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 |
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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. |
doi_str_mv | 10.1176/ajp.147.6.725 |
format | Article |
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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.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/ajp.147.6.725</identifier><identifier>PMID: 2343914</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>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</subject><ispartof>The American journal of psychiatry, 1990-06, Vol.147 (6), p.725-728</ispartof><rights>1990 INIST-CNRS</rights><rights>Copyright American Psychiatric Association Jun 1990</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a407t-8f2999768f14b909fae5a4ad8965bc6207a4cbb9e7dac3f8b5a8051aa9a8543a3</citedby><cites>FETCH-LOGICAL-a407t-8f2999768f14b909fae5a4ad8965bc6207a4cbb9e7dac3f8b5a8051aa9a8543a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ajp.147.6.725$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ajp.147.6.725$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,777,781,2846,21610,27850,27905,27906,77540,77541</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=6869739$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2343914$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WOLPERT, E. A</creatorcontrib><creatorcontrib>GOLDBERG, J. F</creatorcontrib><creatorcontrib>HARROW, M</creatorcontrib><title>Rapid cycling in unipolar and bipolar affective disorders</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><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.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Antidepressive Agents, Tricyclic - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Bipolar Disorder - diagnosis</subject><subject>Bipolar Disorder - drug therapy</subject><subject>Bipolar Disorder - psychology</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - drug therapy</subject><subject>Depressive Disorder - psychology</subject><subject>Emotions</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Lithium - therapeutic use</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Periodicity</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Retrospective Studies</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><recordid>eNp1kE1LHEEQhhsxrOuao0dhMMFDYDb9_XEUiSYgBIKB3Jqanm7pZXZm7N4J7L9PL7uKiDlVFfXwVvEgdE7wkhAlv8JqXBKulnKpqDhCcyKYqBWl-hjNMca0NoL9OUGnOa_KiJmiMzSjjDND-ByZXzDGtnJb18X-sYp9NfVxHDpIFfRt1Tz3IXi3iX991cY8pNanfIY-BOiy_3ioC_T79tvDzff6_ufdj5vr-xo4VptaB2qMUVIHwhuDTQAvgEOrjRSNkxQr4K5pjFctOBZ0I0BjQQAMaMEZsAW62ueOaXiafN7YdczOdx30fpiyVUZprgkr4OUbcDVMqS-_WUoxV0KUvAX69D-IMIIlFpTtouo95dKQc_LBjimuIW0twXZn3Rbrtli30hbrhb84pE7N2rcv9EFz2X8-7CE76EKC3sX8gkktjWKmYF_2GIxjfPXYuzf_Adv-leU</recordid><startdate>19900601</startdate><enddate>19900601</enddate><creator>WOLPERT, E. A</creator><creator>GOLDBERG, J. 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A ; GOLDBERG, J. F ; HARROW, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a407t-8f2999768f14b909fae5a4ad8965bc6207a4cbb9e7dac3f8b5a8051aa9a8543a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Antidepressive Agents, Tricyclic - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Bipolar Disorder - diagnosis</topic><topic>Bipolar Disorder - drug therapy</topic><topic>Bipolar Disorder - psychology</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - drug therapy</topic><topic>Depressive Disorder - psychology</topic><topic>Emotions</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Lithium - therapeutic use</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Middle Aged</topic><topic>Periodicity</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. 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A</au><au>GOLDBERG, J. F</au><au>HARROW, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rapid cycling in unipolar and bipolar affective disorders</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>1990-06-01</date><risdate>1990</risdate><volume>147</volume><issue>6</issue><spage>725</spage><epage>728</epage><pages>725-728</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>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.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>2343914</pmid><doi>10.1176/ajp.147.6.725</doi><tpages>4</tpages></addata></record> |
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language | eng |
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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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