Physical health in affective disorders: a narrative review of the literature

This article reviews the most common non-psychiatric comorbidities associated with affective disorders, examining the implications of their possible bidirectional link. A narrative review was conducted on the association among the three most common non-psychiatric diseases in major depressive disord...

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Main Authors: Lluc Colomer, Gerard Anmella, Eduard Vieta, Iria Grande
Format: Article
Language:English
Published: Associação Brasileira de Psiquiatria (ABP)
Series:Brazilian Journal of Psychiatry
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462020005037202&tlng=en
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author Lluc Colomer
Gerard Anmella
Eduard Vieta
Iria Grande
author_facet Lluc Colomer
Gerard Anmella
Eduard Vieta
Iria Grande
author_sort Lluc Colomer
collection DOAJ
description This article reviews the most common non-psychiatric comorbidities associated with affective disorders, examining the implications of their possible bidirectional link. A narrative review was conducted on the association among the three most common non-psychiatric diseases in major depressive disorder and bipolar disorder (obesity, metabolic syndrome, and cardiovascular diseases) in articles published from January 1994 to April 2020. The evidence suggests that obesity, metabolic syndrome, and cardiovascular diseases are highly prevalent in patients diagnosed with affective disorders. The presence of non-psychiatric comorbidities significantly worsens the therapeutic management and prognosis of affective disorders and vice versa. In many cases, these comorbidities may precede the onset of affective disorders, although in most cases they appear after it. The presence of these concurrent non-psychiatric diseases in an individual diagnosed with an affective disorder is associated with a more complex disease presentation and management. For professionals, the evidence unequivocally supports routine surveillance of comorbidities from a multidisciplinary approach.
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spelling doaj.art-117056ffb36b47e18ba5b82d09d9c6052022-12-21T18:10:56ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X10.1590/1516-4446-2020-1246Physical health in affective disorders: a narrative review of the literatureLluc ColomerGerard AnmellaEduard VietaIria GrandeThis article reviews the most common non-psychiatric comorbidities associated with affective disorders, examining the implications of their possible bidirectional link. A narrative review was conducted on the association among the three most common non-psychiatric diseases in major depressive disorder and bipolar disorder (obesity, metabolic syndrome, and cardiovascular diseases) in articles published from January 1994 to April 2020. The evidence suggests that obesity, metabolic syndrome, and cardiovascular diseases are highly prevalent in patients diagnosed with affective disorders. The presence of non-psychiatric comorbidities significantly worsens the therapeutic management and prognosis of affective disorders and vice versa. In many cases, these comorbidities may precede the onset of affective disorders, although in most cases they appear after it. The presence of these concurrent non-psychiatric diseases in an individual diagnosed with an affective disorder is associated with a more complex disease presentation and management. For professionals, the evidence unequivocally supports routine surveillance of comorbidities from a multidisciplinary approach.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462020005037202&tlng=enBipolar disordermajor depressive disordercomorbiditiesobesitymetabolic syndromecardiovascular disease
spellingShingle Lluc Colomer
Gerard Anmella
Eduard Vieta
Iria Grande
Physical health in affective disorders: a narrative review of the literature
Brazilian Journal of Psychiatry
Bipolar disorder
major depressive disorder
comorbidities
obesity
metabolic syndrome
cardiovascular disease
title Physical health in affective disorders: a narrative review of the literature
title_full Physical health in affective disorders: a narrative review of the literature
title_fullStr Physical health in affective disorders: a narrative review of the literature
title_full_unstemmed Physical health in affective disorders: a narrative review of the literature
title_short Physical health in affective disorders: a narrative review of the literature
title_sort physical health in affective disorders a narrative review of the literature
topic Bipolar disorder
major depressive disorder
comorbidities
obesity
metabolic syndrome
cardiovascular disease
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462020005037202&tlng=en
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AT eduardvieta physicalhealthinaffectivedisordersanarrativereviewoftheliterature
AT iriagrande physicalhealthinaffectivedisordersanarrativereviewoftheliterature