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  1. Alcohol problems and long-term psychosocial outcome in Chinese patients with bipolar disorder.

    Article - En anglais

    Background 

    A high comorbidity of alcohol use disorders among Western bipolar patients is recognized and worsens the outcome of bipolar illness.

    In view of lower prevalence of alcohol use disorders in some Asian groups, we attempted to investigate the alcohol problems among Chinese bipolar patients in Taiwan.

    Methods 

    The clinical data of bipolar patients (DSM-III-R) having been followed-up naturally for at least 15 years were obtained by a combination of chart reviews and interviews with patients and family members.

    Results 

    Based on a retrospective chart review of 158 patients, 8.2% of them were found to have alcohol problems.

    The lifetime prevalence of alcohol abuse was 6.9%, and of alcohol dependence 3.0% among 101 subjects accepting interview.

    According to the Global Assessment of Functioning Scale (APA, 1994) nearly one-third of them were clearly dysfunctional.

    Limitation 

    As subjects had a greater mean age, the age-related effects probably worsened the psychosocial outcome and reduced the incidence of new substance abuse.

    Conclusion 

    Chinese bipolar patients, despite a lower comorbidity of alcohol use disorders, do not have a more favorable long-term psychosocial outcome (marriage, work, and social adjustment) than Western patients.

    Mots-clés Pascal : Trouble bipolaire, Association morbide, Alcoolisme, Taiwan, Asie, Chinois, Asiatique, Prévalence, Epidémiologie, Dépendance, Homme, Trouble humeur, Abus

    Mots-clés Pascal anglais : Bipolar disorder, Concomitant disease, Alcoholism, Taiwan, Asia, Chinese, Asiatic, Prevalence, Epidemiology, Dependence, Human, Mood disorder, Abuse

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0111822

    Code Inist : 002B18C07C. Création : 22/06/1998.