Co-Morbidity of Personality Disorders and its Impact on Phenomenology and Treatment Response in Bipolar Disorder Patients.

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dc.contributor.authorShekhawat, Lokesh
dc.contributor.authorGupta, L N
dc.contributor.authorGupta, Prerana
dc.contributor.authorSinghal, A K
dc.contributor.authorVerma, K K
dc.contributor.authorGocher, Suresh
dc.date.accessioned2015-07-03T10:28:49Z
dc.date.available2015-07-03T10:28:49Z
dc.date.issued2009-10
dc.description.abstractAim:To study the comorbidity of personality disorders and its impact on phenomenology and treatment response in bipolar patients. Methods:40 indoor patients of psychiatry ward of P.B.M. General Hospital out of total 437 admitted patients diagnosed as Bipolar Disorder – Manic or Mixed were randomly selected. Young’s Mania Rating Scale (YMRS), Montogomery Asberg Depression Rating Scale (MADRS) and Presumptive Stressful Life Event Scale (PSLE) were applied to these patients and they were observed every alternate day till discharge.. International Personality Disorder Examination (IPDE) was applied on their first follow-up visit after recovery. Since the major aim was to observe the routine response pattern of phenomenology in Bipolar I patients and considering wide variabilities in treatment strategies of clinicians, we decided to consider the naturalistic method, the response to the best treatment considered by the treating physician Results : Borderline disorder level personality psychopathology was noticed in 32.5% of the whole sample .Anxious and Impulsive traits came a close second with 30% of the sample demonstrating the combined trait. Anxious disorder was seen in 3 patients that is 7.5% of the sample and Anxious, Impulsive and Anti-social traits were seen in 3 patients (7.5%).5 patients (12.5%) demonstrated anxious traits,3 patients (7.5 %)had impulsive traits and 1 patient had histrionic traits. Hospital stay of patients with Borderline personality disorder versus others with trait level psychopathology was significantly higher. (t=9.40, d.f. =38, p<0.000) Electro- Convulsive Therapy was administered to a significantly higher number of patients with personality disorder level psychopathology than to trait level personality psychopathology (X2=6.856, d.f.=1, p<0.01). Borderline Disorder patients had significantly higher YMRS score than single (t=3.348, d.f.=20, p< 0.001) and double trait t=3.58, d.f.=26, p<0.001) patients.en_US
dc.identifier.citationShekhawat Lokesh, Gupta L N, Gupta Prerana, Singhal A K, Verma K K, Gocher Suresh. Co-Morbidity of Personality Disorders and its Impact on Phenomenology and Treatment Response in Bipolar Disorder Patients. Delhi Psychiatry journal. 2009 Oct; 12 (2): 234-242.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/158972
dc.language.isoenen_US
dc.source.urihttps://medind.nic.in/daa/t09/i2/daat09i2p234.pdfen_US
dc.subjectPersonality Disordersen_US
dc.subjectBipolar Disorderen_US
dc.subjectCo-morbidityen_US
dc.subject.meshBipolar Disorder --complications
dc.subject.meshBipolar Disorder --epidemiology
dc.subject.meshBipolar Disorder --psychology
dc.subject.meshComorbidity
dc.subject.meshHumans
dc.subject.meshIndia
dc.subject.meshPersonality Disorders --epidemiology
dc.subject.meshPersonality Disorders --psychology
dc.subject.meshPsychiatric Status Rating Scale --methods
dc.subject.meshPsychiatric Status Rating Scale --statistics & numerical data
dc.titleCo-Morbidity of Personality Disorders and its Impact on Phenomenology and Treatment Response in Bipolar Disorder Patients.en_US
dc.typeArticleen_US
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