Life Events at the Onset of Bipolar Affective Illness

Dünner, David L.; Patrick, Vijayalakshmy; Fieve, Ronald R.

doi:10.1176/ajp.1979.136.4b.508

Cited by 94 publications

(41 citation statements)

References 9 publications

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“…Of all periods in life, the postpartum period confers the greatest risk for exacerbation of bipolar disorder (1). Findings consistently support an increased risk after giving birth (usually within 90 days) for a first episode or relapse in patients with a history of bipolar disorder (40, 45, 46, 54–57).…”

Section: The Postpartum Periodmentioning

confidence: 91%

Women are not the same as men: specific clinical issues for female patients with bipolar disorder

Curtis

2005

Bipolar Disorders

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Women are not the same as men. While this observation can be considered to subjectively manifest in many different ways, objectively a greater tendency for bipolar II disorder, depressive symptoms, a rapid cycling course, and the consequences of being of child-rearing age can all represent additional challenges for female patients. Despite much recent interest in improving the management of patients with bipolar disorder, relatively little guidance exists relating to female-biased gender-specific issues. This review article will explore how female gender can influence bipolar disorder and its treatment and will focus on epidemiologic differences, the relevance to clinical presentation of events unique to women (particularly contraception, pregnancy, and lactation), and the importance of considering gender when making decisions about the pharmacological management of mood. All female patients should receive counseling regarding family planning and sexually transmitted diseases, as well as the risks of and treatment options during pregnancy and postpartum. Wherever possible, treatment choices should be made in a partnership between patient and clinician.

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Section: The Postpartum Periodmentioning

confidence: 91%

Women are not the same as men: specific clinical issues for female patients with bipolar disorder

Curtis

2005

Bipolar Disorders

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“…Most early studies were uncontrolled and included mixed populations. Moreover, widely varying incidences of life events were reported: from no relationship between overall stress and manic relapse (1-2) to a 21% (3) 28%, (4) 57%, (5)(6) and 79% (7) incidence of preceding life events. The report of Cassidy et al (18) suggests one reason for this variation.…”

mentioning

confidence: 99%

Life events and relapse in bipolar disorder: The impact of a catastrophic event

Aronson

Shukla

1987

Acta Psychiatr Scand

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The literature on life events and the precipitation of bipolar disorder is reviewed. The authors describe an unexpected increase in bipolar relapses in a Lithium Clinic following a catastrophic life event, a hurricane, and contrast the patients who relapsed with an age and sex matched control of bipolars who did not. Though retrospective, the study avoids the question of the independence of life events. The results suggest that certain bipolar patients, especially those recently unstable, may be more vulnerable to the impact of life events.

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“…We hold to the last of these. A significant positive relationship between precipitating life events and mania has been reported on a number of previous occasions (10)(11)(12)(13)(14). Our patient experienced a typical withdrawal reaction, with no evidence of major affective symptoms; it was only after some 4 weeks had passed that the swing into mania took place, and this was then followed by further episodes of mood disorder, all of which met DSM-111-R criteria for bipolar mood disorder.…”

Section: Discussionmentioning

confidence: 86%