The burden of general medical conditions in patients with bipolar disorder
Abstract
We reviewed the current literature on medical comorbidity burden in bipolar disorder. Overall, current studies suggest that numerous medical conditions may occur disproportionately within bipolar disorder patient populations, including hypertension, hyperlipidemia, and hepatitis C infection. In addition, the determinants of increased burden of medical comorbidity in patients with bipolar disorder include metabolic-related factors, health care access barriers, and patient behavioral and treatment factors. Overall, interventions specifically designed to reduce the burden of medical comorbidity in bipolar disorder are needed, especially those that emphasize changes at the health system level to facilitate coordination of medical and psychiatric care.
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Across different continents, rates of hepatitis virus infection are markedly elevated in persons with SMI compared to the general population.
“Across different continents, markedly elevated rates of hepatitis virus infection have been reported in persons with SMI compared to the general population (364,396-403).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [402]
In the largest study to date, prevalence rates of hepatitis B virus (23.4%) and hepatitis C virus (19.6%) in SMI patients were approximately 5 and 11 times the overall estimated population rates for these infections.
“The largest study to date found prevalence rates of hepatitis B virus (23.4%) and hepatitis C virus (19.6%) in SMI patients to be approximately 5 and 11 times the overall estimated population rates for these infections.”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [402]
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- Authors
- Kilbourne, A. M.
- Affiliations
- VA Pittsburgh Healthcare System (US)
- Corresponding author
- Kilbourne, Amy M.
- ORCID
- Kilbourne, Amy M.
- Venue
- Current Psychiatry Reports
- Published
- 2005-12
- Volume
- 7
- Issue
- 6
- Pages
- 471-477
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- OpenAlex
- W2052670093
- Cited by
- 34
- References
- 50
- Citations by year
- 2018: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 2
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- bipolar disorder, comorbidities, hypertension, hyperlipidemia, hepatitis C, metabolic factors, barriers to care, comorbidity burden
- MeSH terms
- Bipolar Disorder, Health Services Accessibility, Health Status, Hepatitis C, Humans, Hyperlipidemias, Hypertension, Risk Factors, Health Behavior, Comorbidity, Cost of Illness
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