Psychological outcomes and medical morbidity of patients with bipolar disorder and Co-occurring alcohol use disorder

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4 Citations (Scopus)

Abstract

Objective: Patients with bipolar disorder are at a high risk for comorbid alcohol use disorder, and both disorders are associated with poor outcomes and multiple morbidities. This study aimed to explore not only the psychosocial functioning and psychopathological outcomes but also the medical morbidity of patients with bipolar disorder with and without alcohol use disorder. Methods: Outpatients with bipolar I disorder (DSM-IV) were recruited from a psychiatric teaching hospital in Taiwan (N = 393). Data on psychiatric symptoms, psychosocial functioning, and physical health were obtained through interviews with patients and collaterals, patient self-report, and medical record reviews. Results: Participants had a mean age of 41.1 years (SD = 11.9) and were mostly female (n = 255, 64.9%). Fewer than 10% (n = 34, 8.7%) met criteria for alcohol use disorder, and these participants were more likely to be male, to smoke, and to have a history of rapid cycling, higher mean body mass index, and higher incidences of gastrointestinal and hepatobiliary morbidities. A multiple logistic regression analysis revealed that patients with, versus those without, alcohol use disorder were more prone to gastrointestinal diseases (adjusted OR = 4.25, 95% CI [1.44-12.53], p

Original languageEnglish
Pages (from-to)184-188
Number of pages5
JournalJournal of Dual Diagnosis
Volume11
Issue number3-4
DOIs
Publication statusPublished - Oct 2 2015

Fingerprint

Bipolar Disorder
Alcohols
Psychology
Morbidity
Gastrointestinal Diseases
Psychiatric Hospitals
Taiwan
Teaching Hospitals
Smoke
Diagnostic and Statistical Manual of Mental Disorders
Self Report
Medical Records
Psychiatry
Body Mass Index
Outpatients
Logistic Models
Regression Analysis
Interviews
Incidence
Health

Keywords

  • alcohol use disorders
  • bipolar disorder
  • comorbidity
  • gastrointestinal diseases
  • outcome

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

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abstract = "Objective: Patients with bipolar disorder are at a high risk for comorbid alcohol use disorder, and both disorders are associated with poor outcomes and multiple morbidities. This study aimed to explore not only the psychosocial functioning and psychopathological outcomes but also the medical morbidity of patients with bipolar disorder with and without alcohol use disorder. Methods: Outpatients with bipolar I disorder (DSM-IV) were recruited from a psychiatric teaching hospital in Taiwan (N = 393). Data on psychiatric symptoms, psychosocial functioning, and physical health were obtained through interviews with patients and collaterals, patient self-report, and medical record reviews. Results: Participants had a mean age of 41.1 years (SD = 11.9) and were mostly female (n = 255, 64.9{\%}). Fewer than 10{\%} (n = 34, 8.7{\%}) met criteria for alcohol use disorder, and these participants were more likely to be male, to smoke, and to have a history of rapid cycling, higher mean body mass index, and higher incidences of gastrointestinal and hepatobiliary morbidities. A multiple logistic regression analysis revealed that patients with, versus those without, alcohol use disorder were more prone to gastrointestinal diseases (adjusted OR = 4.25, 95{\%} CI [1.44-12.53], p",
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author = "Tang, {Han Ching} and Chen, {Pao Huan} and Chung, {Kuo Hsuan} and Kuo, {Chian Jue} and Shou-Hung Huang and Tsai, {Shang Ying}",
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AU - Huang, Shou-Hung

AU - Tsai, Shang Ying

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