Risk factors for an anxiety disorder comorbidity among Thai patients with bipolar disorder: results from the Thai Bipolar Disorder Registry
The aim of the study was to determine in a clinical setting the risk factors for current anxiety disorder (AD) comorbidity among Thai patients with bipolar disorder (BD), being treated under the Thai Bipolar Disorder Registry Project (TBDR). The TBDR was a multisite naturalistic study conducted at 2...
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| Veröffentlicht in: | Neuropsychiatric disease and treatment 2014-01, Vol.10, p.803-810 |
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| creator | Paholpak, Suchat Kongsakon, Ronnachai Pattanakumjorn, Wasana Kanokvut, Roongsang Wongsuriyadech, Wiroj Srisurapanont, Manit |
| description | The aim of the study was to determine in a clinical setting the risk factors for current anxiety disorder (AD) comorbidity among Thai patients with bipolar disorder (BD), being treated under the Thai Bipolar Disorder Registry Project (TBDR).
The TBDR was a multisite naturalistic study conducted at 24 psychiatric units (ie, at university, provincial mental, and government general hospitals) between February 2009 and January 2011. Participants were in- or out-patients over 18 years of age who were diagnosed with BD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Instruments used in this study included the Thai Mini International Neuropsychiatric Interview version 5; Thai Montgomery-Åsberg Depression Rating Scale (MADRS); Thai Young Mania Rating Scale; Clinical Global Impression of Bipolar Disorder-Severity (CGI-BP-S), CGI-BP-S-mania, CGI-BPS-depression, and CGI-BP-S-overall BP illness; and the Thai SF-36 quality of life questionnaire.
Among the 424 BD patients, 404 (95.3%) had BD type I. The respective mean ± standard deviation of age of onset of mood disturbance, first diagnosis of BD, and first treatment of BD was 32.0±11.9, 36.1±12.2, and 36.2±12.2 years. The duration of illness was 10.7±9.0 years. Fifty-three (12.5%) of the 424 participants had a current AD while 38 (9%) had a substance use disorder (SUD). The univariate analysis revealed 13 significant risks for current AD comorbidity, which the multivariate analysis narrowed to age at first diagnosis of BD (odds ratio =0.95, P |
| doi_str_mv | 10.2147/NDT.S57019 |
| format | Article |
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The TBDR was a multisite naturalistic study conducted at 24 psychiatric units (ie, at university, provincial mental, and government general hospitals) between February 2009 and January 2011. Participants were in- or out-patients over 18 years of age who were diagnosed with BD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Instruments used in this study included the Thai Mini International Neuropsychiatric Interview version 5; Thai Montgomery-Åsberg Depression Rating Scale (MADRS); Thai Young Mania Rating Scale; Clinical Global Impression of Bipolar Disorder-Severity (CGI-BP-S), CGI-BP-S-mania, CGI-BPS-depression, and CGI-BP-S-overall BP illness; and the Thai SF-36 quality of life questionnaire.
Among the 424 BD patients, 404 (95.3%) had BD type I. The respective mean ± standard deviation of age of onset of mood disturbance, first diagnosis of BD, and first treatment of BD was 32.0±11.9, 36.1±12.2, and 36.2±12.2 years. The duration of illness was 10.7±9.0 years. Fifty-three (12.5%) of the 424 participants had a current AD while 38 (9%) had a substance use disorder (SUD). The univariate analysis revealed 13 significant risks for current AD comorbidity, which the multivariate analysis narrowed to age at first diagnosis of BD (odds ratio =0.95, P<0.01), family history of SUD (odds ratio =2.18, P=0.02), and having a higher current MADRS score (odds ratio =1.11, P<0.01).
A diagnosis of AD comorbid with BD is suggested by early-age onset of BD together with a higher MADRS score and a family history of SUD. The likelihood of AD comorbidity decreases by 5% with each passing year; early-age onset of BD is a risk while later age onset is protective. Our results underscore how SUD within the family significantly contributes to the risk of an AD comorbidity.</description><identifier>ISSN: 1176-6328</identifier><identifier>EISSN: 1176-6328</identifier><identifier>EISSN: 1178-2021</identifier><identifier>DOI: 10.2147/NDT.S57019</identifier><identifier>PMID: 24868157</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>Anxiety ; Anxiety disorders ; Bipolar disorder ; bipolar disorders ; Care and treatment ; comorbid ; Comorbidity ; Diagnosis ; Drug use ; Fear & phobias ; Health surveys ; Hospitals ; Mental depression ; Mental disorders ; Mental health care ; Obsessive compulsive disorder ; Original Research ; Panic attacks ; Patients ; protect ; Psychiatry ; risk ; Risk factors ; Studies ; Suicides & suicide attempts ; Thai</subject><ispartof>Neuropsychiatric disease and treatment, 2014-01, Vol.10, p.803-810</ispartof><rights>COPYRIGHT 2014 Dove Medical Press Limited</rights><rights>2014. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Paholpak et al. This work is published by Dove Medical Press Ltd, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c578t-5fcdf4da9eb090623285c22cb177851c8059d6a40bda34d3e5fba1279eb0eb3a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031243/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031243/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,3862,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24868157$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paholpak, Suchat</creatorcontrib><creatorcontrib>Kongsakon, Ronnachai</creatorcontrib><creatorcontrib>Pattanakumjorn, Wasana</creatorcontrib><creatorcontrib>Kanokvut, Roongsang</creatorcontrib><creatorcontrib>Wongsuriyadech, Wiroj</creatorcontrib><creatorcontrib>Srisurapanont, Manit</creatorcontrib><title>Risk factors for an anxiety disorder comorbidity among Thai patients with bipolar disorder: results from the Thai Bipolar Disorder Registry</title><title>Neuropsychiatric disease and treatment</title><addtitle>Neuropsychiatr Dis Treat</addtitle><description>The aim of the study was to determine in a clinical setting the risk factors for current anxiety disorder (AD) comorbidity among Thai patients with bipolar disorder (BD), being treated under the Thai Bipolar Disorder Registry Project (TBDR).
The TBDR was a multisite naturalistic study conducted at 24 psychiatric units (ie, at university, provincial mental, and government general hospitals) between February 2009 and January 2011. Participants were in- or out-patients over 18 years of age who were diagnosed with BD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Instruments used in this study included the Thai Mini International Neuropsychiatric Interview version 5; Thai Montgomery-Åsberg Depression Rating Scale (MADRS); Thai Young Mania Rating Scale; Clinical Global Impression of Bipolar Disorder-Severity (CGI-BP-S), CGI-BP-S-mania, CGI-BPS-depression, and CGI-BP-S-overall BP illness; and the Thai SF-36 quality of life questionnaire.
Among the 424 BD patients, 404 (95.3%) had BD type I. The respective mean ± standard deviation of age of onset of mood disturbance, first diagnosis of BD, and first treatment of BD was 32.0±11.9, 36.1±12.2, and 36.2±12.2 years. The duration of illness was 10.7±9.0 years. Fifty-three (12.5%) of the 424 participants had a current AD while 38 (9%) had a substance use disorder (SUD). The univariate analysis revealed 13 significant risks for current AD comorbidity, which the multivariate analysis narrowed to age at first diagnosis of BD (odds ratio =0.95, P<0.01), family history of SUD (odds ratio =2.18, P=0.02), and having a higher current MADRS score (odds ratio =1.11, P<0.01).
A diagnosis of AD comorbid with BD is suggested by early-age onset of BD together with a higher MADRS score and a family history of SUD. The likelihood of AD comorbidity decreases by 5% with each passing year; early-age onset of BD is a risk while later age onset is protective. Our results underscore how SUD within the family significantly contributes to the risk of an AD comorbidity.</description><subject>Anxiety</subject><subject>Anxiety disorders</subject><subject>Bipolar disorder</subject><subject>bipolar disorders</subject><subject>Care and treatment</subject><subject>comorbid</subject><subject>Comorbidity</subject><subject>Diagnosis</subject><subject>Drug use</subject><subject>Fear & phobias</subject><subject>Health surveys</subject><subject>Hospitals</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Obsessive compulsive disorder</subject><subject>Original Research</subject><subject>Panic attacks</subject><subject>Patients</subject><subject>protect</subject><subject>Psychiatry</subject><subject>risk</subject><subject>Risk factors</subject><subject>Studies</subject><subject>Suicides & suicide attempts</subject><subject>Thai</subject><issn>1176-6328</issn><issn>1176-6328</issn><issn>1178-2021</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkl1rFDEUhgdRbK3e-AMkIIgIu-ZzkumFUFu_oCjU9TpkksxO6sxkTTLV_Q3-abPMdrsrXkgCCSfP-ybn5BTFUwTnGFH--vPFYv6VcYiqe8UxQryclQSL-3v7o-JRjNcQEl4J8bA4wlSUAjF-XPy-cvE7aJROPkTQ-ADUkOcvZ9MaGBd9MDYA7XsfamdcDqreD0uwaJUDK5WcHVIEP11qQe1WvlNhpzoFwcaxy8dN8D1IrZ1Ub7fcxa37lV26mML6cfGgUV20T7brSfHt_bvF-cfZ5ZcPn87PLmeacZFmrNGmoUZVtoYVLHHOj2mMdY04FwxpAVllSkVhbRShhljW1AphvuFtTRQ5Kd5Mvqux7q3ROYWgOrkKrldhLb1y8vBkcK1c-htJIUGYkmwAJwPjb-wqZxkPxHfRXDeJSkFplrzc3hn8j9HGJHsXte06NVg_RokYoQJVlKL_QSHBkLLNQ57_hV77MQy5eBJjCmF2ZPyOWqrOSjc0PmelN6byjCJECOUVztT8H1QexvZO-8E2LscPBC_2BK1VXWqj78bk_BAPwVcTqIOPMdhmVy0E5aaDZe5gOXVwhp_tf84OvW1Z8gdV9-05</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Paholpak, Suchat</creator><creator>Kongsakon, Ronnachai</creator><creator>Pattanakumjorn, Wasana</creator><creator>Kanokvut, Roongsang</creator><creator>Wongsuriyadech, Wiroj</creator><creator>Srisurapanont, Manit</creator><general>Dove Medical Press Limited</general><general>Taylor & Francis Ltd</general><general>Dove Press</general><general>Dove Medical 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among Thai patients with bipolar disorder: results from the Thai Bipolar Disorder Registry</title><author>Paholpak, Suchat ; Kongsakon, Ronnachai ; Pattanakumjorn, Wasana ; Kanokvut, Roongsang ; Wongsuriyadech, Wiroj ; Srisurapanont, Manit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c578t-5fcdf4da9eb090623285c22cb177851c8059d6a40bda34d3e5fba1279eb0eb3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Anxiety</topic><topic>Anxiety disorders</topic><topic>Bipolar disorder</topic><topic>bipolar disorders</topic><topic>Care and treatment</topic><topic>comorbid</topic><topic>Comorbidity</topic><topic>Diagnosis</topic><topic>Drug use</topic><topic>Fear & phobias</topic><topic>Health surveys</topic><topic>Hospitals</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health care</topic><topic>Obsessive compulsive disorder</topic><topic>Original Research</topic><topic>Panic attacks</topic><topic>Patients</topic><topic>protect</topic><topic>Psychiatry</topic><topic>risk</topic><topic>Risk factors</topic><topic>Studies</topic><topic>Suicides & suicide attempts</topic><topic>Thai</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paholpak, Suchat</creatorcontrib><creatorcontrib>Kongsakon, Ronnachai</creatorcontrib><creatorcontrib>Pattanakumjorn, Wasana</creatorcontrib><creatorcontrib>Kanokvut, Roongsang</creatorcontrib><creatorcontrib>Wongsuriyadech, Wiroj</creatorcontrib><creatorcontrib>Srisurapanont, Manit</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database 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Academic</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Neuropsychiatric disease and treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paholpak, Suchat</au><au>Kongsakon, Ronnachai</au><au>Pattanakumjorn, Wasana</au><au>Kanokvut, Roongsang</au><au>Wongsuriyadech, Wiroj</au><au>Srisurapanont, Manit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for an anxiety disorder comorbidity among Thai patients with bipolar disorder: results from the Thai Bipolar Disorder Registry</atitle><jtitle>Neuropsychiatric disease and treatment</jtitle><addtitle>Neuropsychiatr Dis Treat</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>10</volume><spage>803</spage><epage>810</epage><pages>803-810</pages><issn>1176-6328</issn><eissn>1176-6328</eissn><eissn>1178-2021</eissn><abstract>The aim of the study was to determine in a clinical setting the risk factors for current anxiety disorder (AD) comorbidity among Thai patients with bipolar disorder (BD), being treated under the Thai Bipolar Disorder Registry Project (TBDR).
The TBDR was a multisite naturalistic study conducted at 24 psychiatric units (ie, at university, provincial mental, and government general hospitals) between February 2009 and January 2011. Participants were in- or out-patients over 18 years of age who were diagnosed with BD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Instruments used in this study included the Thai Mini International Neuropsychiatric Interview version 5; Thai Montgomery-Åsberg Depression Rating Scale (MADRS); Thai Young Mania Rating Scale; Clinical Global Impression of Bipolar Disorder-Severity (CGI-BP-S), CGI-BP-S-mania, CGI-BPS-depression, and CGI-BP-S-overall BP illness; and the Thai SF-36 quality of life questionnaire.
Among the 424 BD patients, 404 (95.3%) had BD type I. The respective mean ± standard deviation of age of onset of mood disturbance, first diagnosis of BD, and first treatment of BD was 32.0±11.9, 36.1±12.2, and 36.2±12.2 years. The duration of illness was 10.7±9.0 years. Fifty-three (12.5%) of the 424 participants had a current AD while 38 (9%) had a substance use disorder (SUD). The univariate analysis revealed 13 significant risks for current AD comorbidity, which the multivariate analysis narrowed to age at first diagnosis of BD (odds ratio =0.95, P<0.01), family history of SUD (odds ratio =2.18, P=0.02), and having a higher current MADRS score (odds ratio =1.11, P<0.01).
A diagnosis of AD comorbid with BD is suggested by early-age onset of BD together with a higher MADRS score and a family history of SUD. The likelihood of AD comorbidity decreases by 5% with each passing year; early-age onset of BD is a risk while later age onset is protective. Our results underscore how SUD within the family significantly contributes to the risk of an AD comorbidity.</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>24868157</pmid><doi>10.2147/NDT.S57019</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | Taylor & Francis Open Access; DOVE Medical Press Journals; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Anxiety Anxiety disorders Bipolar disorder bipolar disorders Care and treatment comorbid Comorbidity Diagnosis Drug use Fear & phobias Health surveys Hospitals Mental depression Mental disorders Mental health care Obsessive compulsive disorder Original Research Panic attacks Patients protect Psychiatry risk Risk factors Studies Suicides & suicide attempts Thai |
| title | Risk factors for an anxiety disorder comorbidity among Thai patients with bipolar disorder: results from the Thai Bipolar Disorder Registry |
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