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Old 06-22-2011, 12:20 PM   #1
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Chat Rooms (12) By Jessica Ward Jones,Office 2010 Standard Product Key, MD, MPH Associate Information Editor
Reviewed by John M. Grohol, Psy.D. on July 29, 2010


Bipolar Disability Impacted by Prior Episodes
The frequency and sorts of prior episodes a bipolar specific has had may have a big result on their overall lifestyle perform.
According to new investigation,Windows 7 Starter Sale, bipolar clients who've had more episodes show up to have far more all round disability.  Those with more manic episodes have much more troubles with work and household, and people with much more depression have more social difficulty.
“This research shows that disability affects an important proportion of bipolar disorder sufferers and that previous course-of-illness variables, particularly a high number of manic episodes, and current psychopathology – as indicated by the presence of nicotine dependence or depressive symptoms – might be indicators of disability,” said Dr. Luis Gutiérrez-Rojas from the Institute of Neurosciences at the University of Granada in Spain, who led the investigation with his colleagues.
Bipolar disorder, also known by its older name “manic depression,” is a mental disorder that is characterized by alternating moods, “highs” (what clinicians call mania) and “lows” (also known as depression).  Far more than 5 million Americans suffer from bipolar disorder, in line with the National Institute of Mental Health, and in line with the World Health Organization, it is the sixth leading cause of disability worldwide.
Gutiérrez-Rojas and his colleagues reviewed the psychiatric histories of 108 sufferers diagnosed with bipolar disorder.  The Sheehan Disability Scale was used to measure social and household daily life disability.  Perform disability was measured by whether or not the examine participant was receiving a disability payment. Slightly a lot more than half of the participants had some form of disability, and 37 percent had two kinds.
More than three previous manic episodes, current depression, nicotine dependence,Cheap Office Home And Student 2010, and lower educational level were statistically associated with operate disability.
Difficulty with social perform increased with the number of hospitalizations,Office 2010 Standard Key, with multiple previous episodes of depression, in people who had lack of social support, and with current depression.
In addition, people with bipolar disorder who were older, who showed potential signs of alcohol abuse, who had been hospitalized a lot more often, or who had had repeated manic episodes,Office Professional 2007 Key, had a lot more difficulty with household existence.
Previous analysis has shown that repeated episodes and repeated hospitalizations for bipolar disorder can worsen the course of the illness.  Medication noncompliance can make symptoms much more difficult to treat. These data should encourage physicians and individuals to treat bipolar disorder more aggressively, as repeated episodes can also increase disability in several areas.
“Clinicians should make every effort to prevent relapses, to efficiently treat residual symptoms, and to enhance the social support of these individuals,” concludes Gutiérrez-Rojas.
The study is published in the July edition of the journal Psychiatry Investigation.
Source: Psychiatry Research




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