PMID- 26339928 OWN - NLM STAT- MEDLINE DCOM- 20160601 LR - 20181202 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 187 DP - 2015 Nov 15 TI - Functioning in bipolar disorder with substance abuse/dependence in a community sample of young adults. PG - 179-82 LID - S0165-0327(15)30567-X [pii] LID - 10.1016/j.jad.2015.08.046 [doi] AB - AIM: To assess the functional impairment of young adults with bipolar disorder with substance abuse/dependence comorbidity. METHOD: Cross-sectional study within a community sample. Bipolar Disorder was assessed by qualified psychologists using The Mini International Neuropsychiatric Interview - PLUS (MINI-PLUS). Substance abuse and dependence was assessed using the "Alcohol, Smoking and Substance Involvement Screening Test" (ASSIST). Functional impairment was assessed using the Functional Assessment Short Test (FAST). RESULTS: The sample included 1259 young adults. The prevalence of Bipolar Disorder (BD) without Substance Abuse/Dependence (SAD) comorbidity was 5.9% (n=74), and the prevalence of bipolar disorder with substance abuse/dependence comorbidity was 1.4% (n=17). Both groups showed higher impairment in overall functioning, interpersonal relationship, and leisure time as compared to controls. In addition, BD+SAD showed higher impairment in the cognitive functioning domain of FAST. LIMITATION: A battery of neuropsychological tests was not performed. CONCLUSION: Functional impairment is associated with BD, independently of substance abuse or dependence. In addition, BD+SAD present a more severe impairment in the cognitive domain of FAST as compared to controls. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Cardoso, Taiane de Azevedo AU - Cardoso Tde A AD - Universidade Catolica de Pelotas - Programa de Pos-Graduacao em Saude e Comportamento, Brazil; University of Texas Health Science Center at Houston - Department of Psychiatry, United States. FAU - Mondin, Thaise Campos AU - Mondin TC AD - Universidade Catolica de Pelotas - Programa de Pos-Graduacao em Saude e Comportamento, Brazil. FAU - Souza, Luciano Dias de Mattos AU - Souza LD AD - Universidade Catolica de Pelotas - Programa de Pos-Graduacao em Saude e Comportamento, Brazil. FAU - da Silva, Ricardo Azevedo AU - da Silva RA AD - Universidade Catolica de Pelotas - Programa de Pos-Graduacao em Saude e Comportamento, Brazil. FAU - Magalhaes, Pedro V S AU - Magalhaes PV AD - Laboratorio de Psiquiatria Molecular, Hospital de Clinicas de Porto Alegre; Universidade Federal do Rio Grande do Sul - Programa de Pos-Graduacao em Ciencias Medicas: Psiquiatria, Brazil. FAU - Kapczinski, Flavio AU - Kapczinski F AD - Laboratorio de Psiquiatria Molecular, Hospital de Clinicas de Porto Alegre; Universidade Federal do Rio Grande do Sul - Programa de Pos-Graduacao em Ciencias Medicas: Psiquiatria, Brazil. FAU - Jansen, Karen AU - Jansen K AD - Universidade Catolica de Pelotas - Programa de Pos-Graduacao em Saude e Comportamento, Brazil; University of Texas Health Science Center at Houston - Department of Psychiatry, United States. Electronic address: karen.jansen@pq.cnpq.br. LA - eng PT - Journal Article DEP - 20150828 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 SB - IM MH - Adult MH - Bipolar Disorder/*epidemiology/*psychology MH - Brazil/epidemiology MH - Comorbidity MH - Cross-Sectional Studies MH - Female MH - Health Status MH - Humans MH - Male MH - Prevalence MH - Social Behavior MH - Substance-Related Disorders/*epidemiology/*psychology MH - Young Adult OTO - NOTNLM OT - Bipolar disorder OT - Comorbidity OT - Functional impairment OT - Illicit substance abuse/dependence OT - Young adult EDAT- 2015/09/05 06:00 MHDA- 2016/06/02 06:00 CRDT- 2015/09/05 06:00 PHST- 2015/07/10 00:00 [received] PHST- 2015/08/20 00:00 [revised] PHST- 2015/08/21 00:00 [accepted] PHST- 2015/09/05 06:00 [entrez] PHST- 2015/09/05 06:00 [pubmed] PHST- 2016/06/02 06:00 [medline] AID - S0165-0327(15)30567-X [pii] AID - 10.1016/j.jad.2015.08.046 [doi] PST - ppublish SO - J Affect Disord. 2015 Nov 15;187:179-82. doi: 10.1016/j.jad.2015.08.046. Epub 2015 Aug 28.