Rapid cycling in unipolar and bipolar affective disorders

To characterize the nature of rapid cycling affective disorders, the authors analyzed mood fluctuation patterns in 570 patients with affective disorders hospitalized in 1960, 1975, or 1985. Patients' records were rated for the frequency, duration, and complexity of distinct affective states. Ve...

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Veröffentlicht in:The American journal of psychiatry 1990-06, Vol.147 (6), p.725-728
Hauptverfasser: WOLPERT, E. A, GOLDBERG, J. F, HARROW, M
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container_title The American journal of psychiatry
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creator WOLPERT, E. A
GOLDBERG, J. F
HARROW, M
description To characterize the nature of rapid cycling affective disorders, the authors analyzed mood fluctuation patterns in 570 patients with affective disorders hospitalized in 1960, 1975, or 1985. Patients' records were rated for the frequency, duration, and complexity of distinct affective states. Very rapid mood fluctuations were absent among bipolar patients in 1960 but were evident in 1975 and 1985. In each year, bipolar patients displayed more frequent, complex, and mixed episodes than did unipolar patients. The results suggest that more frequent episodes occur among bipolar than unipolar patients and that very rapid switch processes have become more widespread for some bipolar patients.
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source MEDLINE; Psychiatry Legacy Collection Online Journals 1844-1996; Periodicals Index Online
subjects Adult
Adult and adolescent clinical studies
Antidepressive Agents, Tricyclic - therapeutic use
Biological and medical sciences
Bipolar Disorder - diagnosis
Bipolar Disorder - drug therapy
Bipolar Disorder - psychology
Depressive Disorder - diagnosis
Depressive Disorder - drug therapy
Depressive Disorder - psychology
Emotions
Female
Hospitalization
Humans
Lithium - therapeutic use
Male
Medical research
Medical sciences
Mental depression
Mental disorders
Middle Aged
Periodicity
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Retrospective Studies
title Rapid cycling in unipolar and bipolar affective disorders
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