Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/S2237-60892013000200002
Trends in Psychiatry and Psychotherapy
Review Article

Systematic review of the prevalence of bipolar disorder and bipolar spectrum disorders in population-based studies

Revisão sistemática da prevalência do transtorno bipolar e do espectro bipolar em estudos de base populacional

José Caetano Dell'Aglio Jr.; Lissia Ana Basso; Irani Iracema de Lima Argimon; Adriane Arteche

http://dx.doi.org/10.1590/S2237-60892013000200002 Trends Psychiatry Psychother, vol.35, n2, p.99-105, 2013
PDF
SciELO
Downloads: 0
Views: 442

Abstract

This paper describes the findings of a systematic literature review aimed at providing an overview of the lifetime prevalence of bipolar disorder and bipolar spectrum disorders in population-based studies. Databases MEDLINE, ProQuest, Psychnet, and Web of Science were browsed for papers published in English between 1999 and May 2012 using the following search string: bipolar disorders OR bipolar spectrum disorders AND prevalence OR cross-sectional OR epidemiology AND population-based OR non-clinical OR community based. The search yielded a total of 434 papers, but only those published in peer-reviewed journals and with samples aged ≥ 18 years were included, resulting in a final sample of 18 papers. Results revealed rather heterogeneous findings concerning the prevalence of bipolar disorders and bipolar spectrum disorders. Lifetime prevalence of bipolar disorder ranged from 0.1 to 7.5%, whereas lifetime prevalence of bipolar spectrum disorders ranged from 2.4 to 15.1%. Differences in the rates of bipolar disorder and bipolar spectrum disorders may be related to the consideration of subthreshold criteria upon diagnosis. Differences in the prevalence of different subtypes of the disorder are discussed in light of diagnostic criteria and instruments applied.

Keywords

Bipolar disorders, prevalence, epidemiology, systematic review

Resumo

O presente artigo descreve os achados de uma revisão sistemática da literatura cujo objetivo foi oferecer uma visão geral sobre a prevalência de transtorno bipolar e transtornos do espectro bipolar em estudos populacionais. A busca foi realizada nas bases de dados MEDLINE, ProQuest, Psychnet e Web of Science, com foco em estudos publicados em inglês entre 1999 e maio de 2012, utilizando-se a seguinte estratégia de busca: bipolar disorders OR bipolar spectrum disorders AND prevalence OR cross-sectional OR epidemiology AND population-based OR non-clinical OR community based. Foram encontrados 434 artigos, mas apenas publicações em revistas científicas com processo de revisão por pares (peer review) e envolvendo participantes com 18 anos ou mais foram incluídos, gerando uma amostra final de 18 estudos. Encontraram-se dados bastante heterogêneos sobre a prevalência do transtorno bipolar e de transtornos do espectro bipolar. A taxa de prevalência do transtorno bipolar ao longo da vida variou entre 0,1 e 7,5%, enquanto a taxa dos transtornos do espectro bipolar variou entre 2,4 e 15,1%. As diferenças entre as prevalências de transtorno bipolar e de transtornos do espectro bipolar parecem estar relacionadas à consideração de formas subliminares no momento do diagnóstico. As diferenças de prevalência dos diferentes subtipos do transtorno são discutidas em relação aos critérios diagnósticos e instrumentos utilizados.

Palavras-chave

Transtorno bipolar, prevalência, epidemiologia, revisão sistemática

References

Goodwin FK, Jamison KR. Manic-depressive illness. 1990.

Angst J. The emerging epidemiology of hypomania and bipolar II disorder. J Affect Disord. 1998;50:143-51.

Akiskal HS, Pinto O. The evolving bipolar spectrum: Prototypes I, II, III, and IV. Psychiatr Clin North Am. 1999;22:517-34.

Lewinsohn PM, Klein DN, Seeley JR. Bipolar disorders in a community sample of older adolescents: prevalence, phenomenology, comorbidity, and course. J Am Acad Child Adolesc Psychiatry. 1995;34:454-63.

Angst J, Gamma A, Benazzi F, Ajdacic V, Eich D, Rössler W. Toward a re-definition of subthreshold bipolarity: epidemiology and proposed criteria for bipolar-II, minor bipolar disorders and hypomania. J Affect Disord. 2003;73:133-46.

Hirschfeld RM, Lewis L, Vornik LA. Perceptions and impact of bipolar disorder: how far have we really come? Results of the National Depressive and Manic-Depressive Association 2000 survey of individuals with bipolar disorder. J Clin Psychiatry. 2003;64:161-74.

Simon GE. Social and economic burden of mood disorders. Biol Psychiatry. 2003;54:208-15.

Weissman MM, Myers JK. Affective disorders in a US urban community: the use of research diagnostic criteria in an epidemiological survey. Arch Gen Psychiatry. 1978;35:1304-11.

Kessler RC, MacGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S. Lifetime and 12-months prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51:8-19.

Stefánsson JG, Líndal E, Björnsson JK, Guomundsdottir A. Lifetime prevalence of specific mental disorders among people born in Iceland in 1931. Acta Psychiatr Scand. 1991;84:142-9.

Szadoczky E, Papp Z, Vitrai J, Rihmer Z, Furedi J. The prevalence of major depressive and bipolar disorders in Hungary: results from a national epidemiologic survey. J Affect Disord. 1998;50:153-62.

Oliver JM, Simmons ME. Affective disorders and depression as measured by the Diagnostic Interview Schedule and the Beck Depression Inventory in an unselected adult population. J Clin Psychol. 1985;41:469-77.

Heun R, Maier W. The distinction of bipolar II disorder from bipolar I and recurrent unipolar depression: results of a controlled family study. Acta Psychiatr Scand. 1993;87:279-84.

Bauer M, Pfennig A. Epidemiology of bipolar disorders. Epilepsia. 2005;46(^s4):8-13.

Grant BF, Stinson FS, Hasin DS, Dawson DA, Chou SP, Ruan WJ. Prevalence, correlates, and comorbidity of bipolar I disorder and axis II disorders: results from de National Epidemiologic Survey on Alcohol and Related conditions. J Clin Psychiatry. 2005;66:1205-15.

Pini S, de Queiroz V, Pagnin D, Pezawas L, Angst J, Cassano GB. Prevalence and burden of bipolar disorders in European countries. Eur Neuropsychopharmacol. 2005;15:425-34.

Waraich P, Goldner EM, Somers JM, Hsu L. Prevalence and incidence studies of mood disorders: a systematic review of the literature. Can J Psychiatry. 2004;49:124-38.

Angst J. Bipolar disorder: a seriously underestimated health burden. Eur Arch Psychiatry Clin Neurosci. 2004;254:59-60.

Tohen M, Angst J. Epidemiology of bipolar disorders. Textbook in psychiatric epidemiology. 2002:327-444.

Wittchen HU, Mhlig S, Pezawas L. Natural course and burden of bipolar disorders. Int J Neuropsychopharmacol. 2003;6:145-54.

Weissman MM, Bland RC, Canino GJ, Faravelli C, Greenwald S, Hwu HG. Cross-national epidemiology of major depression and bipolar disorder. JAMA. 1996;276:293-9.

Coryell W, Solomon D, Turvey C, Keller M, Leon AC, Endicott J. The long-term course of rapid-cycling bipolar disorder. Arch Gen Psychiatry. 2003;60:914-20.

Jacobi F, Wittchen HU, Holting C, Hofler M, Pfister H, Müller N. Prevalence, co-morbidity and correlates of mental disorders in the general population: results from the German Health Interview and Examination Survey (GHS). Psychol Med. 2004;34:597-611.

Schaffer A, Cairney J, Cheung A, Veldhuizen S, Levitt A. Community survey of bipolar disorder in Canada: lifetime prevalence and illness characteristics. Can J Psychiatry. 2006;51:9-16.

Jansen K, Ores LC, Cardoso T, Lima RC, Souza LD, Magalhães PV. Prevalence of episodes of mania and hypomania and associated comorbidities among young adults. J Affect Disord. 2011;130:328-33.

Carta MG, Aguglia E, Balestrieri M, Calabrese JR, Caraci F, Dell'Osso L. The lifetime prevalence of bipolar disorders and the use of antidepressant drugs in bipolar depression in Italy. J Affect Disord. 2012;136:775-80.

Kringlen E, Torgersen S, Cramer V. A Norwegian psychiatric epidemiological study. Am J Psychiatry. 2001;158:1091-8.

ten Have M, Vollebergh W, Bijl R, Nolen WA. Bipolar disorder in the general population in The Netherlands (prevalence, consequences and care utilization): results from The Netherlands Mental Health Survey and Incidence Study (NEMESIS). J Affect Disord. 2002;68:203-13.

Jonas BS, Brody D, Roper M, Narrow WE. Prevalence of mood disorders in a national sample of Young American adults. Soc Psychiatry Psychiatr Epidemiol. 2003;38:618-24.

Kawakami N, Shimizu H, Haratani T, Iwata N, Kitamura T. Lifetime and 6-month prevalence of DSM-III-R psychiatric disorders in an urban community in Japan. Psychiatry Res. 2004;121:293-301.

Moreno DH, Andrade LH. The lifetime prevalence, health services utilization and risk of suicide of bipolar spectrum subjects, including subthreshold categories in the São Paulo ECA study. J Affect Disord. 2005;87:231-41.

Negash A, Alem A, Kebede D, Deyessa N, Shibre T, Kullgren G. Prevalence and clinical characteristics of bipolar I disorder in Butajira, Ethiopia: a community-based study. J Affect Disord. 2005;87:193-201.

Vicente B, Kohn R, Tioseco P, Saldivia S, Levav I, Torres S. Lifetime and 12-month prevalence of DSM-III-R disorders in the Chile psychiatric prevalence study. Am J Psychiatry. 2006;163:1362-70.

Fischer LJ, Goldney RD, Grande ED, Taylor AW, Hawthorne G. Bipolar disorders in Australia: a population-based study of excess costs. Soc Psychiatry Psychiatr Epidemiol. 2007;42:105-9.

Merikangas KR, Akiskal HS, Angst J, Greenberg MA, Hirschfeld RM, Petukhova M. Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2007;64:543-52.

Bogren M, Mattisson C, Isberg PE, Nettelbladt P. How common are psychotic and bipolar disorders: A 50-year follow-up of the Lundby population. Nord J Psychiatry. 2009;63:336-46.

Lee S, Ng KL, Tsang A. A community survey of the twelve month prevalence and correlates of bipolar spectrum disorder in Hong Kong. J Affect Disord. 2009;117:79-86.

Kozloff N, Cheung AH, Schaffer A, Cairney J, Dewa CS, Veldhuizen S. Bipolar disorder among adolescents and young adults: results from an epidemiological sample. J Affect Disord. 2010;125:350-4.

Merikangas KR, Jin R, He JP, Kessler RC, Lee S, Sampson N. Prevalence and correlates of bipolar spectrum disorder in the World Mental Health Survey Initiative. Arch Gen Psychiatry. 2011;68:241-51.

Zutshi A, Eckert KA, Hawthorne G, Taylor AW, Goldney RD. Changes in the prevalence of bipolar disorders between 1998 and 2008 in an Australian population. Bipolar Disord. 2011;13:182-8.

Hirschfeld RM, Holzer C, Calabrese JR, Weissman M, Davies M, Frye MA. Validity of the mood disorder questionnaire: a general population study. Am J Psychiatry. 2003;160:178-80.

Zimmerman M, Galione JN, Ruggero CJ, Chelminski I, Young D, Dalrymple K. Screening for bipolar disorder and finding borderline personality disorder. J Clin Psychiatry. 2010;71:1212-7.

Kessler RC, Rubinow DR, Holmes C, Abelson JM, Zhao S. The epidemiology of DSM-II bipolar I disorder in a general population survey. Psychol Med. 1997;27:1079-89.

Chengappa KN, Kupfer DI, Frank E, Houck PR, Grochocinski VI, Cluss P. Relationship of birth cohort and early age at onset of illness in a bipolar disorder case registry. Am J Psychiatry. 2003;160:1636-42.

Bland RC. Epidemiology of affective disorders: a review. Can J Psychiatry. 1997;42:367-77.

616b1f5ba9539532c2664584 trends Articles
Links & Downloads
2238-0019 (Electronic)
Trends Psychiatry Psychother ©2024 All rights reserved.

Trends Psychiatry Psychother

Share this page
Page Sections