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Impulsivity in bipolar disorders in a Tunisian sample.

Ines Feki1, Mariem Moalla1, Imen Baati1

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Summary

Impulsivity is common in bipolar disorder (BD). This study found high impulsivity in 55% of BD patients, linked to male gender, lower education, early onset, substance misuse, and suicide attempts.

Keywords:
Alcohol use disorderBipolar disorderImpulsivity, BIS-11Mood stateSuicide attempts

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Area of Science:

  • Psychiatry
  • Neuroscience
  • Clinical Psychology

Background:

  • Impulsivity is a key trait in bipolar disorder (BD).
  • Understanding impulsivity's correlates is crucial for managing BD.
  • High impulsivity is associated with poorer outcomes in BD.

Purpose of the Study:

  • To assess impulsivity levels in bipolar disorder patients.
  • To investigate the relationship between impulsivity and mood state.
  • To examine associations with alcohol misuse, suicide attempts, and socio-demographic factors.

Main Methods:

  • 60 patients with bipolar disorder were assessed.
  • Impulsivity measured using the Barratt Impulsiveness Scale (BIS-11) - Arabic version.
  • Mood state, alcohol misuse, and suicide attempts evaluated using MGRS and MINI (v05).

Main Results:

  • Mean BIS-11 score was 71.5; 55% exhibited high impulsivity.
  • No significant difference in impulsivity related to mood state.
  • Impulsivity correlated with male gender, lower education, early onset, smoking, substance misuse, and prior suicide attempts.

Conclusions:

  • High impulsivity is prevalent in bipolar disorder patients.
  • Impulsivity is associated with specific demographic and clinical factors, not mood state.
  • Treatment strategies for BD should aim to reduce impulsivity to improve patient outcomes.