Rapid cycling in women and men with bipolar manic-depressive disorders.
نویسندگان
چکیده
OBJECTIVE This study investigated risks for rapid cycling, as defined by DSM-IV, in women and men with bipolar disorders. METHOD The results of 10 studies with a total of 2,057 bipolar patients were meta-analyzed by pooled contingency methods. RESULTS The proportions of women and men among rapid-cycling cases averaged 72% and 28%, respectively, but the risk of rapid cycling was inconsistently more frequent among women (29.6%) than among men (16.5%). The mean number of episodes per year was much higher in rapid-cycling patients before and during lithium treatment but was similar in rapid-cycling men and women. CONCLUSIONS Rapid cycling was only moderately, and inconsistently, more common in bipolar women than men.
منابع مشابه
[Functional neuroimaging in patients with rapid cycling bipolar depression].
Bipolar patients with a rapid cycling clinical course constitute an interesting sub-group for studies focused on the pathophysiology of the disorder, since several switches can be studied by the investigators in a short period of time. At present, functional neuroimaging techniques, as SPECT and PET, may be used for the neurobiological study of affective disorders. Few longitudinal functional n...
متن کاملBipolar Affective Disorder and Parkinson's Disease
Little is known about comorbidities of bipolar disorder such as Parkinson's disease. A case history and a literature survey indicate that bipolar disorder is linked with or influences Parkinson's disease and vice versa. Underlying mechanisms are poorly understood, and, more importantly, no treatment options are established in such double diagnoses. The few data in comorbid Parkinson cases seem ...
متن کاملنگاهی به چرخه و اپیزود در اختلال دوقطبی تند چرخش: یک چالش تشخیصی و پژوهشی
Kraepelin was the first who recognized the phenomenon of cycling in bipolar disorder in 1913. The term rapid cycling was proposed by Dunner and Fieve in 1974. Later on, Kramlinger and Post defined ultra-rapid cycling and ultradian cycling in 1996. Frequent rapid mood switches are an inherent characteristic of bipolar disorder, and rapid cycling is included as a course specifier for bipolar diso...
متن کاملAffective instability as rapid cycling: theoretical and clinical implications for borderline personality and bipolar spectrum disorders.
OBJECTIVES The Diagnostic and Statistical Manual of Mental Disorders guidelines provide only a partial solution to the nosology and treatment of bipolar disorder in that disorders with common symptoms and biological correlates may be categorized separately because of superficial differences related to behavior, life history, and temperament. The relationship is explored between extremely rapid ...
متن کاملRapid-cycling bipolar disorder: cross-national community study.
BACKGROUND The epidemiology of rapid-cycling bipolar disorder in the community is largely unknown. AIMS To investigate the epidemiological characteristics of rapid-cycling and non-rapid-cycling bipolar disorder in a large cross-national community sample. METHOD The Composite International Diagnostic Interview (CIDI version 3.0) was used to examine the prevalence, severity, comorbidity, impa...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The American journal of psychiatry
دوره 155 10 شماره
صفحات -
تاریخ انتشار 1998