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- Title
Evaluation of Bipolar Disorder in Several Relapses over Time Using Generalized Estimating Equations.
- Authors
Amini, Payam; Najafi-Vosough, Roya; Ghaleiha, Ali; Mahjub, Hossein
- Abstract
Objective: Bipolar disorder is defined as a common and severe chronic disorder that causes several problems in a person's psychosocial functioning. This study aimed at modeling the development of bipolar disorder episodes using its determinant risk factors over time. Method: This retrospective cohort study was conducted in Hamadan province, the West of Iran, from April 2008 to September 2014. In this study, 124 patients with bipolar disorder (both Type I and Type II) participated. All patients had experienced 4 relapses. Generalized Estimating Equation (GEE) was used to model bipolar disorder episodes, and significance level was set at 0.05. Results: The mean (±SD) age of the patients was 33.2 (±11.55). Males were more likely to experience mania than depression compared to females (odds ratio = 2.30, 95% CI (1.37-3.86)). Patients who received psychotherapy plus medicine were less likely to experience mania than depression compared to drug receivers (odds ratio = 0.39, 95% CI (0.18-0.88)). In the spring, patients were more likely to experience mania than depression compared to the winter (OR = 2.22, 95% CI (1.18-4.19)). Conclusion: The results of the present study revealed that among bipolar disorder patients in the West of Iran, mania was much more prevalent than depression and mixed episodes. Moreover, it was found that sex, treatment, and season can determine the episodes of bipolar disorder.
- Subjects
IRAN; BIPOLAR disorder; CONFIDENCE intervals; MENTAL depression; LONGITUDINAL method; PSYCHOTHERAPY; REGRESSION analysis; TIME; DISEASE relapse; RETROSPECTIVE studies; STATISTICAL models; ODDS ratio; PSYCHOLOGY
- Publication
Iranian Journal of Psychiatry, 2017, Vol 12, Issue 3, p182
- ISSN
1735-4587
- Publication type
Article