PDF(Pubmed)
Abstract：
BACKGROUND: Bipolar disorder is a severe psychiatric disorder. The objective of our study is to describe the epidemiological, clinical, and therapeutic profile of patients followed for bipolar disorder in this hospital.
METHODS: This is a cross-sectional, descriptive study conducted over a period of two years within the mental health and psychiatric diseases department of the Mohammed VI University Hospital in Oujda, Morocco, including 206 patients followed for bipolar disorder on an outpatient basis or hospitalized in one of the departments of the hospital.
RESULTS: We included in our study 206 patients with an average age of 37.34+/-12.53 and a male predominance. About 17% of our patients reported a personal medical history and 18.4%, a personal surgical history. Regarding the family history, 40.3% have a medical and surgical history and 63.1%, a psychiatric family history. The consumption of psychoactive substances is present in 49.5% of our patients. About 26.7% reported psychological trauma during childhood. Our patients have reported a history of suicide attempts with a prevalence of 26.6% in several settings: depressive (15%), delusional (5.8%), hallucinatory (3.9%), and anxious (1.9%). Several means were used during these suicide attempts, in particular, defenestration (40%), drug ingestion (36.4%), caustic ingestion (16.4%), strangulation (16.4%), and hanging (10.9%).
CONCLUSIONS: It is important to develop a personalized approach to the patient wherever possible and, if necessary, to involve other specialists in diagnosis and treatment.
METHODS: This is a cross-sectional, descriptive study conducted over a period of two years within the mental health and psychiatric diseases department of the Mohammed VI University Hospital in Oujda, Morocco, including 206 patients followed for bipolar disorder on an outpatient basis or hospitalized in one of the departments of the hospital.
RESULTS: We included in our study 206 patients with an average age of 37.34+/-12.53 and a male predominance. About 17% of our patients reported a personal medical history and 18.4%, a personal surgical history. Regarding the family history, 40.3% have a medical and surgical history and 63.1%, a psychiatric family history. The consumption of psychoactive substances is present in 49.5% of our patients. About 26.7% reported psychological trauma during childhood. Our patients have reported a history of suicide attempts with a prevalence of 26.6% in several settings: depressive (15%), delusional (5.8%), hallucinatory (3.9%), and anxious (1.9%). Several means were used during these suicide attempts, in particular, defenestration (40%), drug ingestion (36.4%), caustic ingestion (16.4%), strangulation (16.4%), and hanging (10.9%).
CONCLUSIONS: It is important to develop a personalized approach to the patient wherever possible and, if necessary, to involve other specialists in diagnosis and treatment.
摘要：
背景：双相情感障碍是一种严重的精神疾病。我们研究的目的是描述流行病学，临床,以及在这家医院随访的双相情感障碍患者的治疗情况。
方法：这是一个横截面，在Oujda的MohammedVI大学医院的精神健康和精神疾病部门进行了为期两年的描述性研究，摩洛哥,包括206例因双相情感障碍而接受门诊随访或在医院某科室住院的患者.
结果：我们在研究中纳入了206例患者，平均年龄为37.34+/-12.53，男性为主。约17%的患者报告有个人病史，18.4%的患者报告有个人病史，个人手术史.关于家族史,40.3%有病史和手术史，63.1%，精神病家族史.我们49.5％的患者存在精神活性物质的消耗。约有26.7％的人在童年时期报告了心理创伤。我们的患者报告了自杀未遂的历史，在以下几种情况下患病率为26.6％：抑郁症（15％），妄想症(5.8%)，幻觉(3.9%)，和焦虑(1.9%)。在这些自杀企图中使用了几种手段，特别是,防御(40%)，药物摄入（36.4%），苛性摄入(16.4%)，勒死(16.4%)，和悬挂（10.9%）。
结论：重要的是尽可能为患者制定个性化的治疗方法，如有必要,让其他专家参与诊断和治疗。
方法：这是一个横截面，在Oujda的MohammedVI大学医院的精神健康和精神疾病部门进行了为期两年的描述性研究，摩洛哥,包括206例因双相情感障碍而接受门诊随访或在医院某科室住院的患者.
结果：我们在研究中纳入了206例患者，平均年龄为37.34+/-12.53，男性为主。约17%的患者报告有个人病史，18.4%的患者报告有个人病史，个人手术史.关于家族史,40.3%有病史和手术史，63.1%，精神病家族史.我们49.5％的患者存在精神活性物质的消耗。约有26.7％的人在童年时期报告了心理创伤。我们的患者报告了自杀未遂的历史，在以下几种情况下患病率为26.6％：抑郁症（15％），妄想症(5.8%)，幻觉(3.9%)，和焦虑(1.9%)。在这些自杀企图中使用了几种手段，特别是,防御(40%)，药物摄入（36.4%），苛性摄入(16.4%)，勒死(16.4%)，和悬挂（10.9%）。
结论：重要的是尽可能为患者制定个性化的治疗方法，如有必要,让其他专家参与诊断和治疗。
