Frequency of Episodes of Mania among Adults

Abstract

Background: Bipolar disorder represents a significant mental health burden among young adults, with manic episodes being a core diagnostic feature. Limited research exists on the prevalence of manic episodes among young adults with psychiatric disorders in developing countries, particularly regarding sociodemographic associations. Understanding these patterns is crucial for targeted intervention strategies and resource allocation. Objective: To determine the prevalence of manic episodes among adults with psychiatric disorders. Methodology: A cross-sectional study was conducted in the Department of Psychiatry in the duration from 1st February, 2025 to 15th June, 2025. Using consecutive sampling, 64 participants aged 18-35 years with psychiatric disorders were enrolled. Demographic data, medical history, and comorbidities were recorded. Manic episodes were assessed using the Young Mania Rating Scale (YMRS). Statistical analysis was performed using SPSS 23, with chi-square tests applied for associations at 5% significance level. Results: The prevalence of manic episodes was 28.1% (n=18). Participants were predominantly male (59.4%) with mean age 26.8±5.2 years. Significant associations were found between manic episodes and socioeconomic status (p=0.033), with poor participants having the highest prevalence (50.0%). Rural residence was significantly associated with manic episodes (45.0% vs 20.5% urban, p=0.033). YMRS severity levels also showed significant association with socioeconomic status (p=0.014). Conclusion: Young adults from lower socioeconomic backgrounds and rural areas demonstrated significantly higher rates of manic episodes.