The role of lifetime anxiety history in the course of bipolar spectrum disorders

PSYCHIATRY RESEARCH

卷:264

Article

Titone, Madison K.¹  Freed, Rachel D.^1,3  O'Garro-Moore, Jared K.¹  Gepty, Andrew^1,4  Ng, Tommy H.¹  Stange, Jonathan P.^1,5  Abramson, Lyn Y.²  Alloy, Lauren B.¹ 

[1] Temple Univ, Dept Psychol, 1701N 13th St, Philadelphia, PA 19122 USA

[2] Univ Wisconsin, Dept Psychol, 1202W Johnson St, Madison, WI 53706 USA

[3] Icahn Sch Med Mt Sinai, 1 Gustave L Levy Pl, New York, NY 10029 USA

[4] George Washington Univ, Dept Psychol, 2125 G St NW, Washington, DC 20052 USA

[5] Univ Illinois, Dept Psychiat, 1747 Roosevelt Rd, Chicago, IL 60608 USA

关键词: Bipolar disorder;    Anxiety disorder;    Comorbidity;    Depression;    Hypomania;    Mood disorders;   

DOI  :  10.1016/j.psychres.2018.03.087

来源: Elsevier

【 摘 要 】

Individuals with bipolar spectrum disorder (BSD) frequently meet criteria for comorbid anxiety disorders, and anxiety may be an important factor in the etiology and course of BSDs. The current study examined the association of lifetime anxiety disorders with prospective manic/hypomanic versus major depressive episodes. Participants were 244 young adults (aged 17-26) with milder forms of BSDs (i.e., bipolar-II, cyclothymia, BD NOS). First, bivariate analyses assessed differences in baseline clinical characteristics between participants with and without DSM-IV anxiety diagnoses. Second, negative binomial regression analyses tested whether lifetime anxiety predicted number of manic/hypomanic or major depressive episodes developed during the study. Third, survival analyses evaluated whether lifetime anxiety predicted time to onset of manic/hypomanic and major depressive episodes. Results indicated that anxiety history was associated with greater illness severity at baseline. Over follow-up, anxiety history predicted fewer manic/hypomanic episodes, but did not predict number of major depressive episodes. Anxiety history also was associated with longer time to onset of manic/hypomanic episodes, but shorter time to onset of depressive episodes. Findings corroborate past studies implicating anxiety disorders as salient influences on the course of BSDs. Moreover, results extend prior research by indicating that anxiety disorders may be linked with reduced manic/hypomanic phases of illness.

【 授权许可】

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