The course of bipolar disorder in rural India.
Indian J Psychiatry
; 48(4): 254-7, 2006 Oct.
Article
en En
| MEDLINE
| ID: mdl-20703347
ABSTRACT
AIM:
To examine the naturalistic course of bipolar disorder in a rural, community-based, partially treated cohort.METHODS:
All patients diagnosed with bipolar disorder during an epidemiological survey (n=34) in a rural area in India were followed longitudinally using standardized instruments, and the life-chart method used to examine their course.RESULTS:
Seven (26%) of the 27 patients evaluated directly had not received any treatment whatsoever. Four patients (15%) had experienced rapid-cycling at some time; patients without rapid-cycling had experienced a mean 0.22 episodes/year. Episodes of mania accounted for 72% of all episodes. None of the variables examined appeared to predict the total number of episodes experienced by individual patients, although rapid-cycling occurred significantly more often if the patients had not received any psychopharmacological treatment.CONCLUSIONS:
A mania-predominant course was observed in this small cohort, similar to reports from other developing countries.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
Indian J Psychiatry
Año:
2006
Tipo del documento:
Article