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Published in: Social Psychiatry and Psychiatric Epidemiology 2/2013

01-02-2013 | Original Paper

A positive relationship between ambient temperature and bipolar disorder identified using a national cohort of psychiatric inpatients

Authors: Tzu-I Sung, Mu-Jean Chen, Huey-Jen Su

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 2/2013

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Abstract

Objective

This study characterizes the positive relationship between daily temperature and bipolar disorder in a cohort of Taiwanese psychiatric inpatients.

Methods

Meteorological data, provided by the Central Weather Bureau (CWB) of Taiwan, were interpolated to create representative estimates of mean diurnal temperatures for 352 townships. Psychiatric inpatient admissions enrolled in the national health-care insurance system were retrieved from the 1996–2007 Psychiatric Inpatient Medical Claim (PIMC) dataset. The generalized linear mixed models with Poisson distribution were used to evaluate the relative risks of mean diurnal temperature with respect to increased admissions for bipolar disorder, while adjusting for internal correlations and demographic covariates.

Results

Increased relative risks of bipolar disorder admissions were associated with the increasing trends of temperature over 24.0 °C (50th ‰), especially for adults and females. The highest daily diurnal temperatures above 30.7 °C (99th ‰) had the greatest risks of bipolar hospitalizations.

Conclusion

Understanding the increase of bipolar disorder admissions occurring in extreme heat is important in the preparation and prevention of massive recurrences of bipolar episodes.
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Metadata
Title
A positive relationship between ambient temperature and bipolar disorder identified using a national cohort of psychiatric inpatients
Authors
Tzu-I Sung
Mu-Jean Chen
Huey-Jen Su
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 2/2013
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0542-5

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