Psychotic and affective symptoms of early-onset bipolar disorder: an observational study of patients in first manic episode
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
; 42(2): 168-174, Mar.-Apr. 2020. tab, graf
Article
de En
| LILACS
| ID: biblio-1089242
Bibliothèque responsable:
BR1.1
ABSTRACT
Objective:
Presence of psychotic symptoms seems to be a commonplace in early-onset bipolar disorder (BD). However, few studies have examined their occurrence in adolescent-onset BD. We sought to investigate the frequency of affective and psychotic symptoms observed during the first manic episode in adolescents.Methods:
Forty-nine adolescents with bipolar I disorder (DSM-IV criteria) were admitted to a psychiatric hospital during their first acute manic episode. Assessment for current psychiatric diagnosis was performed by direct clinical interview and the DSM-IV version of the Diagnostic Interview for Children and Adolescents (DICA).Results:
Teenage inpatients with BD consistently exhibited typical manic features, such as euphoria, grandiosity, and psychomotor agitation. In addition, disorganization and psychotic symptoms were present in 82 and 55% of the total sample, respectively. There was no significant difference in symptoms between early- and late-adolescent subgroups. Remarkably, most patients (76%) reported previous depressive episode(s); of these, 47% had prominent psychotic features in the prior depressive period.Conclusion:
These findings suggest that disorganization and psychotic symptoms during the first manic episode are salient features in adolescent-onset BD, and that psychotic depression frequently may precede psychotic mania. Nevertheless, differential diagnosis with schizophrenia should be routinely ruled out in cases of early-onset first psychotic episode.Mots clés
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Troubles psychotiques
/
Trouble bipolaire
/
Symptômes affectifs
Type d'étude:
Diagnostic_studies
/
Observational_studies
/
Qualitative_research
Limites du sujet:
Adolescent
/
Child
/
Female
/
Humans
/
Male
langue:
En
Texte intégral:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Thème du journal:
PSIQUIATRIA
Année:
2020
Type:
Article