Impact of bipolar disorder on a U.S. community sample

Joseph R. Calabrese, Robert M A Hirschfeld, Michael Reed, Marilyn A. Davies, Mark A. Frye, Paul E. Keck, Lydia Lewis, Susan L. McElroy, James P. McNulty, Karen Wagner

Research output: Contribution to journalArticle

251 Scopus citations

Abstract

Background: Bipolar disorder is a chronic psychiatric illness characterized by depression and at least 1 manic or hypomanic episode during the lifetime of the illness. Bipolar symptoms have been associated with significant functional impairment. We conducted a study to determine the psychosocial impact of bipolar disorder in a U.S. community sample. Method: 3059 subjects were selected from a large epidemiologic study of bipolar prevalence that used the Mood Disorder Questionnaire (MDQ) to screen for bipolar I and II disorder. Subjects were surveyed from April 24, 2001, to August 6, 2001, using the Sheehan Disability Scale and the Social Adjustment Scale-Self Report. Comorbid disease data were also collected. Results: Of the 3059 subjects surveyed, 2450 (80%) returned completed surveys: 1167 (48%) subjects screened positive for bipolar disorder based on MDQ scores; 1283 (52%) screened negative. MDQ-positive subjects reported significantly (p < .0001) more difficulties with workrelated performance, social/leisure activities, and social/family interactions compared with MDQ-negative subjects. Younger subjects, aged 18 to 34 years, reported significantly (p = .003) more symptom days than did older MDQ-positive subjects. MDQ-positive women reported more disruption in social and family life, while MDQ-positive men reported being jailed, arrested, and convicted for crimes. Anxiety (30% vs. 6%), panic attacks (18% vs. 4%), migraine (24% vs. 11%), asthma (17% vs. 10%), and allergies (42% vs. 29%) were significantly (p < .05) more common in MDQ-positive versus MDQ-negative subjects. Conclusion: Bipolar disorder, as identified in a community sample using the Mood Disorder Questionnaire, was significantly associated with negative impact on the performance of workrelated, leisure, and interpersonal activities.

Original languageEnglish (US)
Pages (from-to)425-432
Number of pages8
JournalJournal of Clinical Psychiatry
Volume64
Issue number4
StatePublished - Apr 1 2003

    Fingerprint

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Calabrese, J. R., Hirschfeld, R. M. A., Reed, M., Davies, M. A., Frye, M. A., Keck, P. E., Lewis, L., McElroy, S. L., McNulty, J. P., & Wagner, K. (2003). Impact of bipolar disorder on a U.S. community sample. Journal of Clinical Psychiatry, 64(4), 425-432.