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European Archives of Psychiatry and Clinical Neuroscience
Published in: European Archives of Psychiatry and Clinical Neuroscience 5/2023

01-02-2023 | Suicide | Original Paper

Psychiatric comorbidity in individuals with bipolar disorder: relation with clinical outcomes and functioning

Authors: Gabriela Léda-Rêgo, Paula Studart-Bottó, Stella Sarmento, Thiago Cerqueira-Silva, Severino Bezerra-Filho, Ângela Miranda-Scippa

Published in: European Archives of Psychiatry and Clinical Neuroscience | Issue 5/2023

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Abstract

The aim was to assess the lifetime prevalence of psychiatric comorbidity (PC) in Brazilian euthymic individuals with bipolar disorder type I, and investigate its effects on clinical outcomes and functioning. A group of 179 outpatients with BD-I in the recuperation phase were assessed, of whom 75 (41.9%) had PC and 104 (58.1%) had not. Both groups were compared using sociodemographic/clinical questionnaire, Structured Clinical Interview for DSM-IV axis I and II, Sheehan Disability and Barratt Impulsiveness Scales. Patients with PC presented less religious affiliation, more history of lifetime psychotic symptoms, rapid cycling, suicide attempts, worse scores of functioning, and higher prevalence of personality disorders. Ordinal logistic regression indicated that PC was associated with increased odds of worse levels of disability. Therefore, it could be observed that patients with BD evaluated only in euthymia presented a high mental disorders comorbidity. Considering their burdensome impact, appropriate management is a challenging reality and a crucial factor in reducing morbidity and mortality associated with BD. Further longitudinal studies on their relationship may broaden interventions to reduce patient’s suffering.
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Metadata
Title
Psychiatric comorbidity in individuals with bipolar disorder: relation with clinical outcomes and functioning
Authors
Gabriela Léda-Rêgo
Paula Studart-Bottó
Stella Sarmento
Thiago Cerqueira-Silva
Severino Bezerra-Filho
Ângela Miranda-Scippa
Publication date
01-02-2023
Publisher
Springer Berlin Heidelberg
Keywords
Suicide
Suicide
Published in
European Archives of Psychiatry and Clinical Neuroscience / Issue 5/2023
Print ISSN: 0940-1334
Electronic ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-023-01562-5

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