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Screening of bipolarity in a depressed population

Published online by Cambridge University Press:  16 April 2020

M. Touhami
Affiliation:
Academic Military Psychiatric Unit, Ibn Sina Hospital, Marrakesh, Morocco
F. Ouriaghli
Affiliation:
Academic Military Psychiatric Unit, Ibn Sina Hospital, Marrakesh, Morocco
F. Manoudi
Affiliation:
Academic Psychiatric Unit, CHU Mohamed VI, Marrakesh, Morocco
F. Asri
Affiliation:
Academic Psychiatric Unit, CHU Mohamed VI, Marrakesh, Morocco

Abstract

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Introduction

It's not always evident to diagnose a bipolar disorder.The difficulties of diagnosis have been demonstrated by several studies, some of which have shown that one out of two bipolars consulted at least three health professionals before receiving a proper diagnosis, with an average period of 10 years evolution prior to diagnosis. hypomania is often experienced by patients as a pleasant experience and not a pathological one, rarely have they reported this phenomenon spontaneously. Thus, the diagnosis of hypomania or BP-II disorder is not established in 50% of cases.

Aims

to find the prevalence of bipolar disorder type II in a population of depressed people in order to highlight the role of scales in the early identification of this disease often under-diagnosed.

Methods

a prospective study of screening for a history of hypomania in a population of patients hospitalized for consultants or major depressive episode or recurrent depressive disorder; over a period of three months

The diagnoses of MDE and RDD were prepared according to the DSM-IV.TR.

The screening tool is the Hypomania Checklist (HCL French version) which was completed by patients or by the psychiatrist of illiterate patients after its translation into Arabic dialect

Results:

Sample of 35 patients: 20 women and 15 men, average age: 34 years; Composed of 25 RDD and 10 MED

15 patients answered “yes” to 10 or more items of the HCL-20, hypomanic history was confirmed by a clinical interview in 13 of them

Type
P01-252
Copyright
Copyright © European Psychiatric Association 2011
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