Impulsivity, Unplanned Pregnancies, and Contraception Among Women with Bipolar Disorder.

Abstract:

Background:Impulsivity is one of the principal symptoms of bipolar and related disorders (BD). Unsafe sex and unplanned pregnancies are serious problems in clinical practice. The aim of this study was to investigate impulsivity levels, contraception methods, and levels of planned pregnancies among women with bipolar and related disorders (WBD). Methods:Fifty-eight euthymic women with BD (bipolar disorder type I, II, or other) were matched by education levels with a control group of 59 healthy women. Data about their demographic, clinical-Barratt Impulsiveness Scale (BIS-11), Hamilton Depression Rating Scale, and Young Mania Rating Scale scores-and reproductive health features were obtained and compared between the groups. Results:No difference was found regarding BIS-11 (total, nonplanning, motor, and attentional subscales) scores between the WBD and control groups. The overall rate of contraception use was higher in WBD (96.6%), but they generally preferred "traditional" methods (i.e., withdrawal and calendar). The total rate of unplanned pregnancies in WBD was 49.52%. Rate of unplanned pregnancies in WBD was significantly different from women without bipolar disorder (49.52% vs 15.04%). Discussion:Levels of impulsivity in euthymic WBD under treatment were similar to those of healthy women in the control sample. WBD paid attention to contraception although they usually used traditional methods. The findings indicate that most WBD use contraception, yet the contraception is potentially ineffective especially if WBD have more unplanned pregnancies. The provision of an effective contraception method in WBD is suggested for all clinicians, in order to prevent sexually transmitted diseases and unplanned pregnancies, and thus protect the health of both mother and fetus.

authors

Zengin Eroglu M,Lus MG

doi

10.2147/NDT.S238887

subject

Has Abstract

pub_date

2020-02-07 00:00:00

pages

407-414

eissn

1176-6328

issn

1178-2021

pii

238887

journal_volume

16

pub_type

杂志文章
  • Changes of serum uric acid and total bilirubin in elderly patients with major postischemic stroke depression.

    abstract:Background:This was a longitudinal study which investigated the relationship between serum uric acid (SUA) and total bilirubin (Tbil) upon admission in elderly stroke patients and the occurrence of postischemic stroke depression (IPSD) at 3, 6, and 9 months of post-stroke follow-up. Subjects and methods:Data were anal...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S149712

    authors: Gao J,Xu W,Han K,Zhu L,Gao L,Shang X

    更新日期:2017-12-27 00:00:00

  • Anxiolytics may promote locomotor function recovery in spinal cord injury patients.

    abstract::Recent findings in animal models of paraplegia suggest that specific nonbenzodiazepine anxiolytics may temporarily restore locomotor functions after spinal cord injury (SCI). Experiments using in vitro models have revealed, indeed, that selective serotonin receptor (5-HTR) ligands such as 5-HTR(1A) agonists, known as ...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/ndt.s2839

    authors: Guertin PA

    更新日期:2008-08-01 00:00:00

  • Association between the high-dose use of benzodiazepines and rehospitalization in patients with schizophrenia: a 2-year naturalistic study.

    abstract:BACKGROUND:High-dose use of benzodiazepines (BZPs) reportedly causes adverse effects on cognitive function and quality of life in patients with schizophrenia. However, effects of BZPs on the clinical course of schizophrenia have not been clarified. This study was set out to investigate the association between BZPs and ...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S118759

    authors: Takita Y,Takaesu Y,Ono K,Futenma K,Shimura A,Murakoshi A,Komada Y,Inoue Y,Inoue T

    更新日期:2016-12-15 00:00:00

  • Focus group reflections on the current and future state of cognitive assessment tools in geriatric health care.

    abstract:OBJECTIVE:This study provides insight into the thoughts and opinions of geriatric health-care professionals toward cognitive assessments and the use of emerging technologies, such as eye-tracking, to supplement current tools. METHODS:Two focus group sessions were conducted with nurses and physicians who routinely admi...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S82881

    authors: Whitehead JC,Gambino SA,Richter JD,Ryan JD

    更新日期:2015-06-12 00:00:00

  • Atypical depression: current perspectives.

    abstract::The history and present status of the definition, prevalence, neurobiology, and treatment of atypical depression (AD) is presented. The concept of AD has evolved through the years, and currently, in Diagnostic and Statistical Manual of Mental Disorders (DSM), Fifth Edition, the specifier of depressive episode with aty...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章,评审

    doi:10.2147/NDT.S147317

    authors: Łojko D,Rybakowski JK

    更新日期:2017-09-20 00:00:00

  • Urban-rural differences in pediatric traumatic head injuries: A prospective nationwide study.

    abstract:AIMS:To estimate differences in the incidence of recorded traumatic head injuries by gender, age, severity, and geographical area. METHODS:The study was prospective and nationwide. Data were collected from all hospitals, emergency units and healthcare centers in Iceland regarding all Icelandic children and adolescents...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/ndt.s2034

    authors: Halldorsson JG,Flekkoy KM,Gudmundsson KR,Arnkelsson GB,Arnarson EO

    更新日期:2007-12-01 00:00:00

  • Profile of agomelatine and its potential in the treatment of generalized anxiety disorder.

    abstract:BACKGROUND:Although many generalized anxiety disorder (GAD) patients respond to the available pharmacological treatments, nearly half of them do not present the expected results. Besides, the side effects associated to some drugs have a negative impact on treatment adherence. Therefore, the aim of this review was to re...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章,评审

    doi:10.2147/NDT.S67470

    authors: Levitan MN,Papelbaum M,Nardi AE

    更新日期:2015-05-05 00:00:00

  • Inefficient understanding of non-factive mental verbs with social aspect in adults: comparison to cognitive factive verb processing.

    abstract:Introduction:Mental verbs denote inner mental states and are an important link between language and Theory of Mind ability conceptualized as mental state understanding. Non-factive mental verbs denote an obligation or intention and constitute a discrete class of mental verbs which are characterized by their social aspe...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S165893

    authors: Nazlidou EI,Moraitou D,Natsopoulos D,Papaliagkas V,Masoura E,Papantoniou G

    更新日期:2018-10-10 00:00:00

  • Pituitary dysfunction following traumatic brain injury: clinical perspectives.

    abstract::Traumatic brain injury (TBI) is a well recognized public health problem worldwide. TBI has previously been considered as a rare cause of hypopituitarism, but an increased prevalence of neuroendocrine dysfunction in patients with TBI has been reported during the last 15 years in most of the retrospective and prospectiv...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章,评审

    doi:10.2147/NDT.S65814

    authors: Tanriverdi F,Kelestimur F

    更新日期:2015-07-27 00:00:00

  • Attitudes toward antipsychotic treatment among patients with bipolar disorders and their clinicians: a systematic review.

    abstract:INTRODUCTION:Antipsychotics are recommended as first-line therapy for acute mania and maintenance treatment of bipolar disorder; however, published literature suggests their real-world use remains limited. Understanding attitudes toward these medications may help identify barriers and inform personalized therapy. This ...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章,评审

    doi:10.2147/NDT.S139557

    authors: Sajatovic M,DiBiasi F,Legacy SN

    更新日期:2017-08-30 00:00:00

  • Mirtazapine in the treatment of essential tremor: an open-label, observer-blind study.

    abstract:INTRODUCTION:Essential tremor (ET) is the most common movement disorder in the adult population. At present ET treatment shows limited efficacy, particularly in patients with severe and disabling symptoms. This study evaluates the clinical efficacy of mirtazapine in an untreated ET patient population. MATERIALS AND ME...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:

    authors: Uccellini D,Grampa G,La Spina I,Nasuelli D,Neromante I,Politini L,Reverberi F,Porazzi D,Carli V,Camardese G

    更新日期:2006-03-01 00:00:00

  • Disconnection of the hippocampus and amygdala associated with lesion load in relapsing-remitting multiple sclerosis: a structural and functional connectivity study.

    abstract:BACKGROUND AND PURPOSE:Little is known about the functional and structural connectivity (FC and SC) of the hippocampus and amygdala, which are two important structures involved in cognitive processes, or their involvement in relapsing-remitting multiple sclerosis (RRMS). In this study, we aimed to examine the connectiv...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S84602

    authors: Zhou F,Zhuang Y,Wang L,Zhang Y,Wu L,Zeng X,Gong H

    更新日期:2015-07-17 00:00:00

  • Delirium as a complication of the surgical intensive care.

    abstract:BACKGROUND:The aim of this study was to examine the impact of somatic illnesses, electrolyte imbalance, red blood cell count, hypotension, and antipsychotic and opioid treatment on the duration of delirium in Central Intensive Care Unit for Surgery. PATIENTS AND METHODS:Patients who were admitted to the Department of ...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S115800

    authors: Horacek R,Krnacova B,Prasko J,Latalova K

    更新日期:2016-09-22 00:00:00

  • Disability in patients consulting for anxiety or mood disorders in primary care: response to antidepressant treatment.

    abstract:BACKGROUND:The primary objective of this prospective observational study was to evaluate changes in self-reported disability in patients with anxiety or mood disorders 3 months after initiating antidepressant treatment. METHODS:This study included 8396 patients consulting 2433 general practitioners in France for a maj...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S34132

    authors: Gérard A,Liard F,Crochard A,Goni S,Millet B

    更新日期:2012-01-01 00:00:00

  • Gene-Environment Interactions in Major Mental Disorders in the Czech Republic.

    abstract:Background:Mental disorders affect about one-third of the human population, are typically chronic and significantly decrease the quality of life. Presently, the treatment of mental illnesses is far from adequate with a substantial proportion of the patients being pharmacoresistant and suffering from relapses. One of t...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S238522

    authors: Latalova K,Sery O,Hosakova K,Hosak L

    更新日期:2020-05-06 00:00:00

  • Reliability and validity of the Depression and Somatic Symptoms Scale among patients with chronic low back pain.

    abstract:Background:The Depression and Somatic Symptoms Scale (DSSS), which is a free scale that includes a depression subscale (DS) and a somatic subscale (SS), was developed to evaluate depression and somatic symptoms simultaneously. This study aimed to examine the reliability and validity of the DSSS among patients with chro...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S188277

    authors: Liu CH,Fu TS,Lee CP,Hung CI

    更新日期:2019-01-14 00:00:00

  • Clinical characteristics of synthetic cannabinoid-induced psychosis in relation to schizophrenia: a single-center cross-sectional analysis of concurrently hospitalized patients.

    abstract:BACKGROUND:This study aimed to evaluate synthetic cannabinoid (SC)-induced psychosis in terms of patient profile and clinical characteristics with reference to concurrently hospitalized schizophrenic patients. METHODS:A total of 81 male patients diagnosed with psychotic disorder induced by the use of SCs (n=50; mean (...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S107622

    authors: Altintas M,Inanc L,Oruc GA,Arpacioglu S,Gulec H

    更新日期:2016-08-02 00:00:00

  • Early stages of pediatric bipolar disorder: retrospective analysis of a Czech inpatient sample.

    abstract:BACKGROUND:Approximately 30%-60% of adults diagnosed with bipolar disorder (BD) report onset between the ages 15 and 19 years; however, a correct diagnosis is often delayed by several years. Therefore, investigations of the early features of BD are important for adequately understanding the prodromal stages of the illn...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S79586

    authors: Goetz M,Novak T,Vesela M,Hlavka Z,Brunovsky M,Povazan M,Ptacek R,Sebela A

    更新日期:2015-11-04 00:00:00

  • When to start aripiprazole therapy in patients with bipolar mania.

    abstract::Aripiprazole is a third generation atypical antipsychotic with compelling evidence as a highly effective treatment option in the management of acute manic and mixed episodes of bipolar I disorders. It has a unique mode of action, acting as a partial agonist at dopamine D2 and D3, and serotonin 5-HT1A; and exhibiting a...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章,评审

    doi:10.2147/NDT.S40066

    authors: Sayyaparaju KK,Grunze H,Fountoulakis KN

    更新日期:2014-03-13 00:00:00

  • Stress, anxiety, and depression among medical students in a multiethnic setting.

    abstract:BACKGROUND:Contemporary literature suggests that medical education might adversely affect students' mental health. Alfaisal University in Riyadh, Saudi Arabia is a developing institution; hence, there has been a concern regarding the mental well-being of the students. OBJECTIVES:This study was designed to assess the t...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S83577

    authors: Kulsoom B,Afsar NA

    更新日期:2015-07-16 00:00:00

  • Heme oxygenase-1 induction in the brain during lipopolysaccharide-induced acute inflammation.

    abstract::Delirium occurs in 23% of sepsis patients, in which pro-inflammatory cytokines and nitric oxide are suggested to be involved. However, in animal experiments, even a subseptic dose of lipopolysaccharide (LPS) injection induces both pro-inflammatory cytokines and inducible nitric oxide synthase in the brain, suggesting ...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/ndt.s3063

    authors: Maeda S,Nakatsuka I,Hayashi Y,Higuchi H,Shimada M,Miyawaki T

    更新日期:2008-06-01 00:00:00

  • Electroconvulsive Therapy for Patients with Catatonia: Current Perspectives.

    abstract::Catatonia is a serious, common syndrome of motoric and behavioral dysfunction, which carries high morbidity and mortality. Electroconvulsive therapy (ECT) is the definitive treatment for catatonia, but access to ECT for the treatment of catatonia remains inappropriately limited. Catatonia is observable, detectable, an...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章,评审

    doi:10.2147/NDT.S231573

    authors: Lloyd JR,Silverman ER,Kugler JL,Cooper JJ

    更新日期:2020-09-25 00:00:00

  • Measuring cortisol and DHEA in fingernails: a pilot study.

    abstract:PURPOSE:Abnormalities in both cortisol and dehydroepiandrosterone (DHEA) have been reported in psychiatric disorders. Analysis of saliva, urine and blood cortisol and DHEA levels provides an index of hormone levels over a short time period. Unlike such conventional measures, fingernails incorporate endogenous hormones ...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:

    authors: Warnock F,McElwee K,Seo RJ,McIsaac S,Seim D,Ramirez-Aponte T,Macritchie KA,Young AH

    更新日期:2010-02-03 00:00:00

  • Progress in understanding conversion disorder.

    abstract::Conversion disorder has a history that may reach back into antiquity, and it continues to present a clinical challenge to both psychiatrists and neurologists. This article reviews the current state of knowledge surrounding the prevalence, etiology, and neurobiology of conversion disorder. There have been improvements ...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:

    authors: Allin M,Streeruwitz A,Curtis V

    更新日期:2005-09-01 00:00:00

  • Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach.

    abstract:Purpose:This study aims to evaluate the quality of the Finnish clinical practice guideline related to schizophrenia care and how it can be utilized in psychiatric services. Participants and methods:The data were collected from one psychiatric ward and seven psychiatric outpatient units situated in two cities in Southe...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S192752

    authors: Vähäniemi A,Välimäki M,Pekurinen V,Anttila M,Lantta T

    更新日期:2019-05-09 00:00:00

  • Schizophrenia Treatment with Second-Generation Antipsychotics: A Multi-Country Comparison of the Costs of Cardiovascular and Metabolic Adverse Events and Weight Gain.

    abstract:Purpose:Cardiovascular and metabolic adverse events are costly to treat, and their incidence is increased amongst people with schizophrenia, with different rates observed for second-generation antipsychotics. To inform treatment choice, this study sought to estimate the lifetime costs associated with antipsychotic choi...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S282856

    authors: Kearns B,Cooper K,Cantrell A,Thomas C

    更新日期:2021-01-20 00:00:00

  • Relationship between apathy and tumor location, size, and brain edema in patients with intracranial meningioma.

    abstract:BACKGROUND:The purpose of this study is to assess the relationship between apathy and tumor location, size, and brain edema in patients with intracranial meningioma. METHODS:We enrolled 65 consecutive patients with meningioma and 31 normal controls matched for age, gender, and education. The patients were divided into...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S85288

    authors: Peng Y,Shao C,Gong Y,Wu X,Tang W,Shi S

    更新日期:2015-07-13 00:00:00

  • Affect regulation: a systems neuroscience perspective.

    abstract:OBJECTIVE:TO INTEGRATE: (1) the neuroanatomical model of affect regulation; (2) a functional model of affect regulation; and (3) the evolving picture of affect dysregulation as exemplified by bipolar disorder. METHODOLOGY:A computerized search for articles on related topics was augmented by additional selected studies...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/nedt.1.1.9.52299

    authors: Pavuluri MN,Herbener ES,Sweeney JA

    更新日期:2005-03-01 00:00:00

  • Pregabalin in the management of partial epilepsy.

    abstract::Pregabalin is a new antiepileptic medication that works by binding to alpha 2 delta subunit of the voltage-dependent calcium channels present in presynaptic neurons. Its pharmacokinetic advantages include rapid and almost complete absorption, lack of protein binding, linear kinetics, absence of enzyme induction, and a...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/ndt.s3850

    authors: Arain AM

    更新日期:2009-01-01 00:00:00

  • Psychological factors associated with smoking and quitting: addiction map of Turkey study.

    abstract:Background:Smoking is the most important modifiable factor in increased morbidity and premature mortality. This study aims to examine the psychological factors associated with smoking and quitting in a broad, nationally representative sample. Participants and methods:The sample included a total of 24.494 adult individ...

    journal_title:Neuropsychiatric disease and treatment

    pub_type: 杂志文章

    doi:10.2147/NDT.S204167

    authors: Ünübol H,Hızlı Sayar G

    更新日期:2019-07-11 00:00:00