Download Bipolar Disorders by Mario Maj, Hagop S. Akiskal, Juan José López-Ibor Jr., PDF

By Mario Maj, Hagop S. Akiskal, Juan José López-Ibor Jr., Norman Sartorius

Bipolar illness is a significant psychological affliction regarding episodes of significant mania and melancholy and impacts nearly one to 3 percentage of the inhabitants. in accordance with the nationwide Institute of psychological healthiness approximately million participants within the usa by myself are clinically determined with this illness.

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Translated into 12 languages, TEMPS-A is presently being investigated in different countries. The French national EPIDEP study [119] has reported high (positive) correlation between patient self-rating vs. clinician interview, and a conservative cutoff of 10 or more items for a provisional identification of the cyclothymic temperament in clinical populations. Another large study [122] examining cyclothymia was conducted in college students in Albany, New York, in the early 1980s. Constructing a selfrated inventory based in part on the University of Tennessee descriptions of cyclothymiaÐand modifying them on the basis of the classical psychiatric literature and psychometric considerationsÐthese authors reported that 4±6% of students could be described as cyclothymic.

The sense of physical well-being and mental alacrity is so extraordinary that manic patients believe that they possess superior powers or that they are great healers, inventors or famous reformers. Their senses are so vivid that colours and textures are richer, and reality more exotic, both of which can be easily transformed into a vision. Such enhanced perceptions [88], briefly mentioned in ICD-10, are nowhere to be found in DSM-IV. The thoughts of manic patients are so rapid and vibrant that they feel they can hear them.

Mixed states have been best characterized in female inpatients [133, 150, 151], often arising from a prior course of illness with more depressive than manic episodes and with a tendency to repeat over time, though this is based on retrospective examination. Family history is more often depressive than manic [150], and suicidal behaviour is a distinct 26 BIPOLAR DISORDER risk [152±154]. Confusion and psychotic features, including mood incongruence, are also common clinical presentations [144, 150, 151].

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