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Awareness of Metabolic Concerns in Patients With Bipolar Disorder: A Survey of European Psychiatrists

Published online by Cambridge University Press:  21 December 2007

Michael Bauer ,
Yves Lecrubier  and
Trisha Suppes
Michael Bauer*
Affiliation:
Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, D-01307Dresden, Germany
Yves Lecrubier
Affiliation:
INSERM U302, Hôpital de la Salpêtrière, 47 Boulevard de l'Hôpital 75013, Paris, France
Trisha Suppes
Affiliation:
Bipolar Research Program, Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX75390-9121, USA
*
∗Corresponding author. Tel.: +49 351 458 2772; fax: +49 351 458 4324. E-mail addresses: michael.bauer@uniklinikum-dresden.de (M. Bauer), lecru@ext.jussieu.fr (Y. Lecrubier), trisha.suppes@utsouthwestern.edu (T. Suppes).
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Abstract

Purpose.

An online survey of European psychiatrists assessed awareness of the metabolic syndrome and its influence on the management of bipolar disorder.

Materials and methods.

Psychiatrists in the United Kingdom, France, Germany, Spain, and Italy were surveyed from April to June 2006. Eligibility criteria w ere 4–30 years in practice, ≥50% of time in direct patient care, had seen ≥10 bipolar patients in the preceding month. Aggregate data were weighted to represent the practicing physician population per country.

Results.

of 718 respondents, 56% had diagnosed metabolic syndrome. Respondents reported that metabolic syndrome prevalence was higher in bipolar patients (25%) than in the general population (20%). Seventy-two percent felt that metabolic syndrome poses significant health risks, warranting monitoring/treatment, and were most concerned with the bipolar medication adverse effects of weight gain, cognitive impairment, and glucose intolerance. Survey respondents recognized clear differences among psychotropic agents in the propensity to induce metabolic adverse effects. Sixty-five percent of respondents indicated that they had made interviewing and monitoring changes in the past three years as a result of metabolic concerns.

Conclusions.

European psychiatrists view metabolic syndrome as highly prevalent in the general population and in bipolar patients; twothirds have changed their management of bipolar patients because of metabolic health concerns.

Keywords

Mania and bipolar disordersPsychiatry in Europe
Type
Original article
Information
European Psychiatry , Volume 23 , Issue 3 , April 2008 , pp. 169 - 177
Copyright
Copyright © European Psychiatric Association 2008

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Footnotes

1

Tel.: +1 214 648 6924; fax: +1 214 648 6922.

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