Comorbid diagnosis of alcohol and substance dependence in patients with bipolar disorder: is it biological or cultural?

Öz

Alcohol and substance dependence is more prevalent amongst patients with Bipolar Disorder than general population and this high rate of co-occurrence has been attributed to the underlying biology of Bipolar Disorder. Co-morbid diagnosis of Obsessive –Compulsive Disorder (OCD) in patients with Bipolar Disorder has similar prevalence rates of 10-20% both in the US and Turkey. On the other hand; whilst the co-occurrence of Bipolar Disorder with alcohol and substance dependence is 30-50% in the US, it is as low as 3.2% in Turkey. Therefore, this comorbidity should not be solely attributed to the biological process underlying Bipolar disorder and the role of social and cultural factors must also be taken into account.

Anahtar Kelimeler

• bipolar Disorder, culture, alcohol, psychoactive substance, comorbidity

İki uçlu bozukluklu hastalarda alkol ve madde ekhastalığı biyolojik mi, kültürel mi?

Öz

İki uçlu bozukluklu hastalarda alkol ve madde bağımlılığı normalden yüksek bulunmuştur. Bu yükseklik, hastalığın biyolojik bir parçası olarak izah edilmektedir. İki uçlu bozukluklu hastalarda Obsesif Kompulsif Bozukluk (OKB) ekhastalık, Türkiye ve Amerika’da yaklaşık %10-20 ile benzerdir. Alkol ve madde ekhastalık ise Amerikan toplumundaki İki uçlu bozukluklu) hastalarda %30-50 oranında iken, Türkiye’de %3.2’dir. İki uçlu bozukluklu hastalardaki alkol madde ekhastalık yalnızca hastalığın biyolojik bir parçası olarak değil, hem biyolojik hem de kültürel parçası olarak anlaşılmalıdır.

Anahtar Kelimeler

• iki uçlu bozukluk, kültür, alkol, psikoaktif madde, eştanı

Kaynakça

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