[ABSTRAK
PendahuluanPenegakkan diagnosis gangguan bipolar sering mengalami kesulitan kerenaadanya komorbiditas yang mengakibatkan gejala pada gangguan bipolar tidakmenonjol. Tumpang tindih gejala pada gangguan bipolar dengan gangguan jiwalainnya menyebabkan terjadinya ketidaktepatan diagnosis sehingga orang dengangangguan bipolar didiagnosis sebagai gangguan jiwa lainnya pada pemeriksaanawal. Data dari National Depressive and Manic Depressive Association(NDMDA) menunjukan 60% gangguan bipolar didiagnosis depresi, 26% anxietas,18% skizofrenia, 17% gangguan kepribadian borderline atau antisosial, 14%penyalahgunaan alkohol dan 11% skizoafektif. Sekitar 69%-73% pasien dengangangguan bipolar mengalami ketidaktepatan diagnosis pada saat pemeriksaanawal. Peneliti ingin mengetahui besaran komorbiditas pada penderita gangguanbipolar dan hubungannya dengan ketidaktepatan diagnosis pada gangguan bipolar.MetodeStudi ini merupakan penelitian deskriptif analitik dengan rancangan potonglintang. Responden adalah pasien dewasa di RSUPN dr Cipto MangunkusumoJakarta dan RS dr. Marzoeki Mahdi Bogor pada bulan Desember 2014 hinggadidapatkan jumlah sampel, yaitu 80 responden. Pasien yang berobat dan terlihatadanya gejala mood dilakukan pemeriksaan dari rekam medis dan pemeriksaandengan instrumen SCID I.HasilDidapatkan 80 responden dengan gangguan bipolar, pada studi rekam medisdiketahui ada 11 responden (13.8%) yang didiagnosis bukan sebagai gangguanbipolar setelah rutin mendapatkan perawatan medis. Diketahui juga ada 62.5%dari seluruh responden yang memiliki komorbid. Berdasarkan analisismenggunakan SPSS versi 20 didapatkan hasil adanya hubungan yang bermaknaantara komorbid dengan terjadinya ketidaktepatan diagnosis gangguan bipolardengan nilai p 0.046.SimpulanPada penelitian ini instrumen SCID I digunakan sebagai standar baku emas untukmenegakkan diagnosis gangguan bipolar dan mengetahui adanya komorbid.Berdasarkan hasil penelitian ini didapatkan 13.8% responden yang didiagnosisbukan sebagai gangguan bipolar walaupun telah rutin mendapatkan perawatanmedis. Terdapat hubungan antara kejadian komorbid dengan ketidaktepatandiagnosis gangguan bipolar.

---

ABSTRACT
BackgroundDiagnosing Bipolar Disorder often times has become difficult due tocomorbidities causing indistinct features emerging from the disorder.Overlapping of bipolar disorder with other psychiatric disorders leads toinaccuracy since the beginning of diagnosis. Thus people with bipolar disorderhas been diagnosed with other disorders previously.Data fromNationalDepressive and Manic Depressive Association (NDMDA) shows 60% of bipolardisorder being diagnosed with depression, 26% with anxiety, 18% withskizofrenia 17% with borderline or antisocial personality disorder, 14% withalcohol abuse and 11%with schizoaffective. Approximately 69%-73% patientswith bipolar disorder experienced inaccuracy of diagnosis in the beginning.Theauthor would like to find comorbidities of people with bipolar disorder and itsrelationship with misdiagnosis of bipolar diagnosis.MethodThis is an analytic descriptive study with cross sectional in design. Respondentsare adults patients at National Referal Hospital of dr Cipto Mangunkusumo inJakarta and dr. Marzoeki Mahdi Hospital in Bogor on Desember 2014, and atotal of 80 samples were acquired. Patients on medication and observed to bewith mood symptoms were performed evaluation from medical record and SCID 1instrument.ResultFrom medical record evaluation, 11 (13.8%) out 80 respondents with bipolardisorder were found to be diagnosed with other than bipolar disorder afterroutine medical treatment. This study found 62.5% from all respondents to havecomorbidities. Analysis using SPSS version 20 revealed significant relationshipbetween comorbidities with misdiagnosis of bipolar disorder (p 0.046).ConclusionThis study used SCID I instrument as gold standard in diagnosing bipolardisorder and to find comorbidities. 13.8% respondents were found to bediagnosed with other than bipolar disorder even after routine medical treatment.There is a relationship between comorbidity with misdiagnosis of bipolardisorder.;BackgroundDiagnosing Bipolar Disorder often times has become difficult due tocomorbidities causing indistinct features emerging from the disorder.Overlapping of bipolar disorder with other psychiatric disorders leads toinaccuracy since the beginning of diagnosis. Thus people with bipolar disorderhas been diagnosed with other disorders previously.Data fromNationalDepressive and Manic Depressive Association (NDMDA) shows 60% of bipolardisorder being diagnosed with depression, 26% with anxiety, 18% withskizofrenia 17% with borderline or antisocial personality disorder, 14% withalcohol abuse and 11%with schizoaffective. Approximately 69%-73% patientswith bipolar disorder experienced inaccuracy of diagnosis in the beginning.Theauthor would like to find comorbidities of people with bipolar disorder and itsrelationship with misdiagnosis of bipolar diagnosis.MethodThis is an analytic descriptive study with cross sectional in design. Respondentsare adults patients at National Referal Hospital of dr Cipto Mangunkusumo inJakarta and dr. Marzoeki Mahdi Hospital in Bogor on Desember 2014, and atotal of 80 samples were acquired. Patients on medication and observed to bewith mood symptoms were performed evaluation from medical record and SCID 1instrument.ResultFrom medical record evaluation, 11 (13.8%) out 80 respondents with bipolardisorder were found to be diagnosed with other than bipolar disorder afterroutine medical treatment. This study found 62.5% from all respondents to havecomorbidities. Analysis using SPSS version 20 revealed significant relationshipbetween comorbidities with misdiagnosis of bipolar disorder (p 0.046).ConclusionThis study used SCID I instrument as gold standard in diagnosing bipolardisorder and to find comorbidities. 13.8% respondents were found to bediagnosed with other than bipolar disorder even after routine medical treatment.There is a relationship between comorbidity with misdiagnosis of bipolardisorder., BackgroundDiagnosing Bipolar Disorder often times has become difficult due tocomorbidities causing indistinct features emerging from the disorder.Overlapping of bipolar disorder with other psychiatric disorders leads toinaccuracy since the beginning of diagnosis. Thus people with bipolar disorderhas been diagnosed with other disorders previously.Data fromNationalDepressive and Manic Depressive Association (NDMDA) shows 60% of bipolardisorder being diagnosed with depression, 26% with anxiety, 18% withskizofrenia 17% with borderline or antisocial personality disorder, 14% withalcohol abuse and 11%with schizoaffective. Approximately 69%-73% patientswith bipolar disorder experienced inaccuracy of diagnosis in the beginning.Theauthor would like to find comorbidities of people with bipolar disorder and itsrelationship with misdiagnosis of bipolar diagnosis.MethodThis is an analytic descriptive study with cross sectional in design. Respondentsare adults patients at National Referal Hospital of dr Cipto Mangunkusumo inJakarta and dr. Marzoeki Mahdi Hospital in Bogor on Desember 2014, and atotal of 80 samples were acquired. Patients on medication and observed to bewith mood symptoms were performed evaluation from medical record and SCID 1instrument.ResultFrom medical record evaluation, 11 (13.8%) out 80 respondents with bipolardisorder were found to be diagnosed with other than bipolar disorder afterroutine medical treatment. This study found 62.5% from all respondents to havecomorbidities. Analysis using SPSS version 20 revealed significant relationshipbetween comorbidities with misdiagnosis of bipolar disorder (p 0.046).ConclusionThis study used SCID I instrument as gold standard in diagnosing bipolardisorder and to find comorbidities. 13.8% respondents were found to bediagnosed with other than bipolar disorder even after routine medical treatment.There is a relationship between comorbidity with misdiagnosis of bipolardisorder.]