Table 6.
Twelve-month use of appropriate medication among respondents with DSM-IV/CIDI bipolar disorder (BPD)1
| Any BPD | BP-I | BP-II | Sub-threshold BPD | ||||||
|---|---|---|---|---|---|---|---|---|---|
| % | (se) | % | (se) | % | (se) | % | (se) | χ2 | |
| I. Twelve-month cases | |||||||||
| A. Psychiatrist | |||||||||
| Appropriate medication | 45.0 | (6.4) | 41.6 | (10.1) | 45.1 | (11.1) | 51.5 | (14.5) | 1.0 |
| Other medication | 43.4 | (6.9) | 51.7 | (10.9) | 39.9 | (11.2) | 32.7 | (14.2) | 8.0* |
| No medication | 11.6 | (4.8) | 6.7 | (4.9) | 14.9 | (9.5) | 15.8 | (10.2) | 1.7 |
| (n) | (59) | (27) | (20) | (12) | |||||
| B. General medical (not including those treated by a psychiatrist) | |||||||||
| Appropriate medication | 9.0* | (4.2) | 0.0* | (0.0) | 3.5* | (3.8) | 15.0* | (7.6) | 4.0 |
| Other medication | 73.1* | (6.3) | 70.9 | (17.5) | 89.2 | (7.8) | 62.4 | (9.2) | 7.4* |
| No medication | 17.9 | (4.8) | 29.1 | (17.5) | 7.3 | (6.8) | 22.6 | (7.9) | 0.6 |
| (n) | (52) | (8) | (16) | (28) | |||||
| C. Total1 | |||||||||
| Appropriate medication | 13.9 | (2.4) | 25.0 | (6.8) | 15.4 | (4.1) | 8.1 | (2.5) | 8.5* |
| Other medication | 31.4 | (2.6) | 38.7 | (6.6) | 38.9 | (5.4) | 23.8 | (3.6) | 5.3 |
| No medication | 54.7 | (3.0) | 36.3 | (6.1) | 45.7 | (4.0) | 68.1 | (4.7) | 14.6* |
| (n) | (262) | (65) | (74) | (123) | |||||
| II. Lifetime cases (excluding 12-month cases)2 | |||||||||
| A. Psychiatrist | |||||||||
| Appropriate medication | 41.1 | (13.1) | 46.7 | (13.9) | 28.4 | (17.1) | 48.9 | (25.7) | 0.9 |
| Other medication | 43.3 | (12.9) | 32.0 | (13.2) | 52.4 | (18.3) | 51.1 | (25.7) | 2.7 |
| No medication | 15.6 | (7.7) | 21.3 | (14.1) | 19.2 | (12.9) | 0.0 | (0.0) | 3.6 |
| (n) | (23) | (10) | (8) | (5) | |||||
| B. General medical (not including those treated by a psychiatrist) | |||||||||
| Appropriate medication | 6.9* | (6.7) | 0.0* | (0.0) | 42.7 | (30.9) | 0.0* | (0.0) | 1.2 |
| Other medication | 65.6 | (12.7) | 43.0 | (24.6) | 40.8 | (30.5) | 84.9 | (10.9) | 2.4 |
| No medication | 27.4 | (11.5) | 57.0 | (24.6) | 16.5 | (16.9) | 15.1 | (10.9) | 2.6 |
| (n) | (17) | (6) | (3) | (8) | |||||
| C. Total1 | |||||||||
| Appropriate medication | 8.8 | (2.8) | 17.9 | (5.7) | 15.6 | (8.2) | 3.2 | (1.9) | 9.8* |
| Other medication | 25.1 | (3.8) | 35.3 | (7.8) | 24.5 | (8.8) | 21.5 | (4.8) | 1.9 |
| No medication | 66.1 | (3.6) | 46.8 | (7.1) | 59.9 | (10.0) | 75.3 | (4.9) | 8.5* |
| (n) | (154) | (36) | (31) | (87) | |||||
*
Significant difference across the three BPD subgroups at the .05 level, two-sided test
1
The denominator for C in both Part I and Part I includes cases not in treatment. The proportion with appropriate medication in C exceeds the sum of the weighted proportions in A and B due to the fact that some respondents reported use of appropriate medications even though they reported not having seen either a psychiatrist or a general medical professional at any time in the past 12 months.
2
Part II presents data on 12-month maintenance medication among lifetime cases who reported not having an episode of either mania/hypomania or MDE in the past 12 months.