what clinicians call mania

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Chat Rooms (twelve) By Jessica Ward Jones, MD, MPH Associate Information Editor
Reviewed by John M. Grohol, Psy.D. on July 29, 2010


Bipolar Disability Impacted by Prior Episodes
The frequency and sorts of prior episodes a bipolar specific has had may have a significant influence on their general life function.
According to new research, bipolar sufferers who have had much more episodes seem to possess much more overall disability.  People with more manic episodes have more issues with perform and household, and people with more depression have far more social trouble.
“This study shows that disability affects an important proportion of bipolar disorder sufferers and that previous course-of-illness variables,Office 2010 Professional Product Key, particularly a high number of manic episodes, and current psychopathology – as indicated by the presence of nicotine dependence or depressive symptoms – may be indicators of disability,” said Dr. Luis Gutiérrez-Rojas from the Institute of Neurosciences at the University of Granada in Spain, who led the research with his colleagues.
Bipolar disorder, also known by its older name “manic depression,” is a mental disorder that is characterized by alternating moods, “highs” (what clinicians call mania) and “lows” (also known as depression).  A lot more than 5 million Americans suffer from bipolar disorder, in line with the National Institute of Mental Health, and in line with the World Health Organization, it is the sixth leading cause of disability worldwide.
Gutiérrez-Rojas and his colleagues reviewed the psychiatric histories of 108 patients diagnosed with bipolar disorder.  The Sheehan Disability Scale was used to measure social and family existence disability.  Work disability was measured by whether or not the examine participant was receiving a disability payment. Slightly a lot more than half of the participants had some form of disability, and 37 percent had two kinds.
More than three previous manic episodes, current depression, nicotine dependence, and lower educational level were statistically associated with perform disability.
Difficulty with social purpose increased with the number of hospitalizations, with multiple previous episodes of depression, in people who had lack of social support, and with current depression.
In addition, people with bipolar disorder who were older, who showed potential signs of alcohol abuse, who had been hospitalized far more often,Cheap Office Ultimate 2007, or who had had repeated manic episodes, had more trouble with family members lifestyle.
Previous study has shown that repeated episodes and repeated hospitalizations for bipolar disorder can worsen the course of the illness.  Medication noncompliance can make symptoms a lot more difficult to treat. These data should encourage physicians and individuals to treat bipolar disorder far more aggressively,Office Professional Plus 2010 Key, as repeated episodes can also increase disability in several areas.
“Clinicians should make every effort to prevent relapses, to efficiently treat residual symptoms,Office 2007 Key, and to enhance the social support of these clients,” concludes Gutiérrez-Rojas.
The review is published in the July edition of the journal Psychiatry Study.
Source: Psychiatry Research




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