Is bipolar disorder overdiagnosed among patients with substance abuse?

Abstract:

BACKGROUND:Bipolar illness is frequently misdiagnosed. Several studies have focused on the underdiagnosis of this condition and the frequent long delay in its recognition. However, the illness is difficult to diagnose and many of its symptoms are shared by other conditions. In order to determine the accuracy of the diagnosis of bipolar illness among subjects with substance abuse, we carried out a study in patients with a previous diagnosis of bipolar disorder (BD) and known history of substance abuse or dependence, who were currently engaged in treatment for substance abuse. METHODS:Individuals participating in a community-based substance treatment program and who had a previous diagnosis of BD were invited to undergo a structured clinical interview for diagnosis performed by a psychiatrist. In addition to the interview, previous hospital records were reviewed whenever possible. Diagnosis was made following strict DSM-IV criteria. RESULTS:Only 9 of 21 (42.9%) subjects met diagnostic criteria for BD. Seven were BD type II and two were BD I. CONCLUSIONS:Bipolar disorder is frequently misdiagnosed following strict DSM-IV criteria. Among subjects with substance abuse, it may be overdiagnosed by psychiatrists.

journal_name

Bipolar Disord

journal_title

Bipolar disorders

authors

Stewart C,El-Mallakh RS

doi

10.1111/j.1399-5618.2007.00465.x

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

646-8

issue

6

eissn

1398-5647

issn

1399-5618

pii

BDI465

journal_volume

9

pub_type

杂志文章
  • Randomized trial comparing caregiver-only family-focused treatment to standard health education on the 6-month outcome of bipolar disorder.

    abstract:OBJECTIVES:Caregivers of people with bipolar disorder often have depression and health problems. This study aimed to evaluate the sustained effects of a 12-15 week psychoeducational intervention on the health and mental health of caregivers of persons with bipolar disorder. We also evaluated the effects of the interven...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/bdi.12621

    authors: Perlick DA,Jackson C,Grier S,Huntington B,Aronson A,Luo X,Miklowitz DJ

    更新日期:2018-11-01 00:00:00

  • Ketoconazole in bipolar patients with depressive symptoms: a case series and literature review.

    abstract:BACKGROUND:Data from several studies suggest that medications, such as ketoconazole, which lower cortisol levels, may be effective for major depressive disorder (MDD). As with MDD, the manic, depressive, and mixed phases of bipolar disorder are frequently associated with elevated cortisol levels. The literature on the ...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1034/j.1399-5618.2001.030103.x

    authors: Brown ES,Bobadilla L,Rush AJ

    更新日期:2001-02-01 00:00:00

  • Myo-inositol-1-phosphate (MIP) synthase: a possible new target for antibipolar drugs.

    abstract::Inositol metabolism is well characterized in yeast at a molecular level, and yeast is the only eukaryote in which genetic, molecular and functional genomic approaches to identify lithium. valproate and inositol targets may be combined readily. It has been shown that lithium inhibits yeast inositol monophosphatase (enc...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1034/j.1399-5618.4.s1.2.x

    authors: Agam G,Shamir A,Shaltiel G,Greenberg ML

    更新日期:2002-01-01 00:00:00

  • Mood episodes are associated with increased cortical thinning: A longitudinal study of bipolar disorder type II.

    abstract:OBJECTIVES:Previous studies found evidence for thinner frontotemporal cortices in bipolar disorder (BD), yet whether this represents a stable disease trait or an effect of mood episodes remains unknown. Here, we assessed the reproducibility of thinner frontotemporal cortices in BD type II, compared longitudinal changes...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/bdi.12771

    authors: Zak N,Bøen E,Boye B,Andreassen OA,Doan NT,Malt UF,Westlye LT,Elvsåshagen T

    更新日期:2019-09-01 00:00:00

  • Abnormalities of brain response during encoding into verbal working memory among euthymic patients with bipolar disorder.

    abstract:OBJECTIVES:Individuals with bipolar disorder (BD) have trait-like deficits in attention and working memory (WM). A fundamental dissociation for most verbal WM theories involves the separation of sensory-perceptual encoding, reliant upon attention, from the maintenance of this information in WM proper. The present study...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/bdi.12126

    authors: McKenna BS,Sutherland AN,Legenkaya AP,Eyler LT

    更新日期:2014-05-01 00:00:00

  • Neurocognitive function in unaffected first-degree relatives of patients with bipolar disorder: a preliminary report.

    abstract:OBJECTIVE:Patients with remitted bipolar disorder (BD) have persistent impairments in neuropsychological function, particularly in the domains of executive control and declarative memory [Br J Psychiatry 180 (2002) 293]. If these were the phenotypic expression of genetic vulnerability to BD, then healthy subjects with ...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2004.00122.x

    authors: Ferrier IN,Chowdhury R,Thompson JM,Watson S,Young AH

    更新日期:2004-08-01 00:00:00

  • Theory of mind and neurocognitive functioning in patients with bipolar disorder.

    abstract:OBJECTIVES:Studies into social cognition in psychiatric disorders have recently been expanded to address the question of whether or not theory of mind (ToM), i.e., the ability to represent ones own and others mental states, is impaired in bipolar affective disorder (BPD). Results have been mixed so far, mainly due to p...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2010.00854.x

    authors: Wolf F,Brüne M,Assion HJ

    更新日期:2010-09-01 00:00:00

  • Clinical course of children with a depressive spectrum disorder and transient manic symptoms.

    abstract:OBJECTIVE:To assess rates of conversion to bipolar spectrum disorder (BPSD) and risk factors associated with conversion in children with depressive spectrum disorders (DSD) and transient manic symptoms (TMS) over 18 months. TMS are manic-like symptoms of insufficient duration or number to warrant a diagnosis of BPSD. ...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2010.00847.x

    authors: Nadkarni RB,Fristad MA

    更新日期:2010-08-01 00:00:00

  • Obesity in patients with major depression is related to bipolarity and mixed features: evidence from the BRIDGE-II-Mix study.

    abstract:OBJECTIVES:The Bipolar Disorders: Improving Diagnosis, Guidance and Education (BRIDGE)-II-Mix study aimed to estimate the frequency of mixed states in patients with a major depressive episode (MDE) according to different definitions. The present post-hoc analysis evaluated the association between obesity and the presen...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,多中心研究

    doi:10.1111/bdi.12519

    authors: Petri E,Bacci O,Barbuti M,Pacchiarotti I,Azorin JM,Angst J,Bowden CL,Mosolov S,Vieta E,Young AH,Perugi G,BRIDGE-II-Mix Study Group.

    更新日期:2017-09-01 00:00:00

  • Quetiapine for the treatment of bipolar mania in older adults.

    abstract:OBJECTIVES:A post hoc analysis of pooled data from two quetiapine monotherapy clinical trials was conducted to evaluate the efficacy and tolerability of quetiapine therapy (twice daily, 400-800 mg/day) among bipolar manic adults aged 55 years and older. The primary efficacy endpoint was the change from baseline in Youn...

    journal_title:Bipolar disorders

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1399-5618.2008.00614.x

    authors: Sajatovic M,Calabrese JR,Mullen J

    更新日期:2008-09-01 00:00:00

  • Sex differences in rates of obesity in bipolar disorder: postulated mechanisms.

    abstract:OBJECTIVE:The increased standardized mortality ratio (SMR) from cardiovascular disease (CVD) in women with bipolar disorder (BD), relative to men with BD and individuals of both sexes in the general population, provides the impetus to identify factors that contribute to the differential association of obesity with BD i...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/bdi.12141

    authors: Baskaran A,Cha DS,Powell AM,Jalil D,McIntyre RS

    更新日期:2014-02-01 00:00:00

  • Association of thalamic serotonin transporter and interleukin-10 in bipolar I disorder: a SPECT study.

    abstract:OBJECTIVES:The serotonin hypothesis plays a critical role in the etiology of bipolar disorder (BD). Although many studies have demonstrated reciprocal relationships between serotonin metabolism and immune-inflammatory pathways that occur in depression, studies linking serotonergic function and cytokines are still limit...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/bdi.12164

    authors: Hsu JW,Lirng JF,Wang SJ,Lin CL,Yang KC,Liao MH,Chou YH

    更新日期:2014-05-01 00:00:00

  • The quality of life construct in bipolar disorder research and practice: past, present, and possible futures.

    abstract::The quality of life (QoL) construct is becoming more prominent in bipolar disorder (BD) research and practice. Uptake of the construct parallels an earlier trend in schizophrenia research, and coincides with growing interest in psychosocial components of BD's aetiology, phenomenology, and treatment. We argue that, alt...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/bdi.12016

    authors: Murray G,Michalak EE

    更新日期:2012-12-01 00:00:00

  • No evidence for physical anhedonia as a candidate symptom or an endophenotype in bipolar affective disorder.

    abstract:OBJECTIVES:Bipolar affective disorder (BPAD) is clinically and genetically heterogeneous and the affected phenotype is poorly defined, hampering studies of its genetic basis. Studies of specific, familial, clinical indicators of BPAD may be useful for identifying heritable forms. Homogeneous forms of the disease may be...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2007.00413.x

    authors: Etain B,Roy I,Henry C,Rousseva A,Schürhoff F,Leboyer M,Bellivier F

    更新日期:2007-11-01 00:00:00

  • The role of dopamine in bipolar disorder.

    abstract:OBJECTIVE:Despite effective pharmacological treatments for bipolar disorder, we still lack a comprehensive pathophysiological model of the illness. Recent neurobiological research has implicated a number of key brain regions and neuronal components in the behavioural and cognitive manifestations of bipolar disorder. Do...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-5618.2009.00760.x

    authors: Cousins DA,Butts K,Young AH

    更新日期:2009-12-01 00:00:00

  • Abnormal cellular energy and phospholipid metabolism in the left dorsolateral prefrontal cortex of medication-free individuals with bipolar disorder: an in vivo 1H MRS study.

    abstract:OBJECTIVES:While the pathophysiology of bipolar disorder (BD) remains to be elucidated, postmortem and neuroimaging studies have suggested that abnormalities in the dorsolateral prefrontal cortex (DLPFC) are implicated. We compared the levels of specific brain chemicals of interest measured with proton magnetic resonan...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2007.00454.x

    authors: Frey BN,Stanley JA,Nery FG,Monkul ES,Nicoletti MA,Chen HH,Hatch JP,Caetano SC,Ortiz O,Kapczinski F,Soares JC

    更新日期:2007-06-01 00:00:00

  • New drug candidates for bipolar disorder-A nation-wide population-based study.

    abstract:OBJECTIVE:Drug repurposing is an increasingly promising idea in many fields of medicine. We systematically used Danish nation-wide population-based registers to investigate whether continued use of non-aspirin non-steroidal anti-inflammatory drugs (NSAIDs), low-dose aspirin, high-dose aspirin, statins, allopurinol, and...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/bdi.12772

    authors: Kessing LV,Rytgaard HC,Gerds TA,Berk M,Ekstrøm CT,Andersen PK

    更新日期:2019-08-01 00:00:00

  • Postnatal euphoria: are 'the highs' an indicator of bipolarity?

    abstract::Research into postnatal mood disorders to date has concentrated on depressive syndromes of varying severity and full-blown acute puerperal mania. However, clinical experience, backed up by a review of the literature, indicates that milder hypomanic symptoms also occur in the early puerperium. Although these symptoms m...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-5618.2005.00185.x

    authors: Heron J,Craddock N,Jones I

    更新日期:2005-04-01 00:00:00

  • Olanzapine in the prevention of postpartum psychosis and mood episodes in bipolar disorder.

    abstract:OBJECTIVES:The use of olanzapine (OLZ) in the prevention of postpartum psychosis (PP) and mood episodes in women with bipolar disorder was investigated in a naturalistic, prospective study. METHODS:Eleven women received OLZ alone or in combination with an antidepressant or mood stabilizer, and 14 women received either...

    journal_title:Bipolar disorders

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1399-5618.2006.00335.x

    authors: Sharma V,Smith A,Mazmanian D

    更新日期:2006-08-01 00:00:00

  • Neuroprotective effects of lithium in cultured cells and animal models of diseases.

    abstract::Lithium, the major drug used to treat manic depressive illness, robustly protects cultured rat brain neurons from glutamate excitotoxicity mediated by N-methyl-D-aspartate (NMDA) receptors. The lithium neuroprotection against glutamate excitotoxiciy is long-lasting, requires long-term pretreatment and occurs at therap...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1034/j.1399-5618.2002.01179.x

    authors: Chuang DM,Chen RW,Chalecka-Franaszek E,Ren M,Hashimoto R,Senatorov V,Kanai H,Hough C,Hiroi T,Leeds P

    更新日期:2002-04-01 00:00:00

  • Assessing and addressing cognitive impairment in bipolar disorder: the International Society for Bipolar Disorders Targeting Cognition Task Force recommendations for clinicians.

    abstract:OBJECTIVES:Cognition is a new treatment target to aid functional recovery and enhance quality of life for patients with bipolar disorder. The International Society for Bipolar Disorders (ISBD) Targeting Cognition Task Force aimed to develop consensus-based clinical recommendations on whether, when and how to assess and...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/bdi.12595

    authors: Miskowiak KW,Burdick KE,Martinez-Aran A,Bonnin CM,Bowie CR,Carvalho AF,Gallagher P,Lafer B,López-Jaramillo C,Sumiyoshi T,McIntyre RS,Schaffer A,Porter RJ,Purdon S,Torres IJ,Yatham LN,Young AH,Kessing LV,Vieta E

    更新日期:2018-05-01 00:00:00

  • Verbal memory in mania: effects of clinical state and task requirements.

    abstract:OBJECTIVES:Manic patients exhibit impaired verbal learning and memory, particularly following longstanding illness. However, it is unclear whether recognition and recall performance are differentially influenced by a manic mood state. METHODS:To examine this issue, we administered the California Verbal Learning Test a...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1034/j.1399-5618.2003.00055.x

    authors: Fleck DE,Shear PK,Zimmerman ME,Getz GE,Corey KB,Jak A,Lebowitz BK,Strakowski SM

    更新日期:2003-10-01 00:00:00

  • Executive functioning and theory of mind in euthymic bipolar disorder.

    abstract:OBJECTIVES:To examine the nature of executive deficits in euthymic patients with bipolar disorder (BD). METHODS:Fifteen euthymic BD patients and 13 controls were administered a battery of executive tasks including verbal fluency, Stroop, Theory of Mind (ToM) tests and selected subtests from the Cambridge Neuropsycholo...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2005.00254.x

    authors: Olley AL,Malhi GS,Bachelor J,Cahill CM,Mitchell PB,Berk M

    更新日期:2005-01-01 00:00:00

  • Social adjustment based on reported behaviour in bipolar affective disorder.

    abstract:OBJECTIVES:To determine the effects of mood and additional clinical variables on different domains of current interviewer-rated social adjustment reflecting the reported behaviour of patients with bipolar disorder (BD). METHOD:Multi-center cross-sectional study employing multiple linear regression to investigate wheth...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1399-5618.2007.00343.x

    authors: Morriss R,Scott J,Paykel E,Bentall R,Hayhurst H,Johnson T

    更新日期:2007-02-01 00:00:00

  • Laterality of pain in migraine with comorbid unipolar depressive and bipolar II disorders.

    abstract:OBJECTIVES:The purpose of the present study has been to examine differences in the laterality of pain in patients with migraine and comorbid unipolar depressive (UP) and bipolar II (BP II) disorders. METHODS:Semi-structured interviews of 102 patients with major affective disorders were conducted, using DSM-IV criteria...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1034/j.1399-5618.2002.01226.x

    authors: Fasmer OB,Oedegaard KJ

    更新日期:2002-10-01 00:00:00

  • The proximal prodrome to first episode mania--a new target for early intervention.

    abstract:OBJECTIVE:Affective psychoses and bipolar disorders have been neglected in the development of early intervention strategies. This paper aims to gather current knowledge on the early phase of bipolar disorders in order to define new targets for early intervention. METHODS:Literature review based on the main computerize...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-5618.2008.00610.x

    authors: Conus P,Ward J,Hallam KT,Lucas N,Macneil C,McGorry PD,Berk M

    更新日期:2008-07-01 00:00:00

  • Do positive emotions predict symptomatic change in bipolar disorder?

    abstract:OBJECTIVES:Bipolar disorder is associated with positive emotion disturbance, though it is less clear which specific positive emotions are affected. METHODS:The present study examined differences among distinct positive emotions in recovered bipolar disorder (BD) patients (n = 55) and nonclinical controls (NC) (n = 32)...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2009.00679.x

    authors: Gruber J,Culver JL,Johnson SL,Nam JY,Keller KL,Ketter TA

    更新日期:2009-05-01 00:00:00

  • Modeling suicide in bipolar disorders.

    abstract:INTRODUCTION:Suicide is a multicausal human behavior, with devastating and immensely distressing consequences. Its prevalence is estimated to be 20-30 times greater in patients with bipolar disorders than in the general population. The burden of suicide and its high prevalence in bipolar disorders make it imperative th...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/bdi.12622

    authors: Malhi GS,Outhred T,Das P,Morris G,Hamilton A,Mannie Z

    更新日期:2018-06-01 00:00:00

  • Mood spectrum symptoms during a major depressive episode: Differences between 145 patients with bipolar disorder and 155 patients with major depressive disorder. Arguments for a dimensional approach.

    abstract:BACKGROUND:Several studies have challenged the traditional unipolar-bipolar dichotomy in favor of a more dimensional approach. OBJECTIVE:To evaluate the differences in mood spectrum between patients with bipolar disorder (BD) and major depressive disorder (MDD) during a major depressive episode (MDE). METHOD:Study pa...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/bdi.12855

    authors: Cuomo A,Aguglia A,Aguglia E,Bolognesi S,Goracci A,Maina G,Mineo L,Rucci P,Sillari S,Fagiolini A

    更新日期:2020-06-01 00:00:00

  • Kainate-induced toxicity in the hippocampus: potential role of lithium.

    abstract:OBJECTIVES:We investigated the neuroprotective effects of lithium in an experimental neurodegeneration model gated to kainate (KA) receptor activation. METHODS:The hippocampus from KA-treated mice and hippocampal cell cultures were used to evaluate the pathways regulated by chronic lithium pretreatment in both in vivo...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2010.00825.x

    authors: Crespo-Biel N,Camins A,Canudas AM,Pallàs M

    更新日期:2010-06-01 00:00:00