Bipolar bozuklukta önceki yanlış tanıların sıklığı

Year 2023, , 372 - 376, 31.08.2023

Şuheda Kaya , Gülay Taşcı , Sevda Korkmaz , Murad Atmaca

https://doi.org/10.54005/geneltip.1178626

Abstract

Amaç: Bipolar bozukluğun yanlış tanısını inceleyen sınırlı sayıda çalışma olmasına rağmen, bipolar bozukluğun tanı oranını belirlemek için yeterli sistematik araştırma olduğunu söylemek çok zordur. Öte yandan Türkiye'de herhangi bir araştırmaya rastlamadık. Bu nedenle ülkemizde bipolar bozukluk yanlış tanısı açısından durum nedir diye merak ettik.
Metod: Bu çalışma xxx Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı'nda yapıldı. Hem ayaktan hem de yatan hasta kliniklerinden gelen hastalar çalışmaya dahil edildi. Bir seçim sürecinden sonra bipolar bozukluğu olan 171 hasta alındı. Bu hasta grubunda bipolar bozukluk yanlış tanısı araştırıldı.
Bulgular: Hastaların yüzde 56.14'ünde bipolar bozukluk yanlış tanısı vardı. En sık yanlış tanı majör depresif bozukluk olarak belirlendi (elli vakada %54.3). Bunu şizoaffektif bozukluk (on sekiz hastada %24,3), şizofreni (on üç hastada %24,3), sanrılı bozukluk (on üç hastada %24,3), distimik bozukluk (10 olguda %15,9), yaygın anksiyete bozukluğu (( on olguda %15,9), obsesif kompulsif bozukluk (yedi olguda %12.6), paranoid kişilik bozukluğu (iki olguda %4,1).
Sonuç: Çalışmanın sonuçları, bipolar bozukluğun sıklıkla yanlış teşhis edildiğini ve en sık yanlış tanıların majör depresif bozukluk ve ardından psikotik spektrum bozuklukları olduğunu göstermektedir. Klinisyenler bipolar bozukluğu olan hastalarda sık görülen yanlış tanıların farkında olmalıdır.

Keywords

bipolar bozukluk, yanlış tanı, sıklık

Misdiagnosis of Bipolar Disorder: Rare or Frequent?

Abstract

Background: As much there have been limited number of studies which have examined misdiagnosis of bipolar disorder, it is so difficult to say that there are enough systematic research to identify the diagnostic rate of bipolar disorder. On the other hand, we did not find any research in Turkey. For this reason, we wondered what is situation in our country in terms of misdiagnosis of bipolar disorder.
Methods: The present study was done at xxx University, School of Medicine, Department of Psychiatry. Patients who were from both out-patient and in-patient clinics were included in the study. After a selection process, 171 patients with bipolar disorder were enrolled. In this group of patients, misdiagnosis of bipolar disorder were investigated.
Results: 56.14 percent of patients had misdiagnosis of bipolar disorder. The most frequent misdiagnosis was fetermined to be major depressive disorder (in fifty cases, 54.3%). Followings were schizoaffective disorder (in eighteen cases, 24.3%), schizophrenia (in thirteen patients, 24.3%), delusional disorder (in thirteen patients, 24.3%), dysthymic disorder (in ten cases, 15.9%), generalized anxiety disorder ((in ten cases, 15.9%), obsessive compulsive disorder (in seven cases, 12.6%), paranoid personality disorder (in two cases, 4.1%).
Conclusions: The results of the study suggest that bipolar disorder is frequently misdiagnosed one and that the most frequent misdagnoses were majör depressive disorder and following psychotic spectrum disorders. Clinicians should be aware of frequent misdiagnosis in patients with bipolar disorder.

Keywords

bipolar disorder, misdiagnosis, frequent

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