Prevalence and correlates of DSM-5 bipolar and related disorders and hyperthymic personality in the community.

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State: Public
Version: author
Serval ID
serval:BIB_BA7CA36263AF
Type
Article: article from journal or magazin.
Collection
Publications
Title
Prevalence and correlates of DSM-5 bipolar and related disorders and hyperthymic personality in the community.
Journal
Journal of Affective Disorders
Author(s)
Fassassi S., Vandeleur C., Aubry J.M., Castelao E., Preisig M.
ISSN
1573-2517 (Electronic)
ISSN-L
0165-0327
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
167
Number
1
Pages
198-205
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Abstract
BACKGROUND: To 1) establish the lifetime and 12-month prevalence of DSM-5 bipolar and related disorders including the new algorithmically defined conditions grouped within Other Specified Bipolar and Related Disorders (OSBARD) as well as hyperthymic personality in a randomly selected community sample, and 2) determine the clinical relevance of the OSBARD category in terms of sociodemographic characteristics, course, comorbidity and treatment patterns by comparing the subjects of this category to those with bipolar-I (BP-I), bipolar-II (BP-II), major depressive disorder (MDD), and those with no history of mood disorders.
METHODS: The semi-structured Diagnostic Interview for Genetic Studies was administered by masterslevel psychologists to a random sample of an urban area (n=3'719).
RESULTS: The lifetime prevalence was 1.0% for BP-I, 0.8% for BP-II, 1.0% for OSBARD and 3% for hyperthymic personality. Subjects with OSBARD were more severely affected than subjects without a history of mood disorders regarding almost all clinical correlates. Compared to those with MDD, they also revealed an elevated risk of suicidal attempts, lower global functioning, more treatment seeking and more lifetime comorbidity including anxiety, substance use and impulse-control disorders. However, they did not differ from subjects with BP-II.
LIMITATIONS: Small sample sizes for bipolar and related disorders and potential inaccurate recall of symptoms.
CONCLUSIONS: The modifications of diagnostic criteria for manic/hypomanic episodes according to the DSM-5 only marginally affect the prevalence estimates for BP-I and BP-II. The new DSM-5 OSBARD category is associated with significant clinical burden, is hardly distinct from BP-II with respect to clinical correlates and deserves similar clinical attention.
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Web of science
Create date
04/07/2014 16:41
Last modification date
20/08/2019 16:28
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