Clinical characteristics of mania, mixed mania, and bipolar depression with psychotic features.

Abstract:

:This study investigated a series of clinical characteristics, including the level of insight into illness and axis I comorbidity, in 125 patients with bipolar disorder with psychotic features categorized in three groups: 62 patients with mania, 28 patients with mixed mania, and 35 patients with depression. All patients were hospitalized and were assessed in the week preceding discharge. The three groups did not differ in the severity of psychopathology as assessed by the Brief Psychiatric Rating Scale (BPRS). The mania group had a lower level of insight into the social consequences of illness than the other two groups, and compared with the group with depression, they had a lower level of insight of poor attention and of poor social judgment. As to axis I comorbidity, obsessive-compulsive disorder was found to be significantly more frequent in depression than in mania. Patients with depression more frequently reported a history of suicidality than those with mania, whereas they did not significantly differ from patients with mixed mania. Our results suggest that mixed mania as assessed at the time of the patient's discharge differs from mania and from depression with respect to a limited number of features among those examined. However, the overall level of insight into illness significantly discriminated mixed mania from mania, but not from depression.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Dell'Osso L,Pini S,Tundo A,Sarno N,Musetti L,Cassano GB

doi

10.1053/comp.2000.7432

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

242-7

issue

4

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(00)65419-6

journal_volume

41

pub_type

杂志文章
  • Transition to alcohol dependence: clinical and neurobiological considerations.

    abstract::The transition to alcohol dependence is supposed to occur during a critical period that begins with increased drinking and ends with a loss of control. This process may last about 3 to 4 years, and is modified by gender and accelerated by premorbid traits (e.g., novelty-seeking) and comorbid disorders (e.g., dissocial...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0010-440x(00)80014-0

    authors: Schmidt LG,Dufeu P,Kuhn S,Smolka M,Rommelspacher H

    更新日期:2000-03-01 00:00:00

  • Screening disordered eating attitudes and eating disorders in a sample of Turkish female college students.

    abstract::It has been hypothesized that college women are particularly susceptible to the development and maintenance of disturbed eating behaviors. The purpose of this study was to determine the frequency of disordered eating attitudes and eating disorders in a sample of Turkish female college students. The Eating Attitudes Te...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2005.05.004

    authors: Uzun O,Güleç N,Ozşahin A,Doruk A,Ozdemir B,Calişkan U

    更新日期:2006-03-01 00:00:00

  • Personality and treatment response in agoraphobia with panic attacks.

    abstract::The present study investigated the association of specific personality characteristics with agoraphobia, and whether they predicted long-term outcome following a group cognitive behavior therapy program. Thirty-three patients with agoraphobia with panic attacks, 18 with social phobia, and 26 "normals" were used in the...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/0010-440x(92)90038-r

    authors: Clair AL,Oei TP,Evans L

    更新日期:1992-09-01 00:00:00

  • Pathological gambling: relationship to obesity, self-reported chronic medical conditions, poor lifestyle choices, and impaired quality of life.

    abstract:BACKGROUND:Pathological gambling (PG) is an important public health problem that is prevalent, costly to society, and associated with substance misuse, depression, domestic violence, crime, and suicide. Despite these challenges, little is known about the physical health and medical correlates of PG. The goal of this pr...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2012.07.001

    authors: Black DW,Shaw M,McCormick B,Allen J

    更新日期:2013-02-01 00:00:00

  • A latent structure analysis of the positive and negative symptoms in schizophrenia.

    abstract::Although previous studies have suggested the inadequacy of the two-factor models of positive and negative symptoms in schizophrenia, confirmatory testing of the putative three-factor models is needed. Using a sample of 193 individuals diagnosed with schizophrenia, this study tested the relative goodness-of-fit of one-...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/0010-440x(94)90016-7

    authors: Brekke JS,DeBonis JA,Graham JW

    更新日期:1994-07-01 00:00:00

  • Other psychiatric disorders among bulimic patients.

    abstract::Clinical experience suggests that bulimia nervosa is a disorder often accompanied by additional psychiatric symptoms. Based on unstructured clinical interviews, 21 additional Axis I and six Axis II diagnoses were assigned to a sample of 30 bulimic women. The Structured Clinic Interview for DSM-III-Patient Version (SCI...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/0010-440x(88)90066-1

    authors: Powers PS,Coovert DL,Brightwell DR,Stevens BA

    更新日期:1988-09-01 00:00:00

  • Body image in patients with mental disorders: Characteristics, associations with diagnosis and treatment outcome.

    abstract:OBJECTIVE:Despite the increasing recognition in clinical practice of body image problems in other than appearance related mental disorders, the question remains how aspects of body image are affected in different disorders. The aim of this study was to measure body image in patients with a variety of mental disorders a...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2017.01.004

    authors: Scheffers M,van Busschbach JT,Bosscher RJ,Aerts LC,Wiersma D,Schoevers RA

    更新日期:2017-04-01 00:00:00

  • A comparison of suicides in psychiatric in-patients, after discharge and in not recently hospitalized individuals.

    abstract:OBJECTIVE:Time of in-patient treatment and the first weeks after hospital discharge have repeatedly been described as periods of increased suicide risk. This study compared demographic, clinical and suicide related factors between in-patient, post-discharge and not recently hospitalized suicides. METHODS:Suicide data ...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2016.05.003

    authors: Deisenhammer EA,Behrndt EM,Kemmler G,Haring C,Miller C

    更新日期:2016-08-01 00:00:00

  • A mathematical typology analysis of DSM-III-R personality disorder classification: grade of membership technique.

    abstract::This study employed grade of membership (GoM) analysis in a clinical setting to determine if the DSM-III-R personality disorder (PD) diagnostic criteria cluster into recognizable disorders resembling the official axis II nosology. The GoM model, based on fuzzy-set theoretic concepts, explicitly examines medical diagno...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0010-440x(99)90079-2

    authors: Nurnberg HG,Woodbury MA,Bogenschutz MP

    更新日期:1999-01-01 00:00:00

  • Limitations in activities of daily living: towards a better understanding of subthreshold mental disorders in old age.

    abstract::Based on a representative sample of elderly subjects, a description of the limitations in activities of daily living (ADL) and instrumental ADL (IADL) at subthreshold levels of dementia and depression is presented and compared against a sample of psychiatric non-cases and samples with specified levels of the respectiv...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0010-440x(00)80004-8

    authors: Wilms HU,Kanowski S,Baltes MM

    更新日期:2000-03-01 00:00:00

  • Beliefs and emotions have different roles in generating attitudes toward providing personal help and state-sponsored help for people with a mental illness.

    abstract::The aim of this study was to examine the role of emotions like pity and anger in mediating the relationship between beliefs about the controllability of a mental illness, and the willingness to help someone with a mental illness. In particular, we tested the hypothesis that the effects of beliefs about controllability...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.comppsych.2012.11.004

    authors: Obonsawin MC,Lindsay A,Hunter SC

    更新日期:2013-07-01 00:00:00

  • The relationship between DSM-III personality disorders and the five-factor model of personality.

    abstract::Two hundred twenty-four first-degree relatives of patients with psychotic disorders were administered the Structured Interview for DSM-III Personality Disorders (SIDP) and completed a self-report instrument to assess dimensions of the five-factor model of personality. All of the DSM-III personality disorders were rela...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/0010-440x(93)90003-m

    authors: Yeung AS,Lyons MJ,Waternaux CM,Faraone SV,Tsuang MT

    更新日期:1993-07-01 00:00:00

  • Features of mood associated with high body weight in females with fibromyalgia.

    abstract:BACKGROUND:Fibromyalgia (FM) is a common syndrome whose main characteristic is chronic widespread musculoskeletal pain, the severity of which is frequently worsened by concomitant obesity. Major depression (MD), particularly as part of a bipolar spectrum disorder (BSD), is associated with both obesity and FM. OBJECTIV...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2017.08.006

    authors: Alciati A,Atzeni F,Grassi M,Caldirola D,Sarzi-Puttini P,Angst J,Perna G

    更新日期:2018-01-01 00:00:00

  • Who cares for the schizophrenia individuals in rural China - A profile of primary family caregivers.

    abstract:OBJECTIVE:The present study aims to provide a comprehensive profile of the primary family caregivers of schizophrenia individuals in rural China. METHOD:A cross-sectional study was conducted with a sample of 327 primary family caregivers of schizophrenia individuals recruited through a one-stage cluster sampling in Ni...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2018.04.002

    authors: Yu Y,Tang BW,Liu ZW,Chen YM,Zhang XY,Xiao S

    更新日期:2018-07-01 00:00:00

  • Pfropfschizophrenia in the age of deinstitutionalization: whose problem?

    abstract:BACKGROUND:The Kraepelinian concept of pfropfschizophrenia refers to the intertwined coexistence of mental retardation and schizophrenia. Patients with this syndrome are relatively treatment resistant and are often harmed by diverging policies and cost cuts within the framework of mental health care services. Thus, a b...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2004.08.004

    authors: Catinari S,Vass A,Ermilov M,Heresco-Levy U

    更新日期:2005-05-01 00:00:00

  • Targeting remission by 8 weeks: when should supplementation be considered in patients with major depression treated with a specific serotonin reuptake inhibitor?

    abstract:BACKGROUND:Timely administration/supplementation of a specific serotonin reuptake inhibitor with a second therapeutic agent could improve treatment outcome in patients with major depressive disorder (MDD). The purpose of this study was to identify the optimal time at which to implement supplementation so as to maximize...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.comppsych.2010.04.007

    authors: Cooper-Kazaz R,Rigbi A,Lerer B

    更新日期:2011-01-01 00:00:00

  • Subjective experience and subjective response to neuroleptics in schizophrenia.

    abstract::Although several studies have addressed the issue of the relationship between the subjective response to neuroleptics and drug compliance, very little attention has been given to the study of the subjective experience of psychosis and drug attitudes. The present study was therefore undertaken to examine the relationsh...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1053/comp.2000.16566

    authors: Rossi A,Arduini L,Stratta P,Pallanti S

    更新日期:2000-11-01 00:00:00

  • Suicide in the United States, 1951-1988: constant age-period-cohort rates in 40- to 44-year-old men.

    abstract::Age-specific suicide rates in the United States between 1951 and 1988 were shown in cohort, cross-sectional, and age group formats. Despite considerable variation among women and younger and older men, suicide rates among 40- to 44-year-old men have remained stable. Since suicide is strongly influenced by psychosocial...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0010-440x(96)90039-5

    authors: Riggs JE,McGraw RL,Keefover RW

    更新日期:1996-05-01 00:00:00

  • A preliminary study: novelty seeking, frontal executive function, and dopamine receptor (D2) TaqI A gene polymorphism in patients with methamphetamine dependence.

    abstract:INTRODUCTION:Dopamine receptor polymorphisms have been associated with specific patterns of novelty seeking (NS) temperamental nature and frontal executive function. In addition, carriers of dopamine receptor type 2 (DRD2)-TaqI A1 have been hypothesized to be potentially vulnerable to addictive behaviors. In the presen...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2008.01.008

    authors: Han DH,Yoon SJ,Sung YH,Lee YS,Kee BS,Lyoo IK,Renshaw PF,Cho SC

    更新日期:2008-07-01 00:00:00

  • Somatoform disorders: comorbidity with other DSM-III-R psychiatric diagnoses in Greece.

    abstract::From a total sample of 1,448 psychiatric outpatients, 175 (12.1%) received a diagnosis of a somatoform disorder according to DSM-III-R criteria. One hundred twenty-two (70%) of these patients had another current axis I diagnosis, and this rate increased to 79% (139 of 175) when lifetime psychiatric diagnoses were reco...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0010-440x(99)90131-1

    authors: Garyfallos G,Adamopoulou A,Karastergiou A,Voikli M,Ikonomidis N,Donias S,Giouzepas J,Dimitriou E

    更新日期:1999-07-01 00:00:00

  • A five-item screening version of the Eating Disorder Inventory (EDI-3).

    abstract:OBJECTIVE:The Eating Disorder Inventory (EDI) is used worldwide in research and treatment of eating disorders (EDs). Using the latest version (EDI-3: 91 items), we extracted the best screening items for a diagnosis of anorexia (AN) and bulimia (BN) nervosa. METHOD:A patient sample of 561 women was recruited from an ED...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2013.05.004

    authors: Friborg O,Clausen L,Rosenvinge JH

    更新日期:2013-11-01 00:00:00

  • Delusional disorder: The role of personality and emotions on delusional ideation.

    abstract::The relationship between personality and Delusional Disorder in still debated. The present study aimed to evaluate the role of personality features and emotional dispositions on the proneness to delusional beliefs, through the lens of a dimensional approach. 91 outpatients were administered the Structured Interview fo...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2018.07.002

    authors: Tonna M,Paglia F,Ottoni R,Ossola P,De Panfilis C,Marchesi C

    更新日期:2018-08-01 00:00:00

  • Determinants of risk behavior for human immunodeficiency virus/acquired immunodeficiency syndrome in people with severe mental illness.

    abstract::We examined the prevalence and correlates of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) risk behaviors in a large sample of severely mentally ill (SMI) patients. Risk levels were correlated with demographic factors, diagnosis, symptom severity, trauma history, post-traumatic stress di...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1053/comp.2001.24576

    authors: Rosenberg SD,Trumbetta SL,Mueser KT,Goodman LA,Osher FC,Vidaver RM,Metzger DS

    更新日期:2001-07-01 00:00:00

  • Eating disorders and eating pathology in young adult and adult patients with ESSENCE.

    abstract:BACKGROUND:Little is known about the prevalence and incidence of traditional eating disorders (EDs, e.g., anorexia nervosa (AN), bulimia nervosa and binge eating disorder (BED)) in individuals with childhood onset neuropsychiatric disorders, including attention-deficit/hyperactivity disorder (ADHD) and autism spectrum ...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2015.12.009

    authors: Karjalainen L,Gillberg C,Råstam M,Wentz E

    更新日期:2016-04-01 00:00:00

  • DSM-III and DSM-III-R: what are American psychiatrists using and why?

    abstract::The purpose of this study was to determine whether American psychiatrists have switched from DSM-III to DSM-III-R as their primary diagnostic reference, and to examine what factors predicted the continued use of DSM-III. In 1989, we conducted a mail survey of practicing psychiatrists (N = 454), residency program direc...

    journal_title:Comprehensive psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0010-440x(93)90060-h

    authors: Zimmerman M,Jampala VC,Sierles FS,Taylor MA

    更新日期:1993-11-01 00:00:00

  • Mental health of single fathers living in an urban community in South Korea.

    abstract:OBJECTIVE:The aims of this study were to understand the mental health of single fathers relative to married fathers as the population of single fathers continues to increase and to use the resultant data for the establishment of public health policies. METHODS:We evaluated the mental health of 58 single fathers and 25...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2014.09.012

    authors: Kong KA,Kim SI

    更新日期:2015-01-01 00:00:00

  • Assessment of DSM-III personality structure in a general-population survey.

    abstract::The object of this study is to assess the internal validity of DSM-III personality constructs and to explore whether the constituent elements are better explained by an alternate internally coherent classification. A two-stage stratified random sample of subjects identified at the Baltimore site of the Epidemiologic C...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/0010-440x(94)90170-8

    authors: Nestadt G,Eaton WW,Romanoski AJ,Garrison R,Folstein MF,McHugh PR

    更新日期:1994-01-01 00:00:00

  • Assessment and associated features of prolonged grief disorder among Chinese bereaved individuals.

    abstract:BACKGROUND:Most research on the assessment and characteristics of prolonged grief disorder (PGD) has been conducted in Western bereaved samples. Limited information about PGD in Chinese samples exists. This study aims to validate the Chinese version of the Inventory of Complicated grief (ICG), examine the distinctivene...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2015.12.001

    authors: Li J,Prigerson HG

    更新日期:2016-04-01 00:00:00

  • French views on positive and negative symptoms: a conceptual history.

    abstract::The history of the positive/negative terminology, as applied to psychiatric symptoms, can be divided into an early period of original meanings, a second one of French elaboration, and the current revival. This report addresses issues concerning the meaning, referent, and nature of the link between the positive and the...

    journal_title:Comprehensive psychiatry

    pub_type: 历史文章,杂志文章

    doi:10.1016/0010-440x(91)90016-6

    authors: Berrios GE

    更新日期:1991-09-01 00:00:00

  • The prevalence of pathologic skin picking in US adults.

    abstract:OBJECTIVE:Despite increasing recognition of the potentially severe medical and psychosocial costs of pathologic skin picking (PSP), no large-sample, randomized investigation of its prevalence in a national population has been conducted. METHOD:Two thousand five hundred and thirteen US adults were interviewed during th...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2009.04.003

    authors: Keuthen NJ,Koran LM,Aboujaoude E,Large MD,Serpe RT

    更新日期:2010-03-01 00:00:00