HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit an eLetter Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by LLOYD, T. Search for Related Content PubMed PubMed Citation Articles by LLOYD, T.

Incidence of bipolar affective disorder in three UK cities

Results from the ÆSOP study

Division of Psychiatry, University of Nottingham

NOEL KENNEDY, MRCPsych and PAUL FEARON, MRCPsych

Institute of Psychiatry, London

JAMES KIRKBRIDE, MSc

University of Cambridge, Addenbrooke's Hospital, Cambridge

ROSEMARIE MALLETT, PhD and JULIAN LEFF, MD

Institute of Psychiatry, London

JOHN HOLLOWAY, MRCPsych and GLYNN HARRISON, FRCPsych

Department of Mental Health, University of Bristol

PAOLA DAZZAN, MRCPsych, KEVIN MORGAN, PhD and ROBIN M. MURRAY, FRCPsych

Institute of Psychiatry, London

PETER B. JONES, MRCPsych

University of Cambridge, Addenbrooke's Hospital, Cambridge, UK

ÆSOP study team

Correspondence: Dr Tuhina Lloyd, Division of Psychiatry, Duncan Macmillan House, Porchester Road, Nottingham NG3 6AA, UK. Tel: (0115) 9691300 x 30123; fax: (0115) 9555352; e-mail: Tuhina.Lloyd{at}nottingham.ac.uk

Declaration of interest None. Funding detailed in Acknowledgements.

Background There has been a relative dearth of epidemiological research into bipolar affective disorder. Furthermore, incidence studies of bipolar disorder have been predominantly retrospective and most only included hospital admission cases.

Aims To determine the incidence of operationally defined bipolar disorder in three areas of the UK and to investigate any differences in gender and ethnicity.

Method All patients who contacted mental health services with first-episode psychosis or non-psychotic mania between September 1997 and August 1999 were identified and diagnosed according to ICD-10 criteria. Incidence rates of bipolar affective disorder were standardised for age and stratified by gender and ethnic group across the three areas.

Results The incidence rate per 100 000 per year in south-east London was over twice that in Nottingham and Bristol. There was no significant difference in the rates of disorder in men and women. Incidence rates of bipolar disorder in the combined Black and minority ethnic groups in all three areas were significantly higher than those of the comparison White groups.

Conclusions The incidence of bipolar disorder was higher in south-east London than in the other two areas, and was higher among Black and minority ethnic groups than in the White population.

This article has been cited by other articles:

				P. R. MENEZES, M. SCAZUFCA, G. F. BUSATTO, L. M. S. COUTINHO, P. K. McGUIRE, and R. M. MURRAY Incidence of first-contact psychosis in Sao Paulo, Brazil The British Journal of Psychiatry, December 1, 2007; 191(51): s102 - s106. [Abstract] [Full Text] [PDF]

				S. G. H. A. SWINNEN and J.-P. SELTEN Mood disorders and migration: Meta-analysis The British Journal of Psychiatry, January 1, 2007; 190(1): 6 - 10. [Abstract] [Full Text] [PDF]

				P. MACKIN, S. D. TARGUM, A. KALALI, D. ROM, and A. H. YOUNG Culture and assessment of manic symptoms The British Journal of Psychiatry, October 1, 2006; 189(4): 379 - 380. [Abstract] [Full Text] [PDF]

				P. Fearon and C. Morgan Environmental Factors in Schizophrenia: The Role of Migrant Studies Schizophr Bull, July 1, 2006; 32(3): 405 - 408. [Abstract] [Full Text] [PDF]

				J. B. Kirkbride, P. Fearon, C. Morgan, P. Dazzan, K. Morgan, J. Tarrant, T. Lloyd, J. Holloway, G. Hutchinson, J. P. Leff, et al. Heterogeneity in Incidence Rates of Schizophrenia and Other Psychotic Syndromes: Findings From the 3-Center AeSOP Study. Arch Gen Psychiatry, March 1, 2006; 63(3): 250 - 258. [Abstract] [Full Text] [PDF]