The article you requested is
Illness Course, Comorbidity, Gender, and Suicidality in Patients With Bipolar Disorder
J Clin Psychiatry 2006;67(suppl 11):8-11
© Copyright 2014 Physicians Postgraduate Press, Inc.
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Among patients with bipolar disorder, comorbid conditions are common. Comorbidity is associated
with a more difficult course of illness (such as longer episodes, shorter time euthymic, and earlier
age at onset) and an increase in related problems (such as suicidality and violence). Data from the
Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) reveal that anxiety disorders,
attention-deficit/hyperactivity disorder, and substance and alcohol use disorder are conditions
that commonly co-occur with bipolar disorder. This article details these findings and discusses the
complications associated with these comorbid conditions. STEP-BD data about gender differences are
also discussed, and correlates of suicidal ideation among patients entering the program are described.