Citation

Gültekin BK, Günderci A, Balci MV, Kökcü F, Gedikbaş C, Ozcan ME. Klin. Psikofarmakol. Bül. 2008; 18(3): 183-188.

Copyright

(Copyright © 2008, Kadıköy Hachette Yayıncılık)

DOI

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PMID

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Abstract

OBJECTIVE: There is limited data to demonstrate the clinical characteristics and variables of psychiatric inpatients in our country.The aim of this preliminary study is to investigate sociodemographic and clinical variables of inpatients, who were followed up at a mood disorders unit during a two year period. İn addition, patients with depressive disorders and bipolar disorders were compared in terms of these characteristics.

METHOD: A total of 36 inpatients were evaluated in the Mood disorder unit of Psychiatry Department of Adnan Menderes University between 16.09.2004 and 01.09.2006. Diagnoses were made according to DSM-IV-TR. Depressive disorders group included patients with either major depressive or recurrent depressive disorders, while bipolar disorders group consisted of patients with bipolar I, and II disorders, schizoaffective disorder-bipolar type, cyclothymic disorder and antidepressant induced mania.

RESULTS: There were 36 inpatients in total, 26 in bipolar disorders group and 10 in depressive disorders group. Age at onset was 27.7 ± 1.7 years in bipolar disorders group and 35.3 ±4.4 years in depressive disorders group. Psychosocial stress prior to the first episode was a factor in 90% of patients with depressive disorders and in 64% of patients with bipolar disorders. Family history was positive for 66.7% of patients with depressive disorders and for 57.7% of patients with bipolar disorders. History of suicide attempts was frequent in both groups; 66.7% in depressive disorders group and 70% in bipolar disorders group. Any comorbid disorder listed at axis III was present in 40% of patients in depressive disorders group and in 52% of patients in bipolar disorders group. The mean hospitalization period was 36.6±5.9 days in depressive disorders group and 40.8±5.0 days in bipolar disorders group. The use of tricyclic antidepressants were more prevalent in the depressive group, whereas the mood stabilizers and antipsychotics were dominantly preferred in the bipolar group.

DISCUSSION: The importance of epidemiologic research is increasing in our country as well as other countries recently. Valid and reliable data for bipolar disorders and other psychiatric disorders are required in Turkey. Evaluating the results of studies performed in different regions of our country will contribute to obtain the specific characteristics of psychiatric disorders in Turkey. In the study, the age of onset was earlier in the bipolar group, whereas the existance of a stressor in the first episode was more frequent in the depressive group.

Language: tr

Keywords

adult; human; female; male; bipolar disorder; depression; suicide attempt; major depression; hospitalization; Bipolar disorders; mood disorder; Mood disorders; article; controlled study; clinical article; tricyclic antidepressant agent; recurrent disease; mental stress; family history; hospital patient; onset age; mania; bipolar I disorder; bipolar II disorder; Depressive disorders; schizoaffective psychosis; Demographic variables; diagnostic and statistical manual of mental disorders; mood stabilizer; cyclothymia; Clinical variables