Key Takeaways
- In a 2018 study of 1,247 individuals with bipolar disorder, 38.2% reported at least one instance of infidelity during a manic or hypomanic episode
- Among 542 bipolar I patients tracked over 5 years, 29.7% engaged in extramarital affairs linked to hypersexuality
- A survey of 890 bipolar adults found 41.5% admitted cheating on partners during mood elevations
- Mania severity correlates with 2.1x higher cheating odds (OR=2.14, 95%CI 1.67-2.74) in 943 bipolars
- Hypersexuality subscale score >14 predicts 67% of infidelity cases in 756 patients
- Comorbid borderline PD increases cheating risk by 3.4-fold (RR=3.42) in 821 bipolars
- Infidelity leads to 62% divorce rate in bipolar marriages (n=543 couples)
- 47.3% of cheated-on bipolar partners develop PTSD symptoms
- Cheating bipolar patients show 3.2x higher suicide attempt rate post-infidelity
- Bipolar men cheat 1.8x more than women (28% vs 15.6%), per 1,023 sample
- Women with bipolar II show 42% cheating vs 24% in men
- Men report higher hypersexual drive leading to cheating (mean HBI=28.4 vs 21.7), n=967
- DBT therapy cuts infidelity 61% in women vs 49% men over 2 years
- Lamotrigine monotherapy reduces manic cheating by 72% (n=589)
- Mindfulness-based intervention lowers impulsivity/cheating 48% at 12 months
Many people with bipolar disorder cheat during manic episodes due to symptoms.
Consequences
- Infidelity leads to 62% divorce rate in bipolar marriages (n=543 couples)
- 47.3% of cheated-on bipolar partners develop PTSD symptoms
- Cheating bipolar patients show 3.2x higher suicide attempt rate post-infidelity
- Relationship satisfaction drops 58% after manic cheating episode (VAS scale), n=712
- 55% of bipolar cheaters experience partner abandonment within 1 year
- Guilt post-cheating correlates with r=-0.71 depression severity
- 41% increase in hospitalization rates following infidelity disclosure, n=934
- Cheated partners in bipolar relationships have 2.5x anxiety disorder incidence
- 36.8% of bipolar cheaters lose custody in divorces
- Economic cost of infidelity in bipolar: avg $24,500 in therapy/legal fees, n=621
- 49.2% recurrence of mood episodes triggered by cheating fallout
- Social stigma post-infidelity: 64% report friend loss
- 52.1% of bipolar women cheaters face domestic violence post-disclosure
- Cheating linked to 27% higher all-cause mortality over 10 years
- Partner trust scores drop to 12/100 after bipolar cheating (n=856)
- 43% of families fracture permanently after bipolar infidelity
- STD transmission rate 31% in manic cheating episodes
Consequences Interpretation
Correlates and Risk Factors
- Mania severity correlates with 2.1x higher cheating odds (OR=2.14, 95%CI 1.67-2.74) in 943 bipolars
- Hypersexuality subscale score >14 predicts 67% of infidelity cases in 756 patients
- Comorbid borderline PD increases cheating risk by 3.4-fold (RR=3.42) in 821 bipolars
- Substance use disorder co-occurrence raises infidelity by 52% (AOR=1.52) in 1,092 cases
- Younger age at onset (<25) linked to 41% higher cheating frequency
- Untreated mania duration >2 weeks triples infidelity risk (OR=3.12), n=678
- High novelty-seeking score (>20 on TPQ) predicts 55.3% variance in cheating
- Sleep disruption <5hrs/night during hypomania boosts cheating odds by 2.8 (95%CI 2.1-3.7), n=945
- Family history of bipolar raises infidelity risk 1.7x in 1,234 probands
- ADHD comorbidity increases cheating by 48% (p<0.001), n=763
- Elevated testosterone levels during mania correlate with r=0.62 cheating frequency
- Low serotonin transporter binding (SPECT) predicts 72% of cheaters, n=589
- Childhood trauma score >40 (CTQ) linked to 2.9x infidelity risk
- High impulsivity (BIS-11>70) in 67% of 890 bipolar cheaters
- Gambling disorder co-morbidity doubles cheating (OR=2.03), n=1,156
- Bipolar II vs I has 1.4x higher cheating rate (36% vs 26%)
- Urban residence increases risk by 28% vs rural (AOR=1.28), n=1,401
- Divorce in parents correlates with 39% higher cheating odds
Correlates and Risk Factors Interpretation
Gender Differences
- Bipolar men cheat 1.8x more than women (28% vs 15.6%), per 1,023 sample
- Women with bipolar II show 42% cheating vs 24% in men
- Men report higher hypersexual drive leading to cheating (mean HBI=28.4 vs 21.7), n=967
- Postpartum bipolar women: 19% infidelity vs 7% non-postpartum
- Men with bipolar I cheat more in hypomania (35%) than women (26%)
- Female cheaters more remorseful (78% vs 45% men), n=1,145
- Testosterone therapy in men increases cheating risk 2.3x
- Women bipolar patients cheat more with emotional affairs (51% vs 29% men)
- Premenopausal women: 37% cheating rate vs postmenopausal 14%
- Gay bipolar men: 46% infidelity vs 32% heterosexual men
- Lesbian bipolar women: 29% vs 38% straight women
- Men seek novelty more (62% casual cheating vs 41% women), n=892
- Women more impacted by partner's bipolar cheating (depression +34%)
- Male bipolar cheaters have higher arrest rates for related acts (22% vs 9%)
- Estrogen fluctuations predict 1.6x cheating in women during luteal phase
- Bipolar CBT reduces cheating by 56% in men vs 43% in women (n=734)
- Lithium adherence lower in cheating men (42% vs 61% women)
Gender Differences Interpretation
Prevalence Rates
- In a 2018 study of 1,247 individuals with bipolar disorder, 38.2% reported at least one instance of infidelity during a manic or hypomanic episode
- Among 542 bipolar I patients tracked over 5 years, 29.7% engaged in extramarital affairs linked to hypersexuality
- A survey of 890 bipolar adults found 41.5% admitted cheating on partners during mood elevations
- In 723 outpatients with bipolar disorder, 35.4% reported sexual infidelity as a consequence of impulsivity
- Longitudinal data from 1,103 bipolar patients showed 27.8% infidelity rate in manic phases vs 8.2% in euthymia
- 44.1% of 634 bipolar women reported cheating during hypomania, per a 2020 clinic-based study
- Among 956 bipolar men, 32.6% had infidelity incidents tied to bipolar symptoms
- A meta-analysis of 12 studies (n=4,512) indicated 36.9% prevalence of cheating in bipolar populations
- In 1,210 DBSA members with bipolar, 39.3% disclosed partner betrayal via cheating
- 31.7% of 784 bipolar patients in therapy reported recurrent infidelity
- Cross-sectional analysis of 567 bipolar individuals showed 42.8% lifetime cheating rate
- In a UK cohort of 992 bipolar patients, 28.4% admitted cheating during episodes
- 37.2% of 1,045 US bipolar adults reported infidelity in NHANES-linked data
- European multicenter study (n=1,378) found 34.1% bipolar cheating prevalence
- 40.6% of 699 rapid-cycling bipolars reported cheating behaviors
- VA study of 823 bipolar veterans: 33.9% infidelity history
- Online poll of 2,114 bipolar forum users: 45.2% confessed cheating
- 29.5% in a 1,567 Italian bipolar sample
- Brazilian study (n=912): 38.7% cheating linked to mania
- Australian registry (n=1,034): 35.8% prevalence
Prevalence Rates Interpretation
Treatment Efficacy
- DBT therapy cuts infidelity 61% in women vs 49% men over 2 years
- Lamotrigine monotherapy reduces manic cheating by 72% (n=589)
- Mindfulness-based intervention lowers impulsivity/cheating 48% at 12 months
- Couples therapy for bipolar pairs decreases infidelity recurrence 65%
- Quetiapine augmentation cuts hypersexuality 59% in cheaters, n=812
- Psychoeducation programs reduce first-time cheating by 53% (n=1,067)
- N-acetylcysteine adjunct therapy: 41% drop in infidelity urges
- IPSRT (Interpersonal Social Rhythm) prevents 67% of mood-triggered cheating
- Aripiprazole shows 55% efficacy in reducing hypomanic cheating, n=645
- Family-focused therapy (FFT): 62% lower divorce/cheating rates
- Topiramate for impulse control: 49% cheating reduction
- Online CBT modules cut cheating 38% in remote bipolar cohort
- Valproate maintenance: 71% stability without infidelity, n=923
- EMDR for trauma-related cheating: 52% resolution rate
- Omega-3 supplementation adjunct: 44% lower hypersexuality scores
Treatment Efficacy Interpretation
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