SOCIO-DEMOGRAPHIC FEATURES OF PATIENTS WITH THE PRIMARY EPISODE OF BIPOLAR AFFECTIVE DISORDER WITH CONSIDERATION OF THE GENDENER FACTOR
DOI:
https://doi.org/10.11603/1811-2471.2019.v0.i2.10383Keywords:
bipolar affective disorder, primary episode, socio-demographic featuresAbstract
Problem of bipolar affective disorder is one of the actual problems in modern psychiatry.
The aim of the study – to investigate socio-demographic characteristics of patients with bipolar affective disorder (BAD) at the time of the initial episode and during the life based on the gender factor.
Material and Methods. We studied the medical records of 180 men and 222 women with initial BAD episode.
Results and Discussion. The prevalence among patients with incomplete secondary education was found (in general, 24.7 %, men 28.4 %, women 21.6 %, p>0.05), secondary education (21.6 %, 27.9 % and 13 respectively, 9 %, p<0.01), and the average special education (20.4 %, 22.2 % and 18.9 %, p>0.05), the share of persons with unfinished higher is lower (20.4 %, 18.3 % and 22.1 %, p>0.05), vocational-technical (7.2 %, 11.1 % and 4.1 %, p<0.01) and higher education (5, 7 %, 6.1 % and 5.4 %, p>0.05). The majority of patients were unemployed (40.0 %, 37.8 %, 41.9 %, p>0.05), the proportion of students was significant (24.7 %, 28.3 % and 21, 6 %, p>0.05), less – students (11.7 %, 12.8 % and 10.8 %, p>0.05), workers (8.7 %, 10.6 %, and 7, 2 %, p>0.05), employees (8.2 %, 6.1 % and 9.9 %, p>0.05), and entrepreneurs (4.0 %, 3.3 % and 4.5 %, p>0.05), pensioners (2.7 %, 1.1 % and 4.1 %, p>0.05). The majority of patients were not married (60.7 %, 66.7 % and 55.9 %, p>0.05), less were married (35.9 %, 28.3 %, and 41.9 %, p>0.05), divorced (2.7 %, 3.9 % and 1.8 %, p>0.05), widows (0.7 %, 1.1 % and 0.4 %, p>0.05). The majority of patients were childless (78.9 %, 79.4 % and 78.4 %, p>0.05) and lived with their parents (59.5 %, 65.6 % and 54.5 %, p<0.05). Among males, tobacco infection is much higher (58.3 % vs 24.8 %, p<0.01, total 39.7 %), episodic and frequent use of alcohol (53.3 % vs 33,8 %, p<0.01, total 42.5 %, and 21.1 % vs 1.8 %, p<0.01, total 10.5%).
Conclusions. Patients with an initial episode of BAD have low educational and professional level, low degree of family implementation and prevalence of tobacco smoking; while men are characterized by a lower level of education with more professional orientation, higher levels of disability, a worse implementation of the family, and more severity of addictions. These data can be used for early diagnosis and prevention of BAD.
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