We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The clinical aspect of bipolar disorder type 1: about a mediterranean population.
- Authors
Zgueb, Y.; Chakroun, M.; Khaled, D. Ben; Hechmi, S.; Ouali, U.; Nacef, F.
- Abstract
Introduction: Bipolar disorders are one of the most severe psychiatric disorders, implying a high degree of morbidity and incapacity for patients. Some factors contribute to modifying the clinical profile and the course of the disease. Objectives: The aims of our study were to determine the Clinical and evolutionary aspect of bipolar disorder type 1 in a Mediterranean population. Methods: A cross-sectional and retrospective study included 150 Tunisian patients. Demographic data and the course of the disease were extracted from patients' medical files. Results: Forty-six patients had a family history of bipolar disorder. Sixty-nine patients (46%) were smokers. Twenty-six patients (17.3%) were alcohol users. Aggressive behavior was found in 26.7% of cases. A criminal record was found in 18 patients (12%). The average age of onset of the disease was 26.23 ± 7.88 years old. The time between onset of disorders and follow-up in psychiatry was more than one year in 50 patients (33.3%). The first thymic episode was predominantly manic (48%), and severe with psychotic features (57,3%). The average number of years of disease progression was 15.95 ± 9.6 years. the average number of relapses was 7.28±5.38. Therapeutic compliance was good in 44.7% of cases. The average number of treatment discontinuations per year was 2.17±1.32 because of side effects in 15.7% of cases. Conclusions: Numerous other studies have confirmed this clinical aspect, especially in the tropical and Mediterranean regions. European and American studies do not find the same results. Other comparative studies are desirable.
- Subjects
BIPOLAR disorder; TERMINATION of treatment; AGGRESSION (Psychology); CRIMINAL records; MENTAL illness
- Publication
European Psychiatry, 2020, Vol 63, pS314
- ISSN
0924-9338
- Publication type
Article