Perceptions and impact of bipolar disorder in Japan: results of an Internet survey

Koichiro Watanabe,1 Eiji Harada,2 Takeshi Inoue,3 Yuka Tanji,2 Toshiaki Kikuchi1 1Department of Neuropsychiatry, Kyorin University, School of Medicine, Tokyo, 2Medical Science, Medicines Development Unit-Japan, Eli Lilly Japan KK, Hyogo, 3Department of Psychiatry, Tokyo Medical University, Tokyo, J...

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Autores principales:	Watanabe K, Harada E, Inoue T, Tanji Y, Kikuchi T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	bipolar disorder mania depression perception diagnosis cost of illness Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/1859a97981e34d3985ede971d8e4a5a4
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spelling	oai:doaj.org-article:1859a97981e34d3985ede971d8e4a5a42021-12-02T06:12:01ZPerceptions and impact of bipolar disorder in Japan: results of an Internet survey1178-2021https://doaj.org/article/1859a97981e34d3985ede971d8e4a5a42016-11-01T00:00:00Zhttps://www.dovepress.com/perceptions-and-impact-of-bipolar-disorder-in-japan-results-of-an-inte-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Koichiro Watanabe,1 Eiji Harada,2 Takeshi Inoue,3 Yuka Tanji,2 Toshiaki Kikuchi1 1Department of Neuropsychiatry, Kyorin University, School of Medicine, Tokyo, 2Medical Science, Medicines Development Unit-Japan, Eli Lilly Japan KK, Hyogo, 3Department of Psychiatry, Tokyo Medical University, Tokyo, Japan Abstract: Bipolar disorder is a recurrent and episodic illness. This survey study assessed experiences and identified clinical insights of individuals with bipolar disorder. An Internet-based monitor system database was screened for patients with bipolar disorder in Japan (February and March 2013). Of 1,050 patients, 457 completed surveys, and results were analyzed with descriptive statistics. Approximately one-fourth of respondents were diagnosed with bipolar disorder on their first visit to medical institutions, although the most common initial diagnosis was depression/depressive state (65%). Mean time lag between first-time visit to a medical institution and receipt of correct diagnosis of bipolar disorder was 4 years; one-third of patients experienced more than 5 years of lag time. Three perceived reasons for lapsed time before correct diagnosis were “(patients) Did not consider manic symptoms as illness, and did not tell the doctor about them,” “I (patient) did not know of bipolar disorder,” and “Lack of communication between my doctor and myself (patient).” Among participants who believed that they were initially incorrectly diagnosed and improperly treated, most experienced socioeconomic problems, such as having long-term inability to work or to study (65%). Sources of encouragement for participants included “To have someone to consult with” (41%) followed by having “People around me treat me the same as before” (40%). Individuals with bipolar disorder reported a time lag of many years before accurate diagnosis, and substantial burden imposed by the illness. Encouragement should be provided for individuals to live positively with bipolar disorder. Keywords: bipolar disorder, mania, depression, perception, diagnosis, cost of illnessWatanabe KHarada EInoue TTanji YKikuchi TDove Medical Pressarticlebipolar disordermaniadepressionperceptiondiagnosiscost of illnessNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 12, Pp 2981-2987 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	bipolar disorder mania depression perception diagnosis cost of illness Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	bipolar disorder mania depression perception diagnosis cost of illness Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Watanabe K Harada E Inoue T Tanji Y Kikuchi T Perceptions and impact of bipolar disorder in Japan: results of an Internet survey
description	Koichiro Watanabe,1 Eiji Harada,2 Takeshi Inoue,3 Yuka Tanji,2 Toshiaki Kikuchi1 1Department of Neuropsychiatry, Kyorin University, School of Medicine, Tokyo, 2Medical Science, Medicines Development Unit-Japan, Eli Lilly Japan KK, Hyogo, 3Department of Psychiatry, Tokyo Medical University, Tokyo, Japan Abstract: Bipolar disorder is a recurrent and episodic illness. This survey study assessed experiences and identified clinical insights of individuals with bipolar disorder. An Internet-based monitor system database was screened for patients with bipolar disorder in Japan (February and March 2013). Of 1,050 patients, 457 completed surveys, and results were analyzed with descriptive statistics. Approximately one-fourth of respondents were diagnosed with bipolar disorder on their first visit to medical institutions, although the most common initial diagnosis was depression/depressive state (65%). Mean time lag between first-time visit to a medical institution and receipt of correct diagnosis of bipolar disorder was 4 years; one-third of patients experienced more than 5 years of lag time. Three perceived reasons for lapsed time before correct diagnosis were “(patients) Did not consider manic symptoms as illness, and did not tell the doctor about them,” “I (patient) did not know of bipolar disorder,” and “Lack of communication between my doctor and myself (patient).” Among participants who believed that they were initially incorrectly diagnosed and improperly treated, most experienced socioeconomic problems, such as having long-term inability to work or to study (65%). Sources of encouragement for participants included “To have someone to consult with” (41%) followed by having “People around me treat me the same as before” (40%). Individuals with bipolar disorder reported a time lag of many years before accurate diagnosis, and substantial burden imposed by the illness. Encouragement should be provided for individuals to live positively with bipolar disorder. Keywords: bipolar disorder, mania, depression, perception, diagnosis, cost of illness
format	article
author	Watanabe K Harada E Inoue T Tanji Y Kikuchi T
author_facet	Watanabe K Harada E Inoue T Tanji Y Kikuchi T
author_sort	Watanabe K
title	Perceptions and impact of bipolar disorder in Japan: results of an Internet survey
title_short	Perceptions and impact of bipolar disorder in Japan: results of an Internet survey
title_full	Perceptions and impact of bipolar disorder in Japan: results of an Internet survey
title_fullStr	Perceptions and impact of bipolar disorder in Japan: results of an Internet survey
title_full_unstemmed	Perceptions and impact of bipolar disorder in Japan: results of an Internet survey
title_sort	perceptions and impact of bipolar disorder in japan: results of an internet survey
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/1859a97981e34d3985ede971d8e4a5a4
work_keys_str_mv	AT watanabek perceptionsandimpactofbipolardisorderinjapanresultsofaninternetsurvey AT haradae perceptionsandimpactofbipolardisorderinjapanresultsofaninternetsurvey AT inouet perceptionsandimpactofbipolardisorderinjapanresultsofaninternetsurvey AT tanjiy perceptionsandimpactofbipolardisorderinjapanresultsofaninternetsurvey AT kikuchit perceptionsandimpactofbipolardisorderinjapanresultsofaninternetsurvey
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Perceptions and impact of bipolar disorder in Japan: results of an Internet survey

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