbidities were determined using the SCID-i. The study was conducted using a semi-structured interview schedule and a mood monitoring chart. The patients were divided into two groups, those with and those without seasonal patterns, and their sociodemographic and clinical characteristics were compared. Results: We found that 36.2% of patients with BD had seasonal patterns. Regardless of type, first episodes were significantly more frequent in the nonseasonal group. With respect to first-episode types, the manic type was significantly more frequent in the seasonal group and the depressive type in the nonseasonal group. The number of patients with a comorbid anxiety disorder (NOS) or dysthymia was significantly higher in the seasonal group and the hospitalized nonseasonal group. The rate of response to lithium monotherapy, mean duration of the disease, mean total number of episodes, and mean total number of mixed episodes were significantly higher in the seasonal group. Conclusion: The rate of dysthymia was significantly higher in the seasonal group, suggesting that those with seasonality have more depressive aspects. These results indicate that the prognosis for seasonal bipolar patients is poorer than for nonseasonal patients. Another important finding was the presence of a correlation between seasonality and a positive response to lithium protection. It has been established that the first episode of the disorder was manifested in the seasonal pattern. The first episode of BD is known to often develop as a depressive episode. These results suggest that it may be a predictor of seasonality. (Anatolian Journal of Psychiatry 2017; 18(6):571-576) Keywords: Bipolar disorder, seasonality, sociodemographic characteristics, clinical characteristics Amac: Bipolar bozukluk (BB), coklu etiyolojiye sahip, dunya genelinde nufusun %1-4'unu etkileyen, %20-30 oraninda mevsimsel gidis gosterebilen psikiyatrik bir bozukluktur. Turkiye'de BB'de mevsimsel gidisin sikligini, sosyodemografik ve klinik ozelliklerle iliskisini ve tedaviye etkilerini degerlendiren calisma sayisi azdir. Yontem: Calismaya, DSM-IV'e gore BB tanisi konmus, iyilik donemindeki 174 hasta alinmistir. Eslik eden psikiyatrik tanilari SCID-I ile belirlenmistir. Calismamiz, 'duygudurum izleme grafigi' ve sosyodemografik ve klinik ozellikleri degerlendiren yari yapilandirilmis gorusme cizelgesi doldurularak geriye donuk olarak yapilmistir. Mevsimsellik, hastanin tum donemlerinin en az %75'inin ayni donem tipi icin ayni mevsimde ortaya cikmasi olarak tanimlanmistir. Hastalar, mevsimsel gidis ozelligi olanlar ve olmayanlar olarak iki gruba ayrilmistir. Bulgular: Calismaya alinan hastalarin %36.2'sinin mevsimsel ozellik gosterdigi saptanmistir, ilk donem tip ayirt etmeden incelendiginde, mevsimsellik gostermeyen grupta anlamli duzeyde daha sik oldugu, ilk donem tipi karsilastirildiginda manik tipin mevsimsellik gosteren grupta, depresif tipin ise mevsimselligi olmayan grupta anlamli duzeyde daha sik oldugu gozlenmistir. Ayrica ek tanisi baska turlu adlandirilamayan anksiyete bozuklugu ve distimi olanlarin, mevsimsellik gosteren grupta, hastanede yatmis olanlarin ise mevsimsellik gostermeyen grupta anlamli duzeyde yuksek oldugu saptanmistir. Lityum monoterapisine yanit orani, ortalama hastalik suresi, toplam gecirilmis donem sayisi ortalamasi ve toplam karma donem sayisi ortalamasi, mevsimsellik gosteren grupta anlamli duzeyde yuksek bulunmustur. Sonuc: Ortalama hastalik suresi, toplam gecirilmis donem sayisi ortalamasi ve toplam karma donem sayisi ortalamasi, mevsimselligi olan grupta anlamli duzeyde yuksek bulunmustur. Eksen-I ek tanilarindan distimi orani mevsimsel gidis ozelligi olan grupta anlamli duzeyde daha yuksek saptanmistir. Bu bulgu mevsimsel ozellikli olanlarin depresif ozelliklerinin daha fazla oldugunu gostermektedir. Tum bu bulgular bize mevsimsel ozellikli hastalarin prognozlarinin daha kotu oldugunu gostermektedir. Diger bulgu, mevsimsellik ile lityum korumasina olumlu yanitin iliskili oldugudur. Mevsimsel ozelligi olan grubun ilk donemde gorulmesi, mevsimsel ozelligi olmayan gruba gore anlamli bulunmustur. BB'nin ilk olarak siklikla depresif donem seklinde olarak basladigi bilinmektedir. Bu bulgularin mevsimsellik icin on belirtec olabilecegini dusundurmektedir. (Anadolu Psikiyatri Derg 2017; 18(6):571-576) Anahtar sozcukler: Bipolar bozukluk, mevsimsellik, sosyodemografik ozellikler
  • Editor: Anadolu Psikiyatri Dergisi
  • Idioma: Turco
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