Polarity at illness onset in bipolar I disorder and clinical course of illness.

Abstract:

OBJECTIVES:Studies have suggested that episode polarity at illness onset in bipolar disorder may be predictive of some aspects of lifetime clinical characteristics. We here examine this possibility in a large, well-characterized sample of patients with bipolar I disorder. METHODS:We assessed polarity at onset in patients with bipolar I disorder (N = 553) recruited as part of our ongoing studies of affective disorders. Lifetime clinical characteristics of illness were compared in patients who had a depressive episode at first illness onset (n = 343) and patients who had a manic episode at first illness onset (n = 210). RESULTS:Several lifetime clinical features differed between patients according to the polarity of their onset episode of illness. A logistic regression analysis showed that the lifetime clinical features significantly associated with a depressive episode at illness onset in our sample were: an earlier age at illness onset; a predominantly depressive polarity during the lifetime; more frequent and more severe depressive episodes; and less prominent lifetime psychotic features. CONCLUSIONS:Knowledge of pole of onset may help the clinician in providing prognostic information and management advice to an individual with bipolar disorder.

journal_name

Bipolar Disord

journal_title

Bipolar disorders

authors

Forty L,Jones L,Jones I,Smith DJ,Caesar S,Fraser C,Gordon-Smith K,Hyde S,Craddock N

doi

10.1111/j.1399-5618.2008.00654.x

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

82-8

issue

1

eissn

1398-5647

issn

1399-5618

pii

BDI654

journal_volume

11

pub_type

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