Table 1.
Study | Location | Diagnostic group | Criteria for diagnosis | Procedure for diagnosis | N | Males (%) | Age | Prevalence N (%) |
Comments |
---|---|---|---|---|---|---|---|---|---|
Bellani et al38 | University of Texas Health Science Center at San Antonio, USA | BD | DSM-IV | SCID | 205 | 29.3 | 36.6±11.5 | 28 (13.7) | Similar rates of depressive episodes between study groups |
MDD | 105 | 29.5 | 38.0±13.1 | 4 (3.8) | |||||
Boylan et al39 | McMaster Regional Mood Disorders Program (Hamilton, Ontario, Canada | BD | DSM-IV | SCID | 138 | 31.9 | ∼41* | 43 (31.2) | Outpatients, 70.3% BD-I, 29.7% rapid cycling |
Chang et al40 | National Cheng Kung University Hospital and Tri-Service General Hospital, Taiwan | BD-I | DSM-IV-TR | SADS-L | 120 | 48.33 | 31.4±11.5 | 10 (8.33) | Outpatients from the Han population of Taiwan |
BD-II | 205 | 49.27 | 33.0±12.0 | 29 (14.14) | |||||
Cosoff and Hafner41 | Adelaide, Australia | BD | DSM-III-R | SCID | 20 | 60 | 34.8±10 | 2 (10.0) | |
Schiz | 60 | 7 (11.7) | |||||||
Schizoaff | 20 | 2 (10.0 | |||||||
Dell’Osso et al42 | University Department of Psychiatry of Milan, Italy | BD | DSM-IV | SCID | 508 | 44.1 | >40* | 7 (1.4) | 56.7% BD-I, 76.1% without any substance or alcohol abuse |
Kauer-Sant’Anna et al43 | Bipolar Disorders Program of the University Hospital at the Federal University, Porto Alegre, Brazil | BD | DSM-IV-TR | SCID | 162 | 33.95 | >42* | 19 (11.7) | Outpatients of University hospital |
Koyuncu et al44 | Mood Disorders Unit of Psychiatry Department of Istanbul Faculty of Medicine, Istanbul University, Turkey | BD | DSM-IV | SCID | 70 | 35.7 | 36.2±15.9 | 4 (5.71) | Outpatients of University hospital |
Mantere et al45 | Mood Disorders Research Unit, NPHI, Helsinki, Finland | BD | DSM-IV | SCID | 191 | 47.1 | 37.7±12.2 | 29 (15.18) | Acute phase BD, 47.1% BD-I, inpatients or outpatients. rapid cycling in 32.5%, and psychotic symptoms in 16.2% of patients |
MDD | 269 | 26.8 | NA | 37 (13.75) | |||||
McElroy et al6 | Multisite USA and the Netherlands | BD | DSM-IV | SCID | 288 | 44.0 | 42.8±11.3 | 8 (2.78) | STANLEY foundation data |
Simon et al12 | Multisite USA | BD-I | DSM-IV | SCID | 360 | 40.6 | 41.7±12.8 | 46 (12.8) | First 500 patients of STEP-BD |
BD-II | 115 | 12 (10.4) | |||||||
Otto et al46 | Multisite USA | BD | DSM-IV | SCID | 918 | 41.0 | 40.6±12.7 | 122 (13.3) | First 1000 patients of STEP-BD. >75% BD-I, half patients in recovery, ∼25% depressed |
Tamam and Ozpoyraz47 | Cucurova University Adana, Turkey | BD-I | DSM-IV | SCID | 70 | 41.4 | 33.4±10.3 | 9 (12.9) | Included only patients with BD-I |
Zutshi et al48 | NIMHANS, Bangalore, India | BD | DSM-IV | SCID | 80 | 71.3 | 30.06±7.77 | 19 (23.8) | Patients with remitted BD; the controls were relatives of neurological patients |
Controls | 50 | 76.0 | 31.44±7.85 | 3 (6) | |||||
Overall | BD | DSM (III-R or IV) | SCID but 1 | 2975† | 12.9 | BD and MD rates are after meta-analysis. Corrected prevalence of GAD in controls is 3% and in schizophrenia and schizoaffective is approximately equal to that of BD | |||
Controls | 50 | 6.0 | |||||||
MDD | 374 | 12.1‡ | |||||||
Schiz | 60 | 11.7 | |||||||
Schizoaff | 20 | 10.0 |
*Not available, estimated. †The patients from the Simon et al12 study were not included because they overlap with those of the Otto et al46 study.
‡Estimation not directly supported by the data.
BD, bipolar disorder; DSM, Diagnostic and Statistical Manual of Mental Disorders; GAD, generalised anxiety disorder; N, sample size; NA, not available; MDD, major depressive disorder; SADS-L, Schedule for Affective Disorders and Schizophrenia—Lifetime version; SCID, Structured Clinical Interview for DSM; Schiz, schizophrenia; Schizoaff, schizoaffective disorder.