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Bipolar disorder type II - will the new classification help in setting an adequate diagnosis

Published online by Cambridge University Press:  19 July 2023

S. Vuk Pisk ,
E. Ivezic ,
L. Senjug Mance ,
K. Matic ,
D. Svetinovic ,
V. Grosic  and
I. Filipcic
S. Vuk Pisk*
Affiliation:
Psychiatric Clinic Sveti Ivan, Zagreb Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek
E. Ivezic
Affiliation:
Psychiatric Clinic Sveti Ivan, Zagreb Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek
L. Senjug Mance
Affiliation:
Psychiatric Clinic Sveti Ivan, Zagreb
K. Matic
Affiliation:
Psychiatric Clinic Sveti Ivan, Zagreb
D. Svetinovic
Affiliation:
Psychiatric Clinic Sveti Ivan, Zagreb
V. Grosic
Affiliation:
Psychiatric Clinic Sveti Ivan, Zagreb Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek
I. Filipcic
Affiliation:
Psychiatric Clinic Sveti Ivan, Zagreb Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek School of Medicine, University of Zagreb, Zagreb, Croatia
*
*Corresponding author.

Abstract

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Introduction

Bipolar affective disorder type II is often misunderstood, neglected and rarely receives the attention it deserves and often remains undiagnosed. Despite its neglect and insufficient diagnosis, it is an important diagnostic entity because it causes significant suffering and functional impairment, a chronic course of the disease and a high suicide rate. Cognitive impairments and multiple comorbidities that significantly affect the course and outcome of the disease are common.

Objectives

The purpose of this research was to determine the extent of the deficiency in diagnosing bipolar affective disorder type II in daily clinical work.

Methods

A total of 82 adult psychiatric inpatients diagnosed with affective disorders (depressive disorders and bipolar affective disorders) and borderline disorders participated in this study. They completed HCL-32, MDQ and PHQ-9 questionairres. The average age of the sample is 43.9 years. A total of 76.8% were women in the sample.

Results

72.8% of respondents achieved a score above 14 on the HCL-32 questionnaire and thus met the criteria for possible hypomania. All three criteria for mania on the MDQ questionnaire were satisfied by 27.5% of respondents. 68% of respondents have moderate or severe symptoms of depression according to PHQ-9.

Conclusions

The results confirmed our assumption about the lack of recognition and diagnosis of bipolar affective disorder type II. Only 5 respondents (6.1%) were diagnosed with BAP II upon arrival. After the research, 73% of them met the criteria for diagnosing BAP II. As a correctly established diagnosis affects the selection of adequate therapy, we have tried to emphasize the importance of correct recognition of BAP II.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S709 - S710
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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