'Bipolarity' in bipolar disorder:: distribution of manic and depressive symptoms in a treated population

被引:74
作者
Bauer, MS
Simon, GE
Ludman, E
Unützer, J
机构
[1] Vet Adm Med Ctr, Providence, RI 02908 USA
[2] Brown Univ, Providence, RI 02912 USA
[3] Grp Hlth Cooperat Puget Sound, Seattle, WA USA
[4] Univ Washington, Seattle, WA 98195 USA
关键词
D O I
10.1192/bjp.187.1.87
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Cross-sectional analysis of 441 individuals with bipolar disorder treated at a US health maintenance organisation investigated the distribution of manic and depressive symptoms in that illness. Clinically significant depressive symptoms occurred in 94.1 % of those with (hypo)mania, while 70.1 % in a depressive episode had clinically significant manic symptoms. DSM-unrecognised depression-plus-hypomania was over twice as prevalent as DSM-recognised mixed episodes. Depressive symptoms were unimodally distributed in (hypo)mania. Depressive and manic symptoms were positively, not inversely, correlated, and their co-occurrence was associated with worse quality of life. Implications for the DSM and ICD nosological systems are discussed.
引用
收藏
页码:87 / 88
页数:2
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