Psychopathology, temperament, and past course in primary major depressions. 1. Review of evidence for a bipolar spectrum.

Abstract:

:In reviewing recent findings on affective conditions in the interface of unipolar and bipolar disorders, we find evidence favoring a partial return to Kraepelin's broad concept of manic-depressive illness, which included many recurrent depressives and temperamental variants. This review addresses methodologic, clinical, and familial considerations in the definition and characterization of a proposed spectrum of bipolar disorders which subsumes episodic and chronic forms. Episodic bipolar disorders are subclassified into bipolar schizoaffective, and bipolar I and II, and bipolar III or pseudo-unipolar forms. Chronic bipolar disorders could be either intermittent or persistent, and are subclassified into chronic mania, protracted mixed states, and rapid-cycling forms, as well as the classical temperaments (cyclothymic, hyperthymic, irritable and dysthymic).

journal_name

Psychopathology

journal_title

Psychopathology

authors

Akiskal HS,Cassano GB,Musetti L,Perugi G,Tundo A,Mignani V

doi

10.1159/000284607

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

268-77

issue

5

eissn

0254-4962

issn

1423-033X

journal_volume

22

pub_type

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