High Risk Factors and Preventive Measures of Bipolar Disorder After Ischemic Stroke

Background: Bipolar disorder (BD) is a recurrent chronic disease. There are few Chinese studies to explore the BD after ischemic stroke. This study aimed to analyze the high risk factors of BD after ischemic stroke and investigate prevention strategies.

Methods: 197 patients with ischemic stroke in our hospital from March 2020 to March 2022 were selected as research subjects. The demographic information, clinical data, and scores of Mood Disorder Questionnaire (MDQ) and Activity of Daily Living Scale (ADL) in patients were retrospectively analyzed to count the incidence of BD in patients. Binary logistic regression analysis was used to analyze the influencing factors for BD after ischemic stroke, and preventive measures were discussed based on study results.

Results: The incidence of BD in patients with ischemic stroke was 45.18% (89/197), and the median and quartile in the first part of MDQ score was 6.00 (5.00,10.00) points. The subjects were divided into BD group (n=89) and non-BD group (n=108) based on the presence of BD in patients with ischemic stroke. Education background (OR=0.485), lesions involving the frontal or temporal lobes (OR=2.724), sleep disorders (OR=2.246), and daily living ability (OR=3.108) were influencing factors for BD after ischemic stroke (P < .05).

Conclusion: The risk of BD after ischemic stroke is high. Based on the above research results, clinical attention should be paid to knowledge popularization, lesion examination, and the improvement of sleep quality and daily living ability, to prevent the occurrence of BD and improve the prognosis.

Cite this article as: Geng Y, Bi C, Zhang R. High risk factors and preventive measures of bipolar disorder after ischemic stroke. Alpha Psychiatry. 2024;25(2):220-225.