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Prevalences of autoimmune diseases in schizophrenia, bipolar I and II disorder, and controls

Artikel i vetenskaplig tidskrift
Författare Laura Cremaschi
Mathias Kardell
V. Johansson
Anniella Isgren
C. M. Sellgren
A. C. Altamura
C. M. Hultman
Mikael Landén
Publicerad i Psychiatry Research
Volym 258
Sidor 9-14
ISSN 0165-1781
Publiceringsår 2017
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi
Sidor 9-14
Språk en
Länkar doi.org/10.1016/j.psychres.2017.09....
Ämnesord Bipolar disorder, Epidemiology, Neuroimmunology, Schizophrenia, lithium salt, adult, aged, Article, autoimmune disease, bipolar I disorder, bipolar II disorder, case control study, comparative study, controlled study, disease association, female, high risk population, human, hyperthyroidism, hypothyroidism, immunopathogenesis, insulin dependent diabetes mellitus, major clinical study, male, prevalence, priority journal, rheumatic polymyalgia, rheumatoid arthritis, self report, structured interview, systemic lupus erythematosus
Ämneskategorier Neurologi

Sammanfattning

Previous studies on the relationship between autoimmune diseases, schizophrenia, and bipolar disorder are mainly based on hospital discharge registers with insufficient coverage of outpatient data. Furthermore, data is scant on the prevalence of autoimmune diseases in bipolar subgroups. Here we estimate the self-reported prevalences of autoimmune diseases in schizophrenia, bipolar disorder type I and II, and controls. Lifetime prevalence of autoimmune diseases was assessed through a structured interview in a sample of 9076 patients (schizophrenia N = 5278, bipolar disorder type I N = 1952, type II N = 1846) and 6485 controls. Comparative analyses were performed using logistic regressions. The prevalence of diabetes type 1 did not differ between groups. Hyperthyroidism, hypothyroidism regardless of lithium effects, rheumatoid arthritis, and polymyalgia rheumatica were most common in bipolar disorder. Systemic lupus erythematosus was less common in bipolar disorder than in the other groups. The rate of autoimmune diseases did not differ significantly between bipolar subgroups. We conclude that prevalences of autoimmune diseases show clear differences between schizophrenia and bipolar disorder, but not between the bipolar subgroups. © 2017 Elsevier B.V.

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