*Mary Forgione*

*March 9, 2011*
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Bipolar disorder, or manic depressive illness, occurs in 2.4% of people
worldwide at some point in their lives, a new study suggests.

Researchers conducted interviews of almost 62,000 people in 11 nations as
part of the World Health Organization's World Mental Health Survey
Initiative. The point was to measure rates of different types of bipolar
disorders.

They spoke to residents of Brazil, Bulgaria, Colombia, India, Japan,
Lebanon, Mexico, New Zealand, Romania, Shenzen (China) and the U.S. The
United States led with 4.4% of people who had experienced a bipolar spectrum
disorder at some point in their lifetime. That number dropped to 2.8% for
people who said they had had the disorder within the prior 12 months. But
the U.S. still led the pack.

The study also found that those who had bipolar symptoms also had another
disorder. "Most striking, 1 in every 4 of 5 persons with BPD [people with
bipolar I or II disorder] had made suicide attempts," the study said. Data
were collected between 2002 and 2007 in the report published online in the
March issue of Archives of General
Psychiatry<http://archpsyc.ama-assn.org/cgi/content/abstract/68/3/241?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=bipolar&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT>
.

There's no doubt the condition is devastating. The study begins: "Bipolar
disorder is responsible for the loss of more disability-adjusted life-years
than all forms of cancer or major neurologic conditions such as epilepsy and
Alzheimer's disease."

The National Institute of Mental Health
<http://www.nimh.nih.gov/science-news/2011/international-impact-of-bipolar-disorder-highlights-need-for-recognition-and-better-treatment-availability.shtml>describes
the different types of bipolar disorders measured in the report this way:

"Bipolar I disorder is considered the classic form of the illness, in which
a person experiences recurrent episodes of mania and depression. People with
bipolar II disorder experience a milder form of mania called hypomania that
alternates with depressive episodes. People with BD-NOS, sometimes called
subthreshold bipolar disorder, have manic and depressive symptoms as well,
but they do not meet strict criteria for any specific type of bipolar
disorder noted in the DSM-IV [Diagnostic and Statistical Manual of Mental
Disorders]. Yet, BD-NOS can significantly impair those who have it."

And the researchers themselves concluded this as well: "… Treatment needs
for BPS [bipolar spectrum disorder] are often unmet, particularly in
low-income countries."

http://latimes.com/health/boostershots/la-heb-bipolar-disorder-worldwide-20110309,0,6100635.story

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