Objectives:This study was aimed to investigate clinical factors associated with the prediction of symptom improvement in hospitalized patients with bipolar disorder, manic episode. Methods:We performed a retrospective observational study based ...
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https://www.riss.kr/link?id=A103581207
2017
Korean
Bipolar disorder ; Manic ; Hospitalization ; Clinical course ; 양극성 장애 ; 조증 삽화 ; 입원 ; 임상 경과
KCI등재
학술저널
155-163(9쪽)
1
0
상세조회0
다운로드다국어 초록 (Multilingual Abstract)
Objectives:This study was aimed to investigate clinical factors associated with the prediction of symptom improvement in hospitalized patients with bipolar disorder, manic episode. Methods:We performed a retrospective observational study based ...
Objectives:This study was aimed to investigate clinical factors associated with the prediction of symptom improvement in hospitalized patients with bipolar disorder, manic episode.
Methods:We performed a retrospective observational study based on the medical records review of 53 bipolar disorder manic patients, who had been hospitalized in the psychiatric ward. During the hospitalization, Young Mania Rating Scales(YMRS) have been measured periodically. Demographic information and clinical characteristics including medications and history of prior hospitalization have been collected in each patient. Linear mixed effect model has been used to assess the effect of clinical factors on the changes of YMRS over time. Selection of clinical factors was conducted using backward elimination with the minimization of Akaike Information Criterion.
Results:Mean days of hospitalization were 29.74±16.96. Mean YMRS at the admission was 33.64±7.57. Effective factors for the model included YMRS at baseline, combination of mood stabilizer, and the history of prior hospitalization. Predicted YMRS at the discharge was 10.43(95% confidence interval 7.13–13.72).
Conclusion:The current findings suggest the model which may predict the clinical course of the bipolar disorder manic patients. It would be useful to establish the treatment plan for the patients.
참고문헌 (Reference)
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1 윤보현, "한국형 양극성 장애 약물치료 알고리듬 2014: 총론" 대한정신약물학회 25 (25): 43-56, 2014
2 차지민, "양극성장애 입원 환자에서 약물 사용의 변화: 일 대학병원에서 1998~2001년과 2009~2012년의 비교" 대한정신약물학회 25 (25): 114-123, 2014
3 김정현, "양극성 장애 입원환자에서 약물치료의 경향: 12년 자연적 연구" 대한정신약물학회 13 (13): 37-46, 2002
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5 Schuepbach D, "Voluntary vs. involuntary hospital admission in acute mania of bipolar disorder: results from the Swiss sample of the EMBLEM study" 90 : 57-61, 2006
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7 Huntley DA, "Predicting length of stay in an acute psychiatric hospital" 49 : 1049-1053, 1998
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학술지 인용정보
기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
---|---|---|---|
2016 | 0.62 | 0.62 | 0.87 |
KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
0.7 | 0.64 | 1.34 | 0 |