Demographic and Clinical Characteristics of Individuals in a Bipolar Disorder Case Registry

Kupfer, David J.; Frank, Ellen; Grochocinski, Victoria J.; Cluss, Patricia A.; Houck, Patricia R.; Stapf, Debra A.

doi:10.4088/jcp.v63n0206

Cited by 257 publications

(176 citation statements)

References 9 publications

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“…Other studies assessing this issue find contradictory results 21 . According to Schaffer 22 , a possible explanation would be that patients experiencing depressive symptoms may be more likely to seek treatment than those with manic symptoms, especially if they are mild, and most data show that women with bipolar disorder suffer more depressive episodes than men 23 . On the other hand, we did not find any gender differences in risk, or the number or length of admissions.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in the use of mental health services in a Barcelona area

et al. 2012

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-Background and Objectives:The exploration of the use of specialised mental health services and the prevalence of mental disorders recorded by these services is important when planning and adapting the various mental health services to real users' needs. The fact of being a woman has repeatedly proved to be a predicting factor for higher service use and this could imply than such needs may vary according to gender. The objectives of our study are: to analyse the attended prevalence in both out-patient and hospital services data as per diagnoses according to gender, and to analyse the use of hospital care services with respect to diagnoses according to gender.Methods: The sample for this observational and retrospective study (n = 65,465) is comprised of everyone who visited any of the Sant Joan de Déu-SSM mental health services between 2002 and 2007. Main measures: total number of consultations, and number and length of hospitalisations.Results: Women presented higher attended prevalence. Men show a higher risk of a first hospitalisation and longer length of admissions. Among the group of admitted patients, the number of women is higher. With regard to diagnosis, gender influences the attended prevalence. Regarding hospitalisation, we find differences in patients with schizophrenia and other mood disorders.Conclusions: The main result is that women have a higher attended prevalence of mental disorders than men. In the total sample, women have a higher number of hospitalisa-GENDER DIFFERENCES IN THE USE OF MENTAL HEALTH SERVICES... 31

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Section: Discussionmentioning

confidence: 99%

Gender differences in the use of mental health services in a Barcelona area

et al. 2012

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“…For the usa sample, a detailed description of the recruitment and diagnostic validation of the stanley Center Bipolar registry has been reported elsewhere (Cluss et al 1999;kupfer et al 2002), and we will therefore provide only a brief description here. subjects identifying themselves as having bipolar disorders were recruited through stanley Center staff presentations at patient and family organization meetings and at meetings with healthcare professionals (in community mental health clinics, private psychiatry practices and general hospitals with psychiatric services, university psychiatric departments and state psychiatric hospitals), announcements in newspapers, on the radio and on television, and through a web site.…”

Section: Theoretical Age-at-onset Function For the Usa And European Smentioning

confidence: 99%

Age at onset in bipolar I affective disorder in the USA and Europe

Bellivier

Étain

Malafosse³

et al. 2011

The World Journal of Biological Psychiatry

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Objective. to test for differences in reported age at onset (aao) of bipolar i affective disorder in clinical samples drawn from europe and the usa. Methods. admixture analysis was used to identify the model best fitting the observed aao distributions of two large samples of bipolar i patients from europe and usa (n  3616 and n  2275, respectively). theoretical aao functions were compared between the two samples. Results. the model best fitting the observed distribution of aao in both samples was a mixture of three gaussian distributions. the theoretical aao functions of bipolar i disorder differed significantly between the european and usa populations, with further analyses indicating that (i) the proportion of patients belonging to the early-onset subgroup was higher in the usa sample (63 vs. 25%) and (ii) mean age at onset (sD) in the early-onset subgroup was lower for the usa sample (14.5  4.9 vs. 19  2.7 years). Conclusions. the models best describing the reported aao distributions of european and usa bipolar i patients were remarkably stable. the intermediate-and late-onset subgroups had similar characteristics in the two samples. however, the theoretical aao function differed significantly between the usa and european samples due to the higher proportion of patients in the early-onset subgroup and the lower mean age-at-onset in the usa sample.

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“…54 In addition, polypharmacy is the rule in these patients; only 20.6% of patients with bipolar disorders are managed with monotherapy. 55 A comprehensive discussion of pharmacotherapy for bipolar disorders is beyond the scope of this article; however, some key issues will be mentioned. Lithium has been the standard of treatment of bipolar disorders for many decades.…”

Section: Treating the Patient With Bipolar Depressionmentioning

confidence: 99%