Year : 2006  |  Volume : 48  |  Issue : 4  |  Page : 254--257

The course of bipolar disorder in rural India


Mohit P Chopra1, KV Kishore Kumar1, DK Subbakrishna2, Sanjeev Jain1, R Srinivasa Murthy1 
1 Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Bangalore 560029, Karnataka, India
2 Department of Bio-Statistics, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Bangalore 560029, Karnataka, India

Correspondence Address:
Mohit P Chopra
Assistant Professor in Psychiatry, 4301 W. Markham Street, # 825, Little Rock, AR 72205
India

Aim: To examine the naturalistic course of bipolar disorder in a rural, community-based, partially treated cohort. Methods: All patients diagnosed with bipolar disorder during an epidemiological survey (n=34) in a rural area in India were followed longitudinally using standardized instruments, and the life-chart method used to examine their course. Results: Seven (26%) of the 27 patients evaluated directly had not received any treatment whatsoever. Four patients (15%) had experienced rapid-cycling at some time; patients without rapid-cycling had experienced a mean 0.22 episodes/year. Episodes of mania accounted for 72% of all episodes. None of the variables examined appeared to predict the total number of episodes experienced by individual patients, although rapid-cycling occurred significantly more often if the patients had not received any psychopharmacological treatment. Conclusions: A mania-predominant course was observed in this small cohort, similar to reports from other developing countries.


How to cite this article:
Chopra MP, Kishore Kumar K V, Subbakrishna D K, Jain S, Murthy R S. The course of bipolar disorder in rural India.Indian J Psychiatry 2006;48:254-257


How to cite this URL:
Chopra MP, Kishore Kumar K V, Subbakrishna D K, Jain S, Murthy R S. The course of bipolar disorder in rural India. Indian J Psychiatry [serial online] 2006 [cited 2019 Sep 21 ];48:254-257
Available from: http://www.indianjpsychiatry.org/article.asp?issn=0019-5545;year=2006;volume=48;issue=4;spage=254;epage=257;aulast=Chopra;type=0