Behavioral addictions in bipolar disorders: A systematic review
Open accessAbstract
Clinical and epidemiological research suggests that behavioral addictions (BA) are associated with a wide range of psychiatric disorders. However, the relationship between BA and bipolar disorders (BD) has not been thoroughly explored. The aim of this systematic review was to critically summarize and evaluate the current available evidence regarding a possible association between BA and BD. A systematic review of major electronic databases according to PRISMA guidelines was conducted from inception to 31st December 2017. We sought quantitative studies data concerning prevalence of comorbidity, features and treatment related to BA-BD comorbidity. Data were narratively synthesized. Of the 1250 studies returned from the search, a total of 28 articles were included in this review. BA may be overrepresented in BD samples, and the other way around. Pathological gambling and kleptomania were the most prevalent conditions followed by compulsive buying, compulsive sexual behavior and internet addiction. BA was also associated with other mood disorders, anxiety disorders and substance use disorder. BD-BA comorbidity was related with more severe course of illness. Studies on treatment strategies for BD-BA comorbidity are rather limited; only one randomized controlled trial that fulfilled inclusion criteria was identified. Methodological heterogeneity in terms of design and results among studies was found. BD-BA commonly co-occurs although there is a need for rigorous studies. Routine screening and adequate assessment may be helpful in BD patients to identify individuals at risk for BA and to effectively manage the complex consequences associated with BA-BD comorbidity.
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There is some comorbidity between bipolar disorder and behavioral addictions, a stronger effect with gambling addiction than sex addiction.
“There is some comorbidity between bipolar disorder and behavioral addictions, a stronger effect with gambling addiction than sex addiction (Di Nicola et al., 2010;Varo et al., 2019).”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Varo et al., 2019
Elevated rates of compulsive sexual behaviour have also been found among individuals with attention-deficit/hyperactivity disorder, bipolar disorder, borderline personality disorder, PTSD, paraphilias, and erectile dysfunction.
“Elevated rates of compulsive sexual behaviour have also been found among individuals with attention-deficit/hyperactivity disorder (ADHD) 260 , bipolar disorder 261 , borderline personality disorder 257,262 , PTSD 263 , paraphilias 264 , and erectile dysfunction 264,265 .”
Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859 · see citing works
Yatham, L. N., & Malhi, G. S. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780199562305.001.0001 · Cited by 3,515 · see citing works
Grande, I., Berk, M., Birmaher, B., & Vieta, E. (2016) · The Lancet · doi:10.1016/s0140-6736(15)00241-x · Cited by 1,710 · see citing works
Petry, N. M., Stinson, F. S., & Grant, B. F. (2005) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v66n0504 · Cited by 1,245 · see citing works
Introduction to Behavioral Addictions
Grant, J. E., Potenza, M. N., Weinstein, A., & Gorelick, D. A. (2010) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952990.2010.491884 · Cited by 1,242 · see citing works
DSM-IV pathological gambling in the National Comorbidity Survey Replication
Kessler, R. C., Hwang, I., LaBrie, R., Petukhova, M., Sampson, N. A., Winters, K. C., & Shaffer, H. J. (2008) · Psychological Medicine · doi:10.1017/s0033291708002900 · Cited by 928 · see citing works
The association between Internet addiction and psychiatric disorder: A review of the literature
Ko, C.-H., Yen, J.-Y., Yen, C.-F., Chen, C.-S., & Chen, C.-C. (2012) · European Psychiatry · doi:10.1016/j.eurpsy.2010.04.011 · Cited by 895 · see citing works
Vieta, E., Berk, M., Schulze, T. G., Carvalho, A. F., Suppes, T., Calabrese, J. R., Gao, K., Miskowiak, K. W., & Grande, I. (2018) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2018.8 · Cited by 891 · see citing works
Self-citationCunningham‐Williams, R. M., Cottler, L. B., Compton, W. M., & Spitznagel, E. L. (1998) · American Journal of Public Health · doi:10.2105/ajph.88.7.1093 · Cited by 473 · see citing works
Internet addiction: a descriptive clinical study focusing on comorbidities and dissociative symptoms
Bernardi, S., & Pallanti, S. (2009) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2008.11.011 · Cited by 405 · see citing works
Early Intervention in Bipolar Disorder
Vieta, E., Salagre, E., Grande, I., Carvalho, A. F., Fernandes, B. S., Berk, M., Birmaher, B., Tohen, M., & Suppes, T. (2018) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2017.17090972 · Cited by 354 · see citing works
Clinical Features and Psychiatric Comorbidity of Subjects With Pathological Gambling Behavior
Black, D. W., & Moyer, T. (1998) · Psychiatric Services · doi:10.1176/ps.49.11.1434 · Cited by 350 · see citing works
Psychiatric comorbidity and compulsive/impulsive traits in compulsive sexual behavior
Raymond, N. C., Coleman, E., & Miner, M. H. (2003) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(03)00110-x · Cited by 314 · see citing works
Robbins, T. W., & Clark, L. (2014) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2014.09.005 · Cited by 306 · see citing works
Impulsivity: a link between bipolar disorder and substance abuse
Swann, A. C., Dougherty, D. M., Pazzaglia, P. J., Pham, M., & Moeller, F. G. (2004) · Bipolar Disorders · doi:10.1111/j.1399-5618.2004.00110.x · Cited by 292 · see citing works
Recognizing Problem Video Game Use
Porter, G., Starcevic, V., Berle, D., & Fenech, P. (2010) · Australian and New Zealand journal of psychiatry (Print) · doi:10.3109/00048670903279812 · Cited by 250 · see citing works
Gender differences in bipolar disorder: age of onset, course, comorbidity, and symptom presentation
Kawa, I., Carter, J. D., Joyce, P. R., Doughty, C. J., Frampton, C. M., Wells, J. E., Walsh, A. E. S., & Olds, R. J. (2005) · Bipolar Disorders · doi:10.1111/j.1399-5618.2004.00180.x · Cited by 231 · see citing works
Hollander, E., Pallanti, S., Allen, A., Sood, E., & Rossi, N. B. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.1.137 · Cited by 228 · see citing works
Fluoxetine treatment of nonparaphilic sexual addictions and paraphilias in men.
Kafka, M. P., & PRENTKY, R. A. (1992) · PubMed · Cited by 209 · see citing works
Psychosocial interventions in bipolar disorder: What, for whom, and when
Reinares, M., Sánchez-Moreno, J., & Fountoulakis, K. N. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.12.017 · Cited by 184 · see citing works
Self-citationCompulsive Buying Disorder: A Review of the Evidence
Black, D. W. (2007) · CNS Spectrums · doi:10.1017/s1092852900020630 · Cited by 168 · see citing works
Østergaard, M. L. D., Nordentoft, M., & Hjorthøj, C. R. (2017) · Addiction · doi:10.1111/add.13788 · Cited by 158 · see citing works
Olanzapine in the Treatment of Pathological Gambling
McElroy, S. L., Nelson, E. B., Welge, J. A., Kaehler, L. A., & Keck, P. E. (2008) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v69n0314 · Cited by 157 · see citing works
Nunes-Neto, P. R., Köhler, C. A., Schuch, F. B., Solmi, M., Quevedo, J., Maes, M., Murru, A., Vieta, E., McIntyre, R. S., McElroy, S. L., et al. (2018) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2017.10.003 · Cited by 150 · see citing works
Impulse Control Disorders and Depression
Lejoyeux, M., ARBARETAZ, M., McLOUGHLIN, M., & Adès, J. (2002) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200205000-00007 · Cited by 137 · see citing works
Behavioral addictions: Past, present and future
Demetrovics, Z., & Griffiths, M. D. (2012) · Journal of Behavioral Addictions · doi:10.1556/jba.1.2012.1.0 · Cited by 129 · see citing works
Hodgins, D. C., Peden, N., & Cassidy, E. (2005) · Journal of Gambling Studies · doi:10.1007/s10899-005-3099-3 · Cited by 129 · see citing works
Sexual Addiction: Designation and Treatment
Goodman, A. (1992) · Journal of Sex & Marital Therapy · doi:10.1080/00926239208412855 · Cited by 127 · see citing works
Psychopathology and Comorbidity of Psychiatric Disorders in Patients With Kleptomania
Bayle, F., Caci, H. M., Millet, B., Richa, S., & Olié, J. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.8.1509 · Cited by 121 · see citing works
Blanco, C., Grant, J. E., Petry, N. M., Simpson, H. B., Alegría, A. A., Liu, S.-M., & Hasin, D. S. (2008) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2008.07101660 · Cited by 120 · see citing works
Behavioural addiction—A rising tide?
Chamberlain, S. R., Löchner, C., Stein, D. J., Goudriaan, A. E., van Holst, R. J., Zohar, J., & Grant, J. E. (2015) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2015.08.013 · Cited by 113 · see citing works
Behavioural addictions in bipolar disorder patients: role of impulsivity and personality dimensions
Di Nicola, M., Tedeschi, D., Mazza, M., Martinotti, G., Harnic, D., Catalano, V., Bruschi, A., Pozzi, G., Bria, P., & Janiri, L. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.12.016 · Cited by 112 · see citing works
Lloyd, J., Doll, H., Hawton, K. E., Dutton, W. H., Geddes, J. R., Goodwin, G. M., & Rogers, R. D. (2010) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.03.038 · Cited by 109 · see citing works
Swann, A. C. (2010) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.05146.x · Cited by 109 · cited 1× · see citing works
“Taking these results together, impulivity, poor modulation of motivation, poor modulation of esponse to rewarding stimuli, combined with susceptibilty to behavioral sensitization are other mechanisms that ould reinforce a neurocognitive link between BD and BA Swann, 2010 ).”
BackgroundDiagnosis, neurobiology, and treatment of pathological gambling.
DeCaria, C. M., Hollander, E., Grossman, R., Wong, C. M., Mosovich, S., & Cherkasky, S. (1996) · PubMed · Cited by 108 · see citing works
Kleptomania: Clinical features and comorbidity in an Italian sample
Presta, S., Marazziti, D., Dell’Osso, L., Pfanner, C., Pallanti, S., & Cassano, G. B. (2002) · Comprehensive Psychiatry · doi:10.1053/comp.2002.29851 · Cited by 96 · see citing works
Treatment of Pathological Gambling with Carbamazepine
Haller, R., & Hinterhuber, H. (1994) · Pharmacopsychiatry · doi:10.1055/s-2007-1014292 · Cited by 92 · see citing works
Singh, J. K., Mattoo, S. K., Sharan, P., & Basu, D. (2005) · Bipolar Disorders · doi:10.1111/j.1399-5618.2004.00173.x · Cited by 92 · see citing works
Comorbid Substance Use Disorders Among Youth With Bipolar Disorder
Goldstein, B. I., & Bukstein, O. G. (2009) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.09r05222gry · Cited by 90 · see citing works
Epidemiology of behavioral dependence: literature review and results of original studies
Lejoyeux, M., Mc Loughlin, M., & Adès, J. (2000) · European Psychiatry · doi:10.1016/s0924-9338(00)00201-7 · Cited by 90 · see citing works
Lithium and lady luck; use of lithium carbonate in compulsive gambling.
Moskowitz, J. A. (1980) · PubMed · Cited by 78 · see citing works
Kim, B., Chang, S. M., Park, J. E., Seong, S. J., Won, S. H., & Cho, M. J. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.07.009 · Cited by 78 · see citing works
Treatment adherence in bipolar I and schizoaffective disorder, bipolar type
Murru, A., Pacchiarotti, I., Amann, B. L., Nivoli, A., Vieta, E., & Colom, F. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.08.026 · Cited by 68 · see citing works
Problem Gambling and Homelessness: Results from an Epidemiologic Study
Nower, L., Eyrich‐Garg, K. M., Pollio, D. E., & North, C. S. (2014) · Journal of Gambling Studies · doi:10.1007/s10899-013-9435-0 · Cited by 66 · see citing works
Compulsive sexual behavior and psychopathology among treatment-seeking men in São Paulo, Brazil
Scanavino, M. D. T., Ventuneac, A., Abdo, C. H. N., Tavares, H., do Amaral, M. L. S., Messina, B., dos Reis, S. C., Martins, J. P. L. B., & Parsons, J. T. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2013.01.021 · Cited by 62 · see citing works
Kennedy, S. H., Welsh, B. R., Fulton, K. A., Soczynska, J. K., McIntyre, R. S., O’Donovan, C., Milev, R. V., Mellédo, J. L., Bisserbe, J. C., Zimmerman, M. A., et al. (2010) · The Canadian Journal of Psychiatry · doi:10.1177/070674371005500905 · Cited by 56 · see citing works
Pathological gambling: comorbid psychiatric diagnoses in patients and their families.
Dannon, P. N., Lowengrub, K., Aizer, A., & Kotler, M. (2006) · PubMed · Cited by 55 · see citing works
Problem gambling in bipolar disorder: Results from the Canadian Community Health Survey
McIntyre, R. S., McElroy, S. L., Konarski, J. Z., Soczynska, J. K., Wilkins, K., & Kennedy, S. H. (2007) · Journal of Affective Disorders · doi:10.1016/j.jad.2006.12.005 · Cited by 54 · see citing works
Pathologisches Kaufen und psychische Komorbidität
Mueller, A., Mühlhans, B., Silbermann, A., Müller, U., Mertens, C., Horbach, T., Mitchell, J. P., & de Zwaan, M. (2008) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-2008-1067438 · Cited by 51 · see citing works
Prevalence and Diagnostic Correlates of DSM-IV Pathological Gambling in Psychiatric Outpatients
Zimmerman, M. A., Chelminski, I., & Young, D. (2006) · Journal of Gambling Studies · doi:10.1007/s10899-006-9014-8 · Cited by 49 · see citing works
Nicola, M. D., Risio, L. D., Pettorruso, M., Caselli, G., Crescenzo, F. D., Swierkosz-Lenart, K., Martinotti, G., Camardese, G., Giannantonio, M. D., & Janiri, L. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.06.023 · Cited by 49 · see citing works
Rates and Correlates of Pathological Gambling Among VA Mental Health Service Users
Edens, E. L., & Rosenheck, R. A. (2011) · Journal of Gambling Studies · doi:10.1007/s10899-011-9239-z · Cited by 48 · see citing works
Gambling problems in bipolar disorder in the UK: Prevalence and distribution
Jones, L. A., Metcalf, A., Gordon‐Smith, K., Forty, L., Perry, A., Lloyd, J., Geddes, J. R., Goodwin, G. M., Jones, I. R., Craddock, N. J., et al. (2015) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.114.154286 · Cited by 45 · see citing works
Jiménez, E., Arias, B., Mitjans, M., Goikolea, J. M., Ruíz, V., Brat, M., Sáiz, P. A., García‐Portilla, M. P., Burón, P., Bobes, J., et al. (2016) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12548 · Cited by 45 · see citing works
Impulse control disorder comorbidity among patients with bipolar I disorder
Karakuş, G., & Tamam, L. (2010) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2010.08.004 · Cited by 43 · see citing works
Wölfling, K., Beutel, M. E., Dreier, M., & Müller, K. W. (2015) · Journal of Behavioral Addictions · doi:10.1556/2006.4.2015.011 · Cited by 38 · see citing works
The Prevalence and Course of Pathological Gambling in the Mood Disorders
Quilty, L. C., Watson, C., Robinson, J. J., Toneatto, T., & Bagby, R. M. (2010) · Journal of Gambling Studies · doi:10.1007/s10899-010-9199-8 · Cited by 34 · see citing works
Problem gambling and substance use in patients attending community mental health services
Manning, V., Dowling, N. A., Lee, S. J., Rodda, S. N., Garfield, J. B. B., Volberg, R. A., Kulkarni, J., & Lubman, D. I. (2017) · Journal of Behavioral Addictions · doi:10.1556/2006.6.2017.077 · Cited by 34 · see citing works
Pathological Gambling among Elderly Veterans
Kausch, O. (2004) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/0891988703261999 · Cited by 30 · see citing works
Compulsive buying in bipolar disorder: Is it a comorbidity or a complication?
Kesebir, S., İşitmez, S., & Gündoğar, D. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.09.037 · Cited by 29 · see citing works
Cardoso, T. D. A., Mondin, T. C., Souza, L. D. D. M., da Silva, R. A., Magalhães, P. V. D. S., Kapczinski, F. P., & Jansen, K. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.08.046 · Cited by 23 · see citing works
Soberay, A., Faragher, J. M., Barbash, M., Brookover, A., & Grimsley, P. (2013) · Journal of Gambling Studies · doi:10.1007/s10899-012-9357-2 · Cited by 21 · see citing works
The Clustering of Psychiatric Disorders in High-Risk Gambling Populations
Abdollahnejad, M. R., Delfabbro, P., & Denson, L. A. (2013) · Journal of Gambling Studies · doi:10.1007/s10899-013-9392-7 · Cited by 20 · see citing works
Gambling disorder: Association between duration of illness, clinical, and neurocognitive variables
Medeiros, G. C., Redden, S. A., Chamberlain, S. R., & Grant, J. E. (2017) · Journal of Behavioral Addictions · doi:10.1556/2006.6.2017.029 · Cited by 20 · see citing works
Quilty, L. C., Watson, C., Toneatto, T., & Bagby, R. M. (2017) · Journal of Gambling Studies · doi:10.1007/s10899-016-9616-8 · Cited by 19 · see citing works
Kleptomania: Comorbid Psychiatric Diagnosis in Patients and Their Families
Dannon, P. N., Lowengrub, K., Iancu, I., & Kotler, M. (2004) · Psychopathology · doi:10.1159/000077582 · Cited by 18 · see citing works
Nicolato, R., Romano‐Silva, M. A., Corrêa, H., Salgado, J. V., & Teixeira, A. L. (2007) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670701400040 · Cited by 17 · see citing works
Kleptomania, mood disorder and lithium
Rocha, F. L., & Rocha, M. E. G. (1992) · Arquivos de Neuro-Psiquiatria · doi:10.1590/s0004-282x1992000400023 · Cited by 8 · see citing works
Behavioral addictions in euthymic patients with bipolar I disorder: a comparison to controls
Sapir, R., Zohar, A., Bersudsky, Y., Belmaker, R., & Osher, Y. (2013) · International Journal of Bipolar Disorders · doi:10.1186/2194-7511-1-27 · Cited by 8 · see citing works
Ascher, M. S., & Levounis, P. (2014) · Cited by 7 · see citing works
Comorbid impulse control disorder in bipolar disorder: the role of antidepressants.
Kesebir, S. (2012) · PubMed · Cited by 1 · see citing works
Flagged first, then by citations
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Sorted by citations
Alimoradi, Z., Lotfi, A., Lin, C., Griffiths, M. D., & Pakpour, A. H. (2022) · Current Addiction Reports · doi:10.1007/s40429-022-00435-6 · Cited by 201 · see citing works
Reed, G. M., First, M. B., Billieux, J., Cloitre, M., Briken, P., Achab, S., Brewin, C. R., King, D. L., Kraus, S. W., & Bryant, R. A. (2022) · World Psychiatry · doi:10.1002/wps.20960 · Cited by 182 · see citing works
An integrated model to assess and treat compulsive sexual behaviour disorder
Briken, P. (2020) · Nature Reviews Urology · doi:10.1038/s41585-020-0343-7 · Cited by 101 · see citing works
Fornaro, M., Daray, F. M., Hunter, F., Anastasia, A., Stubbs, B., Berardis, D. D., Shin, J. I., Husain, M. I., Dragioti, E., Fusar‐Poli, P., et al. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.11.015 · Cited by 64 · see citing works
Neural correlates of impulsivity in bipolar disorder: A systematic review and clinical implications
Chan, C. C., Alter, S., Hazlett, E. A., Shafritz, K. M., Yehuda, R., Goodman, M. S., Haznedar, M. M., & Szeszko, P. R. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105109 · Cited by 41 · see citing works
A motivation model of sex addiction – Relevance to the controversy over the concept
Toates, F. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104872 · Cited by 25 · see citing works
“There is some comorbidity between bipolar disorder and behavioral addictions, a stronger effect with gambling addiction than sex addiction (Di Nicola et al., 2010; Varo et al., 2019).”
BackgroundMixed States in Patients with Substance and Behavioral Addictions
Nicola, M. D., Pepe, M., Modica, M., Lanzotti, P., Panaccione, I., Moccia, L., & Janiri, L. (2019) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2019.10.012 · Cited by 20 · see citing works
Ince, C., Antons, S., Ashton, S., Borgogna, N. C., Brand, M., Briken, P., Castro‐Calvo, J., Chen, L., Coleman, E., Efrati, Y., et al. (2026) · Journal of Behavioral Addictions · doi:10.1556/2006.2025.00337 · Cited by 23 · see citing works
Xia, Y., Wang, X., Sheng, J., Hua, L., Dai, Z., Sun, H., Han, Y., Yao, Z., & Lü, Q. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.01.187 · Cited by 11 · see citing works
The Development of the Turkish Craving for Online Shopping Scale: A Validation Study
Savcı, M., Uğur, E., Ercengiz, M., & Griffiths, M. D. (2021) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-021-00490-6 · Cited by 11 · see citing works
Uso problemático de Internet y variables psicológicas o físicas en estudiantes universitarios
Hinojo-Lucena, F., Aznar-Díaz, I., Trujillo-Torres, J., & Romero-Rodríguez, J. (2021) · Revista Electrónica de Investigación Educativa · doi:10.24320/redie.2021.23.e13.3167 · Cited by 9 · see citing works
Zhai, X., Asmi, F., Yuan, J., Anwar, M., Siddiquei, N. L., Ahmad, I., & Zhou, R. (2021) · Mathematical Problems in Engineering · doi:10.1155/2021/5526046 · Cited by 9 · see citing works
Which comes first? New insights on comorbidity between eating disorders and bipolar disorders
Craba, A., Mazza, M., Marano, G., Rinaldi, L., Sani, G., & Janiri, L. (2021) · Emerging Trends in Drugs Addictions and Health · doi:10.1016/j.etdah.2021.100023 · Cited by 7 · see citing works
Carmassi, C., Bertelloni, C. A., Cordone, A., Dell’Oste, V., Pedrinelli, V., Barberi, F. M., Massimetti, E., Bui, É., & Dell'Osso, L. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.646385 · Cited by 7 · see citing works
The clinical significance of emotional urgency in bipolar disorder: a scoping review
Teh, W. L., Si, S. Y., Liu, J., Subramaniam, M., & Ho, R. (2024) · BMC Psychology · doi:10.1186/s40359-024-01700-1 · Cited by 3 · see citing works
Managing Bipolar Disorder in Time of COVID-19 Pandemic
Karrouri, R., Hammani, Z., & Otheman, Y. (2020) · Medical and Clinical Research Open Access · doi:10.52106/2766-3213.1006 · Cited by 3 · see citing works
Ahmed, S., & Santos, M. G. (2019) · Eurasian Journal of Medicine and Oncology · doi:10.14744/ejmo.2019.36365 · Cited by 3 · see citing works
Reward magnitude-specific delay discounting differentiates mania versus depression risk
Raeder, R., Arora, M., Bertocci, M. A., Chase, H. W., Skeba, A. S., Bebko, G. M., Aslam, H. A., Graur, S., Benjamin, O. E., Wang, Y., et al. (2025) · Cognitive Affective & Behavioral Neuroscience · doi:10.3758/s13415-025-01307-y · Cited by 3 · see citing works
Ayşe, M. E. R. T., & Kelleci, M. (2023) · Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi · doi:10.51754/cusbed.1177116 · Cited by 2 · see citing works
ROLE OF IMPULSIVITY AND ITS TYPES IN THE STRUCTURE OF BIPOLAR AFFECTIVE DISORDER
Markin, K. V., Shamrey, V. K., & Tarumov, D. A. (2023) · Bulletin of Medical Science · doi:10.31684/25418475-2023-3-4 · Cited by 2 · see citing works
Yokotani, K., Takano, M., & Abe, N. (2023) · IEEE/ACM International Conference on Advances in Social Networks Analysis and Mining (ASONAM) · doi:10.1145/3625007.3627319 · Cited by 2 · see citing works
Aktürk, B. E., Kaya, A. E., & Aslan, E. (2025) · Chronobiology International · doi:10.1080/07420528.2025.2546009 · Cited by 1 · see citing works
Nelson, C. J., Clayton, A. H., Lew‐Starowicz, M., Balon, R., Eltantawy, W., Glina, F. R., & Kirana, P. (2026) · Sexual Medicine Reviews · doi:10.1093/sxmrev/qeag017 · Cited by 1 · see citing works
Emotions and Cognitions in Bipolar Disorder
Bourin, M. (2021) · Springer eBooks · doi:10.1007/978-3-030-61721-9_41 · Cited by 1 · see citing works
The nature of depression in bipolar disorder
Perich, T., Mitchell, P. B., & Moustafa, A. A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-817676-4.00009-2 · Cited by 1 · see citing works
Rabitateddine, M., Elfellah, S., Ennazk, S., Adali, I., Manoudi, F., & Asri, F. (2020) · Scholars Journal of Medical Case Reports · doi:10.36347/sjmcr.2020.v08i02.011
Dépression, troubles bipolaires et addictions
Icick, R., & Bellivier, F. (2023) · Elsevier eBooks · doi:10.1016/b978-2-294-77934-3.00025-1
McElroy, S. L., Guerdjikova, A. I., & Romo‐Nava, F. (2024) · Cambridge University Press eBooks · doi:10.1017/9781108973922.014
Guo, W., & Zhang, W. (2026) · Scandinavian Journal of Psychology · doi:10.1111/sjop.70073
- Authors
- Varo, C., Murru, A., Salagre, E., Jiménez, E., Solé, B., Montejo, L., Carvalho, A., Stubbs, B., Grande, I., Martínez-Arán, A., Vieta, E., & Reinares, M.
- Affiliations
- Centro de Investigación Biomédica en Red de Salud Mental (ES)
- Centre for Addiction and Mental Health (CA)
- King's College London (GB)
- Venue
- European Neuropsychopharmacology
- Publisher
- Elsevier BV
- Published
- 2019-01
- Volume
- 29
- Issue
- 1
- Pages
- 76-97
- ISSN
- 0924-977X (ISSN-L)
- OpenAlex
- W2899736401
- Cited by
- 30
- References
- 72
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 6 · 2020: 5 · 2019: 2
- FWCI
- 0.50
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- European Neuropsychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, cc-by-nc-nd)
- Funders
- Stanley Medical Research Institute (SLT006/17/00357)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- behavioral addiction, bipolar disorder, comorbidities, gambling addiction, kleptomania, compulsive buying, compulsive sexual behavior, internet addiction, substance use disorders, mood disorders, anxiety disorders, clinical course, treatment options, screening
- MeSH terms
- Anxiety Disorders, Bipolar Disorder, Humans, Comorbidity, Behavior, Addictive, Mood Disorders, Substance-Related Disorders
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