Skip to main content
  • 1214 Accesses

Abstract

Bipolar disorder is associated with a high rate of psychiatric comorbidity [1], with one analysis of European data indicating that up to 75% of patients with any bipolar disorder have at least one DSM-IV comorbidity [2]. The most common comorbid conditions include substance use disorders, anxiety disorders, eating disorders and personality disorders [3–5]. The association between bipolar disorder and eating disorders has been shown in several epidemiological studies [6–8]. More than 10% of bipolar patients may have eating disorders. Conversely, in patients with anorexia or bulimia, the lifetime prevalence of bipolar disorder is between 4% and 6% [9]. However, although the disordered eating behaviors reported by many bipolar patients are problematic, they do not fulfil the criteria for a specific eating disorder.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kessler RC, McGonagle K, Zhao S, et al. Lifetime and 12 month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry 1994; 51:8–19.

    Article  PubMed  CAS  Google Scholar 

  2. Fajutrao L, Locklear J, Priaulx J, et al. A systematic review of the evidence of the burden of bipolar disorder in Europe. Clin Pract Epidemol Ment Health 2009; 5:3.

    Article  Google Scholar 

  3. McElroy SL, Altshuler LL, Suppes T, et al. Axis I psychiatric comorbidity and its relationship to historical illness variables in 288 patients with bipolar disorder. Am J Psychiatry 2001; 158:420–6.

    Article  PubMed  CAS  Google Scholar 

  4. Vieta E, Colom F, Corbella B, et al. Clinical correlates of psychiatric comorbidity in bipolar I patients. Bipolar Disord 2001; 3:253–8.

    Article  PubMed  CAS  Google Scholar 

  5. Vieta E, Colom F, Martinez-Arán A, et al. Personality disorders in bipolar II patients. J Nerv Ment Dis 1999; 187:245–8.

    Article  PubMed  CAS  Google Scholar 

  6. Kaye W, Weltzin TE, Hsu LKG, et al. Patients with anorexia nervosa have elevated scores on Yale-Brown Obsessive Scale. Int J Eat Disord 1992; 12:57–62.

    Article  Google Scholar 

  7. Simpson SG, al-Mufti R, Andersen AE, et al. Bipolar II affective disorder in eating disorder inpatients. J Nerv Ment Dis 1992; 180:719–22.

    Article  PubMed  CAS  Google Scholar 

  8. Vieta E, Colom F, Martínez-Arán A, et al. Bipolar II disorder and comorbidity. Compr Psychiatry 2000; 41:339–43.

    Article  PubMed  CAS  Google Scholar 

  9. Hudson JI, Pope HG, Jonas JM, et al. Phenomenologic relationship of eating disorders to major affective disorders. Psychiatric Res 1983; 9:435–54.

    Article  Google Scholar 

  10. Goodwin FK, Jamison KR. Manic-Depressive Illness.New York: Oxford University Press, 1990.

    Google Scholar 

  11. Montejo J, Ayuso-Gutiérrez JL. Estacionalidad del trastorno bipolar. In: Trastornos Bipolares. Edited by E Vieta, C Gast/’o. Barcelona: Springer-Verlag, 1997; 291–311.

    Google Scholar 

  12. Wehr TA, Rosenthal NE. Seasonality and affective illness. Am J Psychiatry 1989; 146:829–39.

    PubMed  CAS  Google Scholar 

  13. Kruger S, Shugar G, Cooke RG. Comorbidity of binge eating disorder and the partial binge eating syndrome with bipolar disorder. Int J Eat Disord 1996; 19:45–52.

    Article  PubMed  CAS  Google Scholar 

  14. Elmslie JL, Silverstone JT, Mann JI, et al. Prevalence of overweight and obesity in bipolar patients. J Clin Psychiatry 2000; 61:179–84.

    Article  PubMed  CAS  Google Scholar 

  15. Elmslie JL, Mann JI, Silverstone JT, et al. Determinants of overweight and obesity in patients with bipolar disorder. J Clin Psychiatry 2001; 62:486–91.

    Article  PubMed  CAS  Google Scholar 

  16. Fagiolini A, Frank E, Houck MSH, et al. Prevalence of obesity and weight change during the treatment in patients with bipolar I disorder. J Clin Psychiatry 2002; 63:528–33.

    Article  PubMed  CAS  Google Scholar 

  17. McElroy SL, Frye MA, Suppes T, et al. Correlates of overweight and obesity in 644 patients with bipolar disorder. J Clin Psychiatry 2002; 63:207–13.

    Article  PubMed  Google Scholar 

  18. Allison DB, Casey DE. Antipsychotic-induced weight gain: a review of the literature. J Clin Psychiatry 2001; 62:22–31.

    PubMed  CAS  Google Scholar 

  19. Chengappa KN, Chalassani L, Brar JS, et al. Changes in body weight and body mass index among psychiatric patients receiving lithium, valproate, or topiramate: an open-label, nonrandomized chart review. Clin Ther 2002; 24:1576–84.

    Article  PubMed  CAS  Google Scholar 

  20. Torrent C, Vieta E, Garcia-Garcia M. Validation of the Barcelona Bipolar Eating Disorder Scale for bipolar patients with eating disturbances. Psychopathology 2008; 41:379–87.

    Article  PubMed  Google Scholar 

  21. Fagiolini A, Kupfer DJ, Houck PR, et al. Obesity as a correlate of outcome in patients with bipolar I disorder. Am J Psychiatry 2003; 160:112–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Current Medicine Group Ltd, a part of Springer Science+Business Media

About this chapter

Cite this chapter

Vieta, E. (2010). Assessment of comorbidities. In: Guide to Assessment Scales in Bipolar Disorder. Springer Healthcare, Tarporley. https://doi.org/10.1007/978-1-907673-26-9_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-907673-26-9_10

  • Publisher Name: Springer Healthcare, Tarporley

  • Print ISBN: 978-1-85873-442-2

  • Online ISBN: 978-1-907673-26-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics