Substance abuse in patients with bipolar disorder: A systematic review and meta-analysis

@article{Messer2017SubstanceAI,
  title={Substance abuse in patients with bipolar disorder: A systematic review and meta-analysis},
  author={Thomas Messer and Gero Lammers and Florian M{\"u}ller-Siecheneder and R. Schmidt and Sahar Latifi},
  journal={Psychiatry Research},
  year={2017},
  volume={253},
  pages={338-350}
}
By considering the debilitating outcome of co-occurring of bipolar disorder (BD) and substance abuse, determination of risk factors of substance use disorders (SUD: abuse or dependence of drugs and/or alcohol) is essential to identify the susceptible patients. The purpose of this study was to clarify the major determinant factors of SUD among adults with BD by reviewing the relevant literature. We systematically searched electronic databases including PubMed (MEDLINE), EMBASE, OVID, Cochrane… Expand
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References

SHOWING 1-10 OF 96 REFERENCES
Impact of substance abuse on the course and treatment of bipolar disorder.
TLDR
While the antikindling agents and targeted psychotherapeutic techniques may be useful intervention strategies, there is still a significant lack of empirically based treatment options for these patients. Expand
Risk of substance use disorders in adolescents with bipolar disorder.
TLDR
Findings strongly indicate that BPD, especially adolescent onset, is a significant risk factor for SUD independently of conduct disorder. Expand
Underdiagnosis of Bipolar Disorder in Men with Substance Use Disorder
TLDR
Bipolar disorder had not been previously diagnosed in approximately 50% of a sample of Caucasian males in a substance abuse population who were diagnosed with bipolar disorder upon admission to an inpatient substance abuse program. Expand
Different profile of substance abuse in relation to predominant polarity in bipolar disorder: The Vitoria long-term follow-up study.
TLDR
Long-term clinical outcomes differ between predominantly manic vs. depressive bipolar patients, with the predominantly depressive group having a worse prognosis and maintained alcohol and other substance abuse. Expand
Bipolar disorder and substance use disorders. Madrid study on the prevalence of dual disorders/pathology.
TLDR
Bipolar dually-diagnosed patients had higher personality and anxiety disorder comorbidities and greater suicide risk, and alcohol and cocaine are the drugs most associated with bipolar disorder. Expand
Further evidence of an association between adolescent bipolar disorder with smoking and substance use disorders: a controlled study.
TLDR
Adolescent bipolar disorder is a significant risk factor for substance use disorders and cigarette smoking, independent of psychiatric comorbidity, and Clinicians should carefully screen adolescents with bipolar disorder for substance and cigarette use. Expand
Is bipolar disorder overdiagnosed among patients with substance abuse?
TLDR
A study in patients with a previous diagnosis of bipolar disorder (BD) and known history of substance abuse or dependence, who were currently engaged in treatment for substance abuse and found that bipolar disorder is frequently misdiagnosed among subjects with substance abuse. Expand
Gender differences in prevalence, risk, and clinical correlates of alcoholism comorbidity in bipolar disorder.
TLDR
There are gender differences in the prevalence, risk, and clinical correlates of alcoholism in bipolar illness, and the magnitude of these gender-specific differences is substantial and warrants further prospective study. Expand
Further Evidence for Smoking and Substance Use Disorders in Youth With Bipolar Disorder and Comorbid Conduct Disorder.
TLDR
The results provide further evidence that adolescents with BPD, particularly those with comorbid CD, are significantly more likely to endorse cigarette smoking and SUDs when compared to their non-mood disordered peers. Expand
Bipolar disorder preceded by substance abuse: A different phenotype with not so poor outcome?
TLDR
Bipolar disorder preceded by substance misuse may represent a clinically milder subtype of bipolar illness that would be less “primary” and might be more early targeted by primary prevention with programmes focused on substance misuse. Expand
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