جستجوی مقالات مرتبط با کلیدواژه « اختلال دو قطبی » در نشریات گروه « پزشکی »

Bipolar disorder is a chronic condition that necessitates lifelong medication, therapeutic interventions, and self-care. People with bipolar disorder and their families may have varied experiences regarding sleep management, stress, interpersonal relationships, and anger, which are frequently overlooked. In the current study, the knowledge acquired by patients with bipolar disorder and their families was evaluated. Then, an appropriate model for managing self-care knowledge among individuals with bipolar disorder was proposed.

The current mixed-methods study was conducted in four stages. The first stage involved a systematic review and meta-synthesis study in the field of knowledge management in the healthcare system. The second stage involved assessing the self-care experiences of patients with bipolar disorder. In the third stage, the codes obtained from the previous stages were prioritized by experts using Delphi techniques. In the fourth stage, a researcher prepared, validated, and distributed a questionnaire among mental health service providers stages. Finally, the personal knowledge management model of self-care and experience in individuals with bipolar disorder and their families was presented.

Almost half of patients with bipolar disorder do not adhere to their long-term treatment. Also, this disease requires patients to perform self-care activities in addition to drug therapy. So, the design and implementation of a knowledge management model for self-care and experience in people with bipolar disorder can be effective in improving their self-care behaviors and quality of life.

Previous studies suggest that the severity of alterations in cognitive functions in people with a diagnosis of bipolar I disorder are directly related to the deterioration in overall functioning and life quality.

The present study aimed to test the cognitive functional model of patients with bipolar disorder regarding childhood traumatic experiences based on the mediating role of emotional instability and expressed emotion.

The research method is descriptive-correlational modeling of structural equations. The sample population included all patients with bipolar disorder who were admitted to Yahyanejad hospital in Babol, Iran during 17 months (from March/April 2010 until mid-September 2020). In total, 379 subjects were selected by convenience sampling. Data collection tools were The Childhood Trauma Questionnaire (CTQ) by Bernstein and Fink (1998), the Emotional Instability Scale by Oliver and Simpson (2004), the Expressed Emotion Level by Hall & et al. (2007), and the Cognitive Abilities Questionnaire by Nejati (2013). Data analysis was performed by structural equation modeling (SEM) in SPSS version 24 and Lisrel version 8.8.

The findings showed that childhood traumatic experiences directly affect emotional instability, expressed emotion, and cognitive function in patients with bipolar disorder (P<0.5). Further, emotional instability and expressed emotion play a mediating role in the correlation between childhood traumatic experiences and cognitive function in patients with bipolar disorder (P<0.5).

According to the results, emotional instability and expressed emotion have a mediating role in the correlation between childhood traumatic experiences and cognitive function in patients with bipolar disorder. Therefore, in order to improve the cognitive function of people with bipolar disorder, instrumented variables of stability and emotion should be taken into consideration.

Bipolar disorder is one of the serious psychiatric disorders that has recurrent and sometimes chronic nature and in most cases requires long-term and lifelong treatment and care. It's obvious that due to physical illness and diagnostic as well as therapeutic measures like surgery, these patients may also require hospitalization and anesthesia in general hospitals. In this report, we described a 51-year-old patient with a 17-year history of bipolar type 1 disorder admitted to a psychiatric hospital and during a period of severe recurrence of manic symptoms underwent surgery due to a wrist fracture. In this case, the important and fundamental point was the complete reduction of manic symptoms after surgery and recovery from anesthesia.

Bipolar mood disorder is one of the most prevalent psychiatric disorders in which the emotional processing deficit is a common feature of the disorder. Due to the role of cortical functions in emotional processing, the purpose of the study was to evaluate the correlations between cortical coherence patterns with positive and negative emotional stimulus processing in patients with bipolar mood disorders.

To address the goal of the study, EEG cortical coherences were assessed in 40 bipolar patients. The cortical coherences within main frequency bands of brain function were calculated through 19 channels of EEG and neuroguide software across three brain regions (anterior, central, and posterior). Emotional processing was assessed by the emotional differentiation task.

Data showed that there are significant correlations between cortical frequency bands, especially alpha and beta bands, with positive and negative emotion processing. Furthermore, multivariate regression analysis revealed that alpha, theta, and beta bands in different regions could predict 94 and 35 percent of variations in positive and negative emotions, respectively.

Due to the role of coherence of different regions of the cortex in predicting of emotional processing of patients with bipolar disorder, part of the emotional problems of patients can be modified by presenting appropriate therapeutic strategies, such as psychotherapeutic and pharmacotherapeutic approaches.

 Identifying the acute symptoms of manic episode remembered by the patients can help psychiatrists improve their ability to manage bipolar disorder. Given the importance of remembering symptoms, the aim of this study was to evaluate the ability of patients with type I bipolar disorder during the euthymic period to remember their past mania symptoms after hospital discharge.

 Participants were 59 patients with type I bipolar disorder admitted to Hazrat-e-Rasool-e-Akram Hospital and Iran Psychiatry Hospital in 2012. They measured by using Structured Clinical Interview for DSM-IV axis I Disorders (SCID-I) and Young Mania Rating Scale (YMRS) and their mania symptoms were recorded. Their demographic information were extracted from their medical records. Sixth months after discharge, they were evaluated again by using the 17-item Hamilton Depression Rating Scale (HRSD-17), SCID-I, YMRS, and Mini–Mental State Examination (MMSE) through face-to-face interview. To assess the agreement on the symptoms during admission and 60 months after discharge, McNemar Test and Kappa coefficients were used.

 most common mania symptoms remembered by the patients were decreased need for sleep (91.2%), irritability (83.9%), excessive involvement in activities with a high likelihood of painful consequences (81.3%) and the least frequent remembered symptom was distractibility (17.6%). The highest positive predictive values were related to the symptoms of irritability (100%), talkativeness (100%) and decreased need for sleep (96.3%), while the highest negative predictive value was related to elevated mood (87.5%).

 management of patients with bipolar disorder, psychiatrists can trust the patients’ ability to remember the three mania symptoms including irritability, decreased need for sleep and talkativeness. Regarding the symptom of elevated mood in bipolar patients, negative response of patients can be trusted.

The research aimed to investigate the effectiveness of emotional schema therapy on the mood symptoms and impulsivity of women with bipolar disorder (I, II).

Methods and Materials: 

Present research was semi-experimental study with pretest-posttest design and follow-up with control group that was performed on 30 female patients with bipolar disorder referring to the Farabi hospital in Isfahan in 2016. Participants were selected by available sampling, then they were randomly assigned to experimental (n=15) and control group (n=15). Participants responded to Barratt Impulsiveness Scale (2004), Hamilton Questionnaire and Young Mania Scale in three steps pretest, posttest and follow-up. Experimental group in addition to medication, they received emotional schema therapy in group method during 14, 90-minute sessions while the control group did not received any cognitive intervention. Descriptive statistics methods and analysis of multivariate Covariance and were used for analyzing the data

Findings showed that emotional schema therapy had impact on the dimensions of impulsivity and mood symptoms (depression and mania) of bipolar patients and this effectiveness continued to be sustained in fallow up 3 months later.

Applying emotional schema therapy along with drug therapy can be effective intervention for treatment of mood symptoms and impulsivity in patients with bipolar disorder.

One of the most common methods of suicide is acute poisoning. The association of anemia with psychiatric disorders and psychiatric disorders with suicidal behavior has been know previously. Due to the lack of study on relationship of anemia with suicide, anemia and related factors in intentional suicidal attempts were performed.

A cross-sectional descriptive-analytic study was performed in Noor general hospital. 601 patients with attempted suicide self poisoning were evaluated. χ2 and logistic regression analysis was performed for data analysis.

Prevalence of anemia was 33.8%. Frequency of anemia in patients according to age, sex and bipolar disorder showed significant differences. Logistic regression analysis showed the probability of suicide in women anemic patients was more than men (P = 0.022). Risk of suicide in anemic patients with bipolar disorder was 2.32 times the patients without bipolar disorder (P = 0.01). With increasing age of patients by age 60 relationship of anemia associated intentional poisoning would be increased.

Gender, age and bipolar disorders are the related factor in patients with anemia and suicide.

Mood Bipolar Disorders(BD) are associated with unstabilities in patients&#039; interpersonal interactions which in the long term may result in impairments in their social adjustment. Problem solving skills training, both in individual and group settings have been found effective on improving social adjustment. However, few studies have evaluated the efficacy of such approaches in social adjustment of patients with BD. This study was carried to assess the efficacy of problem solving skills training in the group setting on improvement of social adjustment in patients suffering BD.

Participants were 45 female patients with BD, aged 25-30 year old who were randomly selected among patients referred to rehabilitation centers of Isfahan in 2006. Participants were randomly assigned to two intervention and one control groups. In the first intervention group only patients received the education but in the second one along with patients, family members separately received the training too. No training was performed for control group. BD diagnosis was confirmed according to two psychiatrists&#039; and the author&#039;s diagnostic interviews. In all three groups patients remained on their medications during the study. Wineland Social Adjustment Test were administered to the three groups before the intervention and then interventions groups received problem solving skills training by Hawthorn method in ten sessions. Wineland Social Adjustment test were again administered to patients of the 3 groups after the last intervention session and also later as a follow up post-test. Data were analyzed through SPSS-software using ANCOVA tests.

After intervention, social adjustment mean scores were significantly higher in both intervention groups than in the control group (P

Group problem solving skills training can improve social adjustment in patients with BD. This intervention can be considered as a part of these patients&#039; treatment protocol in the long term.

Among legally identified cases of paraphilias, pedophilia is most common. Psychiatric disorders frequently coexist with pedophilia. Unfortunately, pedophilia is extremely difficult to treat. The authors report a patient with pedophilia, bipolar mood disorder and mental retardation who was treated with combination of carbamazepine and spironolactone.