双极性障碍住院和物质使用障碍:从2008年到2015年的全国性回顾性研究
Leonor Valente1, Alberto Freitas2, Manuel Gonçalves-Pinho3,4
1Faculty of Medicine, University of Porto, Porto, Portugal.
Journal of dual diagnosis
|June 17, 2025
概括
同时出现的物质使用障碍 (SUD) 在双极性障碍 (BD) 住院治疗中很常见. 在BD患者中识别和管理SUD至关重要,以减少负面住院结果和疾病的整体负担.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 双极性障碍 (BD) 经常与物质使用障碍 (SUD) 一起发生.
- 了解SUD对BD住院治疗的影响对于有效的患者管理至关重要.
- 之前的研究强调了管理共病性BD和SUD的复杂性.
研究的目的:
- 为了确定双极性障碍 (BD) 住院病例中SUD的患病率.
- 分析BD患者同时发生的SUD和住院结果之间的关联.
主要方法:
- 葡萄牙公共住院病人的回顾性观察研究 (2008-2015).
- 选择的住院住院情况与初级或二级BD诊断.
- 统计分析包括t测试,曼·惠特尼U和奇平方测试,以比较有和没有SUD的BD患者之间的结果.
主要成果:
- 药物使用障碍 (SUD) 在双极性障碍 (BD) 住院病例的11.3%中存在,酒精使用障碍是最常见的 (5.8%).
- SUD的发作与更年轻,男性患者,更短的逗留时间和更高的并发症有关.
- 在SUD的BD患者中观察到更高的行为障碍和自我伤害率.
结论:
- 同时发生的SUD显著影响双极性障碍 (BD) 的住院结果.
- 在BD患者中早期发现和综合管理SUD可以减轻不良结果.
- 解决SUD至关重要,以减少医疗保健系统的整体负担并改善患者的预后.
更多相关视频
相关概念视频
Bipolar Disorder
152
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
152
Substance Use Disorders Affecting Sleep
225
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
225
Mania and Antimanic Drugs: Overview
330
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
330
Diagnostic and Statistical Manual of Mental Disorders (DSM)
166
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
166
Stress and Mental Health
221
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
221
Psychosis: Goals of Pharmacotherapy
216
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
216


