Document Detail

Awareness of metabolic concerns in patients with bipolar disorder: a survey of European psychiatrists.
MedLine Citation:
PMID:  18160267     Owner:  NLM     Status:  MEDLINE    
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, >or=50% of time in direct patient care, had seen >or=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; two-thirds have changed their management of bipolar patients because of metabolic health concerns.
Michael Bauer; Yves Lecrubier; Trisha Suppes
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-12-21
Journal Detail:
Title:  European psychiatry : the journal of the Association of European Psychiatrists     Volume:  23     ISSN:  0924-9338     ISO Abbreviation:  Eur. Psychiatry     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-24     Completed Date:  2008-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111820     Medline TA:  Eur Psychiatry     Country:  France    
Other Details:
Languages:  eng     Pagination:  169-77     Citation Subset:  IM    
Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, D-01307 Dresden, Germany.
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MeSH Terms
Antimanic Agents / adverse effects*,  therapeutic use
Antipsychotic Agents / adverse effects*,  therapeutic use
Bipolar Disorder / diagnosis,  drug therapy*,  epidemiology
Cross-Cultural Comparison
Cross-Sectional Studies
Data Collection
Drug Monitoring
European Union*
Metabolic Syndrome X / chemically induced*,  diagnosis,  epidemiology
Reg. No./Substance:
0/Antimanic Agents; 0/Antipsychotic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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