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Is there a relationship between age at menarche and clinical and temperamental characteristics in bipolar disorder?

Sermin Kesebir, MD

Erenköy Mental and Neurological Disease Training and Research Hospital, Department of Psychiatry Istanbul, Turkey

Bilge Yaşan Şair, MD

Adnan Menderes University, Department of Psychiatry Aydın, Turkey

Başak Ünübol, MD

Erenköy Mental and Neurological Disease Training and Research Hospital, Department of Psychiatry Istanbul, Turkey

Elif Tatlıdil Yaylacı, MD

Erenköy Mental and Neurological Disease Training and Research Hospital, Department of Psychiatry Istanbul, Turkey

BACKGROUND: This study investigated whether age at menarche in women with bipolar disorder (BD) is different from that in healthy women and if there is a relationship between age at menarche and clinical and temperamental characteristics of BD.

METHODS: We consecutively evaluated 126 euthymic women diagnosed with BD according to DSM-IV. The healthy control group comprised 100 individuals of similar mean age and socioeconomic level. After the diagnostic interview, BD patients completed the Mood Disorders Diagnosis and Follow-Up Form and Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire.

RESULTS: Age at menarche in BD patients was similar to that in controls. A strong inverse correlation was found between age at menarche and total duration of depressive episodes (r = -0.532). In BD patients, an inverse correlation has been found between age at menarche and depressive and cyclothymic temperament scores (r = -0.384 and r = -0.421). However, a strong correlation has been found between age at menarche and irritable temperament scores (r = 0.488).

CONCLUSIONS: Age at menarche is associated with the clinical course of BD. Moreover, age at menarche seems to be associated with traits related to mood.

KEYWORDS: age at menarche, affective temperament, bipolar disorder

ANNALS OF CLINICAL PSYCHIATRY 2013;25(2):121-124

CORRESPONDENCE: Sermin Kesebir, MD Erenköy Mental and Neurological Disease Training and Research Hospital Sinan Ercan Cadessi, N: 29, Kadıköy Istanbul, Turkey E-MAIL: serminkesebir@hotmail.com
Annals of Clinical Psychiatry ©2013 Frontline Medical Communications Inc.

 
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