Research Article
The International Journal of Indian Psychology
ISSN 2348-5396 (e) | ISSN: 2349-3429 (p)
Volume 5, Issue 1,DIP: 18.01.048/20170501
DOI: 10.25215/0501.048
http://www.ijip.in | October-December, 2017
© 2017 B. Bhuvaneshwaran, R. Kumar; licensee IJIP. This is an Open Access Research distributed under the
terms of the Creative Commons Attribution License (www.creativecommons.org/licenses/by/2.0), which
permits unrestricted use, distribution, and reproduction in any Medium, provided the original work is properly
cited.
Cross Sectional Study on Characteristics of Bipolar Disorder
Association with Alcohol Dependence in a Tertiary Care Center
in South India
B.Bhuvaneshwaran
1
*, R. Kumar
2
ABSTRACT
Bipolar disorders are commonly associated with other psychiatric disorders, which influence
the course, severity and outcome of the disorder Aim: to study the association of alcohol
dependence on bipolar disorder and to compare bipolar patients without alcohol dependence
in tertiary care center in south India Methods: A total of 83 patients with age of 18-65 years
who were admitted in the acute in-patient ward of the Institute of mental Health were
administered M.I.N.I PLUS neuropsychiatric interview module and the patients who fulfil the
diagnostic criteria for BPAD after ruling out the secondary causes of mood disorder were
included in the study. The scales utilized to study the alcohol dependence association with
bipolar disorder are in the form of illness variables and symptoms severity. Results: Group-
A (n=42) patients with bipolar disorder and co-morbid alcohol dependence and group-B
(n=41) patients with bipolar disorder without alcohol dependence (Group-B) was noted in our
study. Strong positive correlation between severity of alcohol dependence score and YMRS
score, functioning score, positive scale of PANSS and aggression scores noted and Only
treatment adherence, family H/o BPD and family H/o alcohol dependence show significance
in the present study. Conclusion: Increase in severity of alcohol dependence is associated
with severity of Bipolar disorder.
Keywords: Alcohol, Bipolar, Depression, Mania
Bipolar disorder (BPD) is a severe and persistent psychiatric illness affecting 1.3% to 1.7%
of population [1,2]. It is an episodic illness characterised by the occurrence of manic or
depressive episodes. Alcohol dependence rather than alcohol abuse causes changes in
neuronal plasticity of different brain circuits which leads to alteration in neuronal
transmission causing various psychiatric manifestations [2,3].Alcohol induced mood disorder
1
(Assistant Professor, Department of Psychiatry, Government Medical College, Thoothukudi, Tamilnadu, India)
2
(Professor and Head, Department of Psychiatry, Sri ManakulaVinayagar Medical College and Hospital,
Puducherry, India)
*Responding Author
Received: August 17, 2017; Revision Received: November 02, 2017; Accepted: November 23, 2017