COMORBIDITY BETWEEN BIPOLAR AFFECTIVE DISORDER AND OBSESSIVE COMPULSIVE DISORDER

Yıl 2015, Cilt: 23 Sayı: 1, 9 - 16, 01.06.2015

Ahmet Kokurcan Hüseyin Hamdi Özsan

https://doi.org/10.1501/Kriz_0000000342

Öz

Bipolar affective disorder (BPD) is a chronic mood disorder which impair functionality of the patient severely. Itincludes mania, hypomania, anddepressionepisodes. Obsessive-compulsive disorder (OCD) is a disorder marked by obsessions and compulsions. Obsessions are repetitive and involuntary thoughts distressing the patient severely and compulsions are repetitive actions o rthoughts reducing the impact of the obsessions. Some researchers consider that similar pathogenesis cause both disorders. Although similar pathogenesis theory hasn’t been proven comorbidity between these disorders are common. BPD and OCD both impair the functionality significantly. Comorbidity between these disorders also impair functionality of the patient causin gprolonged duration of disease, affecting clinical course, and impairing treatment compliance of the patients. Relationship between thedisordes are complicated and detailed assesment should be made to decide on medical treatment. In this review it was aimed to highlight the comorbid disorders of BPD and OCD, to revise the effect of comorbidity between BPD and OCD on the clinical course.An other aim was to mention the treatment options in comorbid cases

Anahtar Kelimeler

Bipolar affective disorder, obsessive compulsive disorder, comorbidity

Bipolar duygudurum bozukluğu ve obsesif kompülsif bozukluk ilişkisi

Öz

Bipolar duygudurum bozukluğu (BDB)
depresyon, hipomani ve mani dönemlerinin
görüldüğü işlevselliği önemli derecede bozan,
kronik seyirli bir duygudurum bozukluğudur.
Obsesif kompülsif bozukluk (OKB) ise
tekrarlayıcı ve istem dışı akla gelen, kişinin
sıkıntı duymasına yol açan düşünceler olan
obsesyonlar ile bu obsesyonların etkisini
azaltmaya yarayan düşünceler ve davranışlar
olan kompülsiyonlarla seyreden bir
bozukluktur.Bu iki hastalık arasında etyolojik
bir ilişki olabileceğini savunan araştırmacılar
bulunmaktadır. Bu henüz geçerlilik kazanmış
bir teori olmasa da iki hastalığın eş tanı sıklığı
yüksektir. Hem BDB hem de OKB işlevselliği
önemli düzeyde bozan hastalıklar olup; iki
hastalığın eş tanısında klinik seyir
değişmekte, hastalık süresi uzamakta ve
hastaların tedaviye uyumu bozulmaktadır. İki
hastalık arasındaki ilişki komplekstir ve eş tanı durumlarında medikal tedaviye karar verirken
ayrıntılı değerlendirme yapılması gerekmektedir.
Bu gözden geçirme çalışmasında BDB ve
OKB’de sık görülen eş tanıları, her iki
hastalığın eş tanı durumlarında klinik seyir
değişikliklerini vurgulamak ve eş tanı
durumlarında tedavi seçeneklerini belirtmek
amaçlanmıştır.

Anahtar Kelimeler

Bipolar bozukluk, obsesif kompülsif bozukluk, komorbidite

Kaynakça

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