Psychiatric and Medical Comorbiditiesinpatients With
Bipolar Disorder: A Hospital Based Study
Volume 2 - Issue 3
Ajaz Ahmad Suhaff*, A w khan, Sajid Mohammad wani, Bilal Ahmad and Yasmeen Jan
Received: April 17, 2019; Published: April 26, 2019
DOI: 10.32474/SJPBS.2019.02.000136
Full Text
PDF
To view the Full Article Peer-reviewed Article PDF
Abstract
The two most common bipolar disorders are bipolar I disorder and bipolar II disorder. Comorbid psychiatric disorders usually
precede the onset of bipolar disorder. Bipolar disorder often coexists with other Axis I and Axis II disorders. Studies have shown
that patients with mood disorders have more comorbid medical illnesses. Research has suggested that that there may be underlying
biological mechanisms linking mood disorder and many medical illnesses.The current study will determine the psychiatric and
medical disorders in a sample of patients with bipolar affective disorder in a general hospital setting.
Aims and Objectivest: study the socio-demographic profile of patients with Bipolar affective disorder, to study the prevalence
of psychiatric comorbidities in patients with Bipolar affective disorder and to study the prevalence of medical comorbidities in
patients with Bipolar affective disorder.
Methodology: This cross-sectional study was conducted at the department of Psychiatry, Sher-I-Kashmir Institute of Medical
Sciences (SKIMS), Medical College and hospital, Bemina, Srinagar, Jammu and Kashmir. Psychiatry department at SKIMS-MC is a
General Hospital Psychiatry unit.
Results: In the present study the mean age of patients was 34.3 years, Majority of patients were females, married. In this
study, obesity/ weight gain (n=52), chronic headache (n=45), hypertension (n=30), elevated serum lipids (n=28), thyroid disorders
(n=19), diabetes (n=12), GERD (n=9), CAD (n=4), epilepsy (n=2), COPD (n=2), bronchial Asthma (n=1), Parkinson’s disease (n=1),
CKD (n=1) were among the medical comorbidities. In this study the most prevalent psychiatric disorders in patients with BPAD
were Substance use disorder (n=32), somatoform disorders (n=18), Generalized anxiety disorder (n=12), obsessive and compulsive
disorder (n=11), panic disorder (n=9), simple phobia (n=7), eating disorders (n=5), social phobia (n=4), and PTSD (n=2).
Conclusion: The current study suggested that patient suffering from bipolar affective disorder are at increased risk of
developing medical or psychiatric comorbidities. It is very important for the treating physician to be aware of the prevalent medical
and psychiatric conditions patients with bipolar affective disorders and knowledge of these comorbidities help in prevention, early
detection and treatment of such illnesses as well will improve treatment response and prognosis in bipolar patients itself. Awareness
among healthcare professionals about the risks to which patients withaffective disorders are exposed is of great importance,
as the medical illnessesare likely to coexist with a mood disorder, which may help to improvediagnostics and management and
therefore clinical and social care for patients. Overall, the presence of comorbidities in BPD has negative prognostic implications for
psychological health and for medical well-being and longevity. In order to improve quality of life, prognosis and life expectancy for
those with these illnesses, it is important that further researches on this topic should be continued.
Keywords: Bipolar Disorder; Psychiatric Comorbidity; Medical Comorbidity; Anxiety Disorders; Substance Abuse
Abstract|
Background|
Aims and Objectives|
Material and Methods|
Methodology|
Results|
Discussion|
Conclusion|
References|