Year 2016, Volume 1 , Issue 2, Pages 35 - 42 2016-08-30

Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder
Yatarak tedavi gören bipolar bozukluk hastalarında dissosiyatif bozukluk eştanısı olan ve olmayan hasta gruplarının karşılaştırılması

Bahadır Bakım [1] , Elif Baran [2] , Sinan Yayla [3] , Abdullah Akpinar [4] , Hakan Serdar Sengul [5] , Hulya Ertekin [6] , Mehmet Diyaddin Güleken [7] , Onur Tankaya [8] , Omer Akil Ozer [9] , Kayıhan Oguz Karamustafalioglu [10]


Introduction: This study aims to compare sociodemographic characteristics of the patients with bipolar disorder (BD) with and without comorbid dissociative disorder (DD) and to investigate the eventual effect of the comorbidity on the treatment.

Methods: We enrolled a total of 149 patients diagnosed with BD and treated as inpatients consecutively in Şişli Etfal Hospital, Psychiatry Clinic between 2010 and 2011. For the patients who were diagnosed with DD using SCID-D and with BD using SCID-I, sociodemographic characteristics, YMRS, HAM-D, BPRS, DES scores and duration and number of hospital stays were evaluated.

Results: 23 patients (15.4%) had dissociative disorder not otherwise specified (DD-NOS), 4 patients (2.6%) had dissociative identity disorder (DID) and 1 patient (0.6%) had dissociative amnesia. BD patients with comorbid DD were found to be predominantly female (p=0.015) and younger (p=0.002) and to have significantly higher DES scores than BD patients without DD (p<0.001). The total score of DES was correlated with duration hospital stay (p=0.001, Spearman r=0.336) in the total sample. Total HAM-D score at the time of admission was significantly higher in the comorbidity group (p=0.027), and suicide item was found to be significantly higher both at admission and at discharge (p<0.001 and p=0.035). Among BPRS scores at admission, hallucinatory behavior item was found to be higher in the comorbidity group (p=0.019). Among YMRS scores both at admission and at discharge, velocity and amount of speech item (p=0.027) and insight item at admission (p=0.006) was found to be significantly higher in the pure bipolar group (p=0.018).

Conclusion: In patients with BD, DD comorbidity should be investigated. The BD patients with DD comorbidity tend to be female and younger, and show higher depression scores, leading to a prolonged hospital stay. In the presence of dissociation comorbidity, attempts and number of suicides and hallucinatory behaviors seem to be increased.

Giriş: Bu çalışmada dissosiyatif bozukluk (DB) eştanısı olan ve olmayan bipolar bozukluk (BB) hastalarının sosyodemografik karakteristiklerinin karşılaştırılması ve eştanı varlığının tedaviye etkisinin değerlendirilmesi amaçlanmıştır.

Yöntem: BB tanısı ile Şişli Etfal Hastanesi Psikiyatri Kliniği’nde 2010-2011 yılları arasında yatışı yapılan ardışık 149 hasta çalışmaya alınmıştır. Hastalara SCID-D uygulanarak DB tanısı, SCID-I ile BB tanısı konmuş, sosyodemografik karakteristikleri, YMDÖ, HAM-D, KPDÖ, DYÖ puanları ve hastanede yatış süre ve sayıları incelenmiştir.

Bulgular: 23 hastada (%15,4) başka türlü adlandırılamayan dissosiyatif bozukluk, 4 hastada (% 2,6) dissosiyatif kimlik bozukluğu, 1 hastada (%0,6) dissosiyatif amnezi tespit edildi. DB eştanısı olan BB hastalarının daha genç ve daha fazla oranda kadın olduğu belirlendi (sırasıyla p=0,002, p=0,015). DB eştanılı BB hastalarının DYÖ toplam puanının BB hastaların daha yüksek olduğu tespit edildi (p<0,001). Tüm örneklemde DYÖ toplam puanı ile hastanede kalış süresi arasında korelasyon bulunmuştur (p=0,001, Spearman r=0.336). Başvuru sırasında toplam HDÖ puanı eştanılı grupta anlamlı olarak daha yüksek (p=0,027), intihar maddesi hem başvuru hem taburculukta anlamlı olarak yüksek bulunmuştur (p<0,001 ve p=0,035). Başvuru esnasında KPDÖ puanlarından, halüsinatuar davranış maddesi eştanılı grupta yüksek bulunmuştur (p=0,019). YMDÖ puanlarından konuşma hız ve miktarı hem başvuru hem taburculukta (sırasıyla p=0,027, p=0,006), içgörü maddesi ise başvuru esnasında eştanının olmadığı bipolar hasta grubunda yüksek bulunmuştur (p=0,018).

Sonuç: BB hastalarında DB eştanısı sorgulanmalıdır. DB eştanılı hastaların daha çok kadın cinsiyette ve daha genç yaşta olduğu, daha fazla depresyon puanlarına sahip olduğu; daha uzun süreli hastanede kalış süresine sahip olduğu bulunmuştur. Dissosiyasyon eştanısı varlığında, intihar girişim sayısı ve halüsinatuar davranışlarda artış görülebilir.

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Primary Language en
Subjects Health Care Sciences and Services
Published Date Aug 2016
Journal Section Original Research
Authors

Author: Bahadır Bakım
Institution: YENİ YÜZYIL ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RUH SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI
Country: Turkey


Author: Elif Baran
Institution: İSTANBUL ŞİŞLİ HAMİDİYE ETFAL EĞİTİM VE ARAŞTIRMA HASTANESİ, PSİKİYATRİ
Country: Turkey


Author: Sinan Yayla
Institution: Çorlu Devlet Hastanesi, Tekirdağ, Türkiye
Country: Turkey


Author: Abdullah Akpinar
Institution: SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RUH SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI
Country: Turkey


Author: Hakan Serdar Sengul
Institution: Taksim İlk Yardım Hastanesi, İstanbul
Country: Turkey


Author: Hulya Ertekin
Institution: Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Ruh Sağlığı ve Hastalıkları Ana Bilim Dalı, Çanakkale
Country: Turkey


Author: Mehmet Diyaddin Güleken
Institution: DİYARBAKIR GAZİ YAŞARGİL EĞİTİM VE ARAŞTIRMA HASTANESİ, YOK
Country: Turkey


Author: Onur Tankaya
Institution: İSTANBUL ŞİŞLİ HAMİDİYE ETFAL EĞİTİM VE ARAŞTIRMA HASTANESİ, PSİKİYATRİ
Country: Turkey


Author: Omer Akil Ozer
Institution: Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Psikiyatri Kliniği, İstanbul
Country: Turkey


Author: Kayıhan Oguz Karamustafalioglu
Institution: ÜSKÜDAR ÜNİVERSİTESİ
Country: Turkey


Dates

Publication Date : August 30, 2016

Bibtex @research article { fppc256690, journal = {Family Practice and Palliative Care}, issn = {2458-8865}, eissn = {2459-1505}, address = {}, publisher = {SERNEV}, year = {2016}, volume = {1}, pages = {35 - 42}, doi = {10.22391/920.256690}, title = {Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder}, key = {cite}, author = {Bakım, Bahadır and Baran, Elif and Yayla, Sinan and Akpinar, Abdullah and Sengul, Hakan Serdar and Ertekin, Hulya and Güleken, Mehmet Diyaddin and Tankaya, Onur and Ozer, Omer Akil and Karamustafalioglu, Kayıhan Oguz} }
APA Bakım, B , Baran, E , Yayla, S , Akpinar, A , Sengul, H , Ertekin, H , Güleken, M , Tankaya, O , Ozer, O , Karamustafalioglu, K . (2016). Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder. Family Practice and Palliative Care , 1 (2) , 35-42 . DOI: 10.22391/920.256690
MLA Bakım, B , Baran, E , Yayla, S , Akpinar, A , Sengul, H , Ertekin, H , Güleken, M , Tankaya, O , Ozer, O , Karamustafalioglu, K . "Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder". Family Practice and Palliative Care 1 (2016 ): 35-42 <http://www.fppc.com.tr/en/issue/24207/256690>
Chicago Bakım, B , Baran, E , Yayla, S , Akpinar, A , Sengul, H , Ertekin, H , Güleken, M , Tankaya, O , Ozer, O , Karamustafalioglu, K . "Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder". Family Practice and Palliative Care 1 (2016 ): 35-42
RIS TY - JOUR T1 - Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder AU - Bahadır Bakım , Elif Baran , Sinan Yayla , Abdullah Akpinar , Hakan Serdar Sengul , Hulya Ertekin , Mehmet Diyaddin Güleken , Onur Tankaya , Omer Akil Ozer , Kayıhan Oguz Karamustafalioglu Y1 - 2016 PY - 2016 N1 - doi: 10.22391/920.256690 DO - 10.22391/920.256690 T2 - Family Practice and Palliative Care JF - Journal JO - JOR SP - 35 EP - 42 VL - 1 IS - 2 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/920.256690 UR - https://doi.org/10.22391/920.256690 Y2 - 2016 ER -
EndNote %0 Family Practice and Palliative Care Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder %A Bahadır Bakım , Elif Baran , Sinan Yayla , Abdullah Akpinar , Hakan Serdar Sengul , Hulya Ertekin , Mehmet Diyaddin Güleken , Onur Tankaya , Omer Akil Ozer , Kayıhan Oguz Karamustafalioglu %T Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder %D 2016 %J Family Practice and Palliative Care %P 2458-8865-2459-1505 %V 1 %N 2 %R doi: 10.22391/920.256690 %U 10.22391/920.256690
ISNAD Bakım, Bahadır , Baran, Elif , Yayla, Sinan , Akpinar, Abdullah , Sengul, Hakan Serdar , Ertekin, Hulya , Güleken, Mehmet Diyaddin , Tankaya, Onur , Ozer, Omer Akil , Karamustafalioglu, Kayıhan Oguz . "Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder". Family Practice and Palliative Care 1 / 2 (August 2016): 35-42 . https://doi.org/10.22391/920.256690
AMA Bakım B , Baran E , Yayla S , Akpinar A , Sengul H , Ertekin H , Güleken M , Tankaya O , Ozer O , Karamustafalioglu K . Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder. Fam Pract Palliat Care. 2016; 1(2): 35-42.
Vancouver Bakım B , Baran E , Yayla S , Akpinar A , Sengul H , Ertekin H , Güleken M , Tankaya O , Ozer O , Karamustafalioglu K . Comparison of the patient groups with and without dissociative disorder comorbidity among the inpatients with bipolar disorder. Family Practice and Palliative Care. 2016; 1(2): 42-35.