Is psychosis in DSM-IV mania due to severity? The relevance of selected demographic and comorbid social-phobic features

Objective: We tested whether factors other than episode severity contributed to psychosis in mania. Method: Psychiatrists collected systematic clinical data on 1090 hospitalized DSM‐IV manic patients in France, and completed the Mania Rating Scale (MRS) and the Scale for the Assessment of Positive...

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Veröffentlicht in:	Acta Psychiatrica Scandinavica 2007-01, Vol.115 (1), p.29-34
Hauptverfasser:	Azorin, J.-M., Akiskal, H., Akiskal, K., Hantouche, E., Châtenet-Duchêne, L., Gury, C., Lancrenon, S.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Adult and adolescent clinical studies Anxiety disorders. Neuroses Biological and medical sciences Bipolar Disorder - diagnosis Bipolar Disorder - epidemiology Bipolar Disorder - psychology Comorbidity Cross-Sectional Studies Delusions - diagnosis Delusions - epidemiology Delusions - psychology Diagnostic and Statistical Manual of Mental Disorders Diagnostic tests DSM-IV Fear & phobias Female France Hallucinations - diagnosis Hallucinations - epidemiology Hallucinations - psychology Hospitalization Humans Male Mania Marital Status Medical diagnosis Medical sciences Middle Aged Mood disorders Phobia Phobic Disorders - diagnosis Phobic Disorders - epidemiology Phobic Disorders - psychology Psychiatric Status Rating Scales Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychosis Psychotic Disorders - diagnosis Psychotic Disorders - epidemiology Psychotic Disorders - psychology Social Isolation social phobia Statistics as Topic Test methods
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Zusammenfassung:	Objective: We tested whether factors other than episode severity contributed to psychosis in mania. Method: Psychiatrists collected systematic clinical data on 1090 hospitalized DSM‐IV manic patients in France, and completed the Mania Rating Scale (MRS) and the Scale for the Assessment of Positive Symptoms (SAPS). Results: Using DSM‐IV specifiers, 21.9% were non‐severe, 28.2% severe without psychosis, and 49.9% severe with psychosis. On the MRS, patients with psychosis scored significantly higher (P
ISSN:	0001-690X 1600-0447 0065-1591
DOI:	10.1111/j.1600-0447.2006.00841.x