ISSN 1302-6631
 

Original Research (Original Article) 


Effects of comorbid personality disorders in bipolar type I disorder patients to disease course

Recep Emre Tan, Burcu Rahşan Erim, Neşe Üstün, Rıdvan Üney.

Abstract
Objective: It was planned to compare bipolar I patients (BP-I) with personality disorder (PD) and without any personality disorder in terms of variables such as disease characteristics, disease course, suicide risk, alcohol and substance use. Methods: This cross-sectional study 99 patients with BP I according to DSM-IV TR and gave to informed consent were included. Sociodemographic Data Form, Hamilton Depression Scale, Young Mania Scale, and DSM-IV-TR-SCID-II were administered to participants. Results: At least one PD was detected in 38 (38.4%) patients with BP-I. Histrionic type (18%) PD was the most common in patients. Two types of PD were found in 21.2% and three types of PD were found in 6.1% of the participants. In patients without personality disorder, the mean number of hospitalizations and the total number of manic episodes were high while the total number of depressive episodes was low. The incidence of atypical depression, attempted suicide, and alcohol-substance abuse were statistically higher in patients with multiple PD than non-PD group. Conclusion: BP-I patients with multiple PD have more depressive episodes than non-PD patients; this group of patients should be considered as a special subgroup that should be followed carefully because of the atypical nature of these attacks, more suicide rates and the use of more alcohol and substance. In addition, these patients lower hospitalization times may need to be interpreted in favor of not being able to complete the treatment. For this reason, it may be important to monitor these patients out-patiently.

Key words: Bipolar disorder, personality disorder, comorbidity



Bipolar tip I bozukluk hastalarında kişilik bozukluğu eş tanısının hastalığın gidişine etkileri

Ozet
Amaç: Bir kişilik bozukluğu (KB) olan ve herhangi bir KB olmayan bipolar tip I bozukluğu (BP-I) hastalarının hastalık özellikleri, hastalığın gidişi, intihar riski, alkol ve madde kullanımı gibi değişkenler açısından karşılaştırılması plan-lanmıştır. Yöntem: Kesitsel desendeki bu çalışmaya, DSM-IV-TR’e göre BP-I tanısıyla izlenen ve gönüllü onamı alınan 99 hasta alınmıştır. Katılımcılara Sosyodemografik Veri Formu, Hamilton Depresyon Ölçeği, Young Mani Ölçeği ve DSM-IV-TR-SCID-II yönergesi uygulandı. Bulgular: BP-I bozukluk hastalarının 38’inde (%38.4) en az bir KB saptandı. Hastalarda en fazla histriyonik KB (%18) bulundu. Katılımcıların %21.2’sinde iki çeşit KB, %6.1’inde üç çeşit KB saptandı. Birden fazla KB olan ve KB olmayan BP-I hastalar klinik özellikler açısından karşılaştırıl-dığında, KB olmayan hastalarda ortalama yatış süresi ve toplam manik atak sayısı yüksekken, toplam depresif atak sayısı düşük bulundu. Birden fazla KB olan hastalarda atipik depresyon görülme, intihar girişiminde bulunma ve alkol-madde kullanma oranları, KB olmayan gruptan istatistiksel olarak yüksek bulundu. Tartışma: Birden fazla KB olan BP-I hastaları KB olmayanlara göre daha fazla depresif atak geçirmeleri, ayrıca bu atakların atipik özellikli olması, daha çok alkol/madde kullanmaları ve daha çok intihar etme oranları göz önünde bulundurularak dikkatle izlenmesi gereken özel bir alt grup olarak ele alınmalıdır. Ayrıca bu hastaların daha düşük oranda hastanede kalma süreleri de tedaviyi tamamlayamama lehine yorumlanarak izlemelerinde ayaktan tedavinin daha ön planda olma-sına özen gösterilmesi gerekebilir.

Anahtar Kelimeler: Bipolar bozukluk, kişilik bozukluğu, eş tanı


 
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How to Cite this Article
Pubmed Style

Tan RE, Erim BR, Ustun N, Uney R. Effects of comorbid personality disorders in bipolar type I disorder patients to disease course. Anadolu Psikiyatri Derg. 2019; 20(3): 237-244. doi:10.5455/apd.3721


Web Style

Tan RE, Erim BR, Ustun N, Uney R. Effects of comorbid personality disorders in bipolar type I disorder patients to disease course. http://www.anadolupsikiyatri.net/?mno=3721 [Access: July 20, 2019]. doi:10.5455/apd.3721


AMA (American Medical Association) Style

Tan RE, Erim BR, Ustun N, Uney R. Effects of comorbid personality disorders in bipolar type I disorder patients to disease course. Anadolu Psikiyatri Derg. 2019; 20(3): 237-244. doi:10.5455/apd.3721



Vancouver/ICMJE Style

Tan RE, Erim BR, Ustun N, Uney R. Effects of comorbid personality disorders in bipolar type I disorder patients to disease course. Anadolu Psikiyatri Derg. (2019), [cited July 20, 2019]; 20(3): 237-244. doi:10.5455/apd.3721



Harvard Style

Tan, R. E., Erim, . B. R., Ustun, . N. & Uney, . R. (2019) Effects of comorbid personality disorders in bipolar type I disorder patients to disease course. Anadolu Psikiyatri Derg, 20 (3), 237-244. doi:10.5455/apd.3721



Turabian Style

Tan, Recep Emre, Burcu Rahsan Erim, Nese Ustun, and Ridvan Uney. 2019. Effects of comorbid personality disorders in bipolar type I disorder patients to disease course. Anatolian Journal of Psychiatry, 20 (3), 237-244. doi:10.5455/apd.3721



Chicago Style

Tan, Recep Emre, Burcu Rahsan Erim, Nese Ustun, and Ridvan Uney. "Effects of comorbid personality disorders in bipolar type I disorder patients to disease course." Anatolian Journal of Psychiatry 20 (2019), 237-244. doi:10.5455/apd.3721



MLA (The Modern Language Association) Style

Tan, Recep Emre, Burcu Rahsan Erim, Nese Ustun, and Ridvan Uney. "Effects of comorbid personality disorders in bipolar type I disorder patients to disease course." Anatolian Journal of Psychiatry 20.3 (2019), 237-244. Print. doi:10.5455/apd.3721



APA (American Psychological Association) Style

Tan, R. E., Erim, . B. R., Ustun, . N. & Uney, . R. (2019) Effects of comorbid personality disorders in bipolar type I disorder patients to disease course. Anatolian Journal of Psychiatry, 20 (3), 237-244. doi:10.5455/apd.3721





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