12-Month Outcome of Patients With Bipolar Disorder Following Hospitalization for a Manic or Mixed Episode

2003 ◽  
Vol 1 (1) ◽  
pp. 44-52 ◽  
Author(s):  
Paul E. Keck ◽  
Susan L. McElroy ◽  
Stephen M. Strakowski ◽  
Scott A. West ◽  
Kenji W. Sax ◽  
...  
2017 ◽  
Vol 13 (1) ◽  
pp. 49-57
Author(s):  
Baikuntha Raj Adhikari ◽  
S Mishra ◽  
S Nepal ◽  
N Sapkota

Background: Psychosis in bipolar disorder is common but still not well understood. There is paucity of literature from our country and none from this institute which serves the eastern part of Nepal.Objective: To describe the hallucinations and delusions in bipolar disorders in our place.Methods: Patients-record files of bipolar disorders with psychosis discharged in two years’ time from 2012 to 2014 were analysed. Patients with unipolar depression, recurrent depressive disorder, serious organic illness, and primary substance use disorders were excluded. Information was collected in a structured performa. Association of delusion and hallucination was observed.Results: During the study period, ninety-five patients with bipolardisorder had psychosis. Hallucination was present in 29 (30.5%) cases, and out of these 23 (79.3%) were cases of mania. In 26 (89.7%) patients, the hallucinations were mood congruent. The median duration of appearance of hallucination was 10 days and appeared early in mania. Among hallucinations, auditory verbal hallucinations were present in all 29 patients. Delusions were present in 77 (81.1%) of patients, and grandiose delusions were the most common. Grandiose delusions tended to occur even in the absence of hallucinations. Conclusion: Psychosis is common in bipolar disorder. Grandiose delusions are the most common delusion and are relatively independent of hallucination. The auditory verbal hallucinations are the most common type of hallucination. Hallucinations in mania tend to manifest earlier than in bipolar depression and mixed episode, and most of the hallucinations in bipolar disorder are mood congruent. Health Renaissance 2015;13 (1): 49-57


2014 ◽  
Vol 24 ◽  
pp. S446
Author(s):  
N.I. Nuñez Morales ◽  
S. López Zurbano ◽  
M.P. López-Peña ◽  
I. Zorrilla ◽  
A.M. González-Pinto

2012 ◽  
Vol 46 (4) ◽  
pp. 388-388 ◽  
Author(s):  
Deidre J Smith ◽  
Isaac Schweitzer ◽  
Nick Ingram ◽  
Colleen Loo

2002 ◽  
Vol 16 (1) ◽  
pp. 84-91 ◽  
Author(s):  
Michael R. Basso ◽  
Natasha Lowery ◽  
Jackie Neel ◽  
Rod Purdie ◽  
Robert A. Bornstein

2007 ◽  
Vol 9 (3) ◽  
pp. 221-229 ◽  
Author(s):  
Christine A Carroll ◽  
Jenifer L Vohs ◽  
Brian F O'Donnell ◽  
Anantha Shekhar ◽  
William P Hetrick

2007 ◽  
Vol 164 (4) ◽  
pp. 582-590 ◽  
Author(s):  
Melissa P. DelBello ◽  
Dennis Hanseman ◽  
Caleb M. Adler ◽  
David E. Fleck ◽  
Stephen M. Strakowski

2014 ◽  
Vol 205 (3) ◽  
pp. 214-220 ◽  
Author(s):  
Lars Vedel Kessing ◽  
Eleni Vradi ◽  
Per Kragh Andersen

BackgroundNo study has investigated when preventive treatment with lithium should be initiated in bipolar disorder.AimsTo compare response rates among patients with bipolar disorder starting treatment with lithium earlyv.late.MethodNationwide registers were used to identify all patients with a diagnosis of bipolar disorder in psychiatric hospital settings who were prescribed lithium during the period 1995–2012 in Denmark (n= 4714). Lithium responders were defined as patients who, following a stabilisation lithium start-up period of 6 months, continued lithium monotherapy without being admitted to hospital. Earlyv.late intervention was defined in two ways: (a) start of lithium following first contact; and (b) start of lithium following a diagnosis of a single manic/mixed episode.ResultsRegardless of the definition used, patients who started lithium early had significantly decreased rates of nonresponse to lithium compared with the rate for patients starting lithium later (adjusted analyses: firstv.later contact:P<0.0001; hazard ratio (HR) = 0.87, 95% CI 0.76–0.91; single manic/mixed episodev.bipolar disorder:P<0.0001; HR = 0.75, 95% CI 0.67–0.84).ConclusionsStarting lithium treatment early following first psychiatric contact or a single manic/mixed episode is associated with increased probability of lithium response.


2007 ◽  
Vol 22 ◽  
pp. S251
Author(s):  
I.A. Dan ◽  
G. Marian ◽  
A. Varghes

2001 ◽  
Vol 158 (8) ◽  
pp. 1324-1326 ◽  
Author(s):  
Scott W. Woods ◽  
Roy Money ◽  
C. Bruce Baker

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