Cindy Walters
NUR/518
October 8, 2012
Elizabeth Esterl
Qualitative Research Critique
Hi, my name is Cindy Walters. I am presenting a qualitative research critique on a study conducted in 2011 on people with bipolar disorder with comorbid substance use. The study is entitled “The lived experience of adults with bipolar disorder and comorbid substance use disorder” written by Terry Ward, MSN, PhD, RN.
Bipolar disorder involves changes in cognition, behavior, and mood. The episodes of bipolar disorder cycle through mania and depression. Mania is described as an elevated, irritable, or expansive mood, whereas depression is the opposite or hypomania. In the manic phase people present as euphoric, enthusiastic, and optimistic with an infectious personality. The euphoric state may suddenly may be replaced by extreme irritability if the persons needs are not met. In a manic phase the person’s speech may be rapid, loud, intrusive, and hard to follow or interrupt. If someone tries to interrupt a manic person he or she can just as quickly become, threatening, irritable or assaultive (Ebert, Loosen, Nurcombe & Leckman, 2008). …show more content…
The number of people abusing drugs and alcohol is about 3.4 million. Those individuals abusing have a greater change of acquiring a mental disorder at a rate of 2.7 times more likely than a non-abuser, according to the National Survey on Drug Use and Health individuals with a psychiatric diagnosis such as bipolar disorder have 28.8% chance of substance abuse or use of drugs. Individuals using drugs with a mental disorder, within a year are diagnosed as dependent on them (Ebert, Loosen, Nurcombe & Leckman,