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Klinisches Bild und Verlauf bipolarer affektiver Störungen

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Psychiatrie der Gegenwart 5

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Zusammenfassung

Die bipolare affektive Störung Typ I ist eine Störung der Stimmung mit Perioden von Manie und Depression. In der manischen Phase fühlt sich der Patient in der Stimmung angehoben, euphorisch, ekstatisch und/ oder reizbar, verbunden mit Symptomen wie vermehrte Sprachproduktion, Gedankendrängen, Ablenkbarkeit, Agitiertheit oder Hyperaktivität, vermindertes Schlafbedürfnis, überhöhte Selbsteinschätzung und Größenideen sowie exzessive Beteiligung an vergnüglichen Aktivitäten. Um die Kriterien für Manie zu erfüllen, müssen diese Stimmung und die anderen Symptome über mindestens 1 Woche beim Patienten anhalten.

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Literatur

  • Akiskal H, Wlaker P, Puzantian V, King D, Rosenthal T, Dranon M (1983) Bipolar outcome in the course of depressive illness: phenomenologic, familial, and pharmacologic preditors. J Affect Disord 5: 1115–128

    Article  Google Scholar 

  • Akiskal HS, Maser JD, Zeller PJ et al. (1995) Switching from „unipolar” to bipolar. II. An 11 year study of clinical and temperamental predictors in 559 patients. Arch Gen Psychiatry 52: 114–123

    PubMed  CAS  Google Scholar 

  • Akiskal H, Kilzieh N, Zeller P et al. (1998) The distinct temperamental profiles of bipolar I, bipolar II and unipolar patients. Arch Gen Psychiatry

    Google Scholar 

  • Altshuler L, Robert M, Leverich G, Mikalauskas K, Rosoff A, Ackerman L (1995) Antidepressant-induced mania and cycle acceleration: a controversy revisited. Am J Psychiatry 152: 8

    Google Scholar 

  • Álvarez E, Pérez-Solá V, Pérez-Blanco J, Queraltó J, Torrubia R, Noguera R (1997) Predicting outcome of lithium added to antidepressants in resistant depression. J Affect Disord 42: 179–186

    Article  PubMed  Google Scholar 

  • Ambelas A (1987) Life events and mania: a special relationship? Br J Psychiatry 150: 235–240

    Article  PubMed  CAS  Google Scholar 

  • Angst J (1966) Zur Ätiologie und Nosologie endogenerativer depressiver Psychosen. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Angst J (1978) The course of affective disorders. II. Typology of bipolar manic-depressive illness. Arch Psychiatr Nervenkr 226: 65–73

    Article  PubMed  CAS  Google Scholar 

  • Angst J, Clayton PJ (1986) Premorbid personality of depressive, bipolar, and schizophrenic patients. With special reference to suicidal issues. Compr Psychiatry 27: 511–532

    Article  PubMed  CAS  Google Scholar 

  • APA (1980) Diagnostic and statistical manual of mental disorders, 3rd edn (DSM-III). APA, Washington DC

    Google Scholar 

  • Bauer M, Whybrow P, Gyulai L, Gonnel J, Yeh H (1994) Testing definitions of dysphoric mania and hypomania: prevalence, clinical characteristics and inter-episode stability. J Affect Disord 32: 201–211

    Article  PubMed  CAS  Google Scholar 

  • Bellivier F, Leboyer M, Courtet P et al. (1998) Association between the tryptophan hydroxylase gene and manic-depressive illness. Arch Gen Psychiatry 55 /1: 33–37

    Article  PubMed  CAS  Google Scholar 

  • Bräunig P, Krüger S, Shugar G (1998) Prevalence and clinical significance of catatonic symptoms in mania. Compr Psychiatry 39 /1: 35–46

    Article  PubMed  Google Scholar 

  • Casper R, Redmond E, Katz M, Schaffer C, Davis J, Koslow S (1985) Somatic symptoms in primary affective disorder. Arch Gen Psychiatry 42: 1098–1104

    PubMed  CAS  Google Scholar 

  • Cassidy F, Forest K, Murry E, Carroll B (1998) A factor analysis of the signs and symptoms of mania. Arch Gen Psychiatry 55 /1: 27–32

    Article  PubMed  CAS  Google Scholar 

  • Clayton P (1981) The epidemiology of bipolar affective disorder. Compr Psychiatry 22: 31–43

    Article  PubMed  CAS  Google Scholar 

  • Clayton P (1994) Bipolar illness. In: Winokur G, Clayton P (eds) The medical basis of psychiatry, 2nd edn. Saunders, Philadelphia, PP 47–67

    Google Scholar 

  • Clayton P (1998) The model of stress: the bereavement reaction. In: Dohrenwend B (ed) Adversity, stress and psychopathology. Oxford Univ Press, Oxford, pp 96–110

    Google Scholar 

  • Clayton PJ, Ernst C, Angst J (1994) Premorbid personality traits of men who develop unipolar or bipolar disorders. Eur Arch Psychiatry Clin Neurosci 243: 340–346

    Article  PubMed  CAS  Google Scholar 

  • Coryell W (1996) Bipolar II disorder: a progress report. J Affect Disord 41 /3: 159–161

    Article  PubMed  CAS  Google Scholar 

  • Coryell W, Endicott J, Keller M (1992) Rapidly cycling affective disorder: demographics, diagnosis, family history and course. Arch Gen Psychiatry 49: 126–131

    PubMed  CAS  Google Scholar 

  • Coryell W, Endicott J, Maser J, Keller M, Leon A, Akiskal H (1995) Long-term stability of polarity distinctions in the affective disorders. Am J Psychiatry 152: 385–390

    PubMed  CAS  Google Scholar 

  • Dunner D, Dwyer T, Fieve R (1976) Depressive symptoms in patients with unipolar and bipolar affective disorder. Compr Psychiatry 17 /3: 447–451

    Article  PubMed  CAS  Google Scholar 

  • Geller B, Luby J (1997) Child and adolescent bipolar disorder: review of the past 10 years. J Am Acad Child Adolesc Psychiatry 36: 9

    Article  Google Scholar 

  • Greil W, Ludwig-Mayerhofer W, Erazo N et al. (1996) Comparative efficacy of lithium and amitripty-line in the maintenance treatment of recurrent unipolar depression: a randomized study. J Affect Disord 40: 179–180

    Article  PubMed  CAS  Google Scholar 

  • Grof P, Angst J, Haines T (1974) The clinical course of depression: practical issues. In: Angst J (ed) Classification and prediction of outcome of depression. Schattauer, New York

    Google Scholar 

  • Guze S, Woodruff R Jr, Clayton P (1975) The significance of psychotic affective disorders. Arch Gen Psychiatry 32: 1147–1150

    PubMed  CAS  Google Scholar 

  • Kessler R, Rubinow D, Holmes C, Abelson J, Zhao S (1997) The epidemiology of DSM-III-R bipolar I disorder in a general population survey. Psychol Med 27: 1079–1089

    Article  PubMed  CAS  Google Scholar 

  • Kraepelin E (1921) Manic-depressive insanity and paranoia. E&S, Edinburgh

    Google Scholar 

  • Lish J, Dime-Meenan S, Whybrow, P, Price R, Hirschfeld R (1994) The National Depressive and Manic- Depressive Association (DMDA) survey of bipolar members. J Affect Disord 31: 281–294

    Article  PubMed  CAS  Google Scholar 

  • Mitchell P, Parker G, Jamieson K et al. (1992) Are there any differences between bipolar and unipolar melancholia? J Affect Disord 25: 97–106

    Article  PubMed  CAS  Google Scholar 

  • Perris C (1966) A study of bipolar (manic depressive) and unipolar recurrent depressive psychoses. Acta Psychiatr Scand 42: 1–18

    Article  Google Scholar 

  • Robins L, Regier D (eds) (1991) Psychiatric disorders in America: the Epidemiologic Catchment Area Study. Free Press, New York

    Google Scholar 

  • Sauer H, Richter P, Czernik A, Ludwig-Mayerhofer W, Schöchlin, Greil W, Zerssen D von (1997) Personality differences between patients with major depression and bipolar disorder - the impact of minor symptoms on self-ratings of personality. J Affect Disord 42: 166–177

    Article  Google Scholar 

  • Sharma R, Markar H (1994) Mortality in affective disorder. J Affect Disord 31: 91–96

    Article  PubMed  CAS  Google Scholar 

  • Shulman K (1997) Disinhibition syndromes, secondary mania and bipolar disorder in old age. J Affect Disorder 46 /3: 175–182

    Article  CAS  Google Scholar 

  • Strakowski S, McElroy S, Keck P, West S (1996a) Suicidality among patients with mixed and manic bipolar disorder. Am J Psychiatry 153 /5: 674–676

    CAS  Google Scholar 

  • Strakowski S, McElroy S, Keck P, West S (1996b) Racial influence on diagnosis in psychotic mania. J Affect Disord 39: 157–162

    Article  CAS  Google Scholar 

  • Tsuang M (1978) Suicide in schizophrenics, manies, depressives, and surgical controls. Arch Gen Psychiatry 35: 153–155

    PubMed  CAS  Google Scholar 

  • Tsuang M, Woolson R (1977) Mortality in patients with schizophrenia, mania, depression and surgical conditions. Br J Psychiatry 130: 162–166

    Article  PubMed  CAS  Google Scholar 

  • Van Gorp W, Altshuler L, Theberge D, Wilkins J, Dixon W (1998) Cognitive impairment in euthymic bipolar patients with and without prior alcohol dependence. Arch Gen Psychiatry 55: 41–46

    Article  PubMed  Google Scholar 

  • Weeke A, Juel K, Vaeth M (1987) Cardiovascular death and manic-depressive psychosis. J Affect Disord 13: 287–292

    Article  PubMed  CAS  Google Scholar 

  • Wehr TA, Sack DA, Rosenthal NE (1987) Sleep reduction as a final common pathway in the genesis of mania. Am J Psychiatry 144: 201–204

    PubMed  CAS  Google Scholar 

  • Welner A, Welner Z, Leonar MA (1977) Bipolar manic-depressive disorder: a reassessment of course and outcome. Compr Psychiatry 18: 327–332

    Article  PubMed  CAS  Google Scholar 

  • Winokur G (1991) Mania and depression: a classification of syndrome and disease. Johns Hopkins Univ Press, Baltimore

    Google Scholar 

  • Winokur G, Clayton P (1967) Family history studies. I. Two types of affective disorders separated according to genetic and clinical factors. In: Wortis J (ed) Recent advances in biological psychiatry. Plenum, New York, pp 25–30

    Google Scholar 

  • Winokur G, Clayton P, Reich T (1969) Manic depressive illness. Mosby, St Louis

    Google Scholar 

  • Yates, W, Wallace R (1987) Cardiovascular risk factors in affective disorder. J Affect Disord 12: 129–134

    Article  PubMed  CAS  Google Scholar 

  • Young R, Klerman G (1992) Mania in late life: focus on age at onset. Am J Psychiatry 149: 7

    Google Scholar 

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Authors
  1. P. J. Clayton
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Editors and Affiliations

  1. Psychiatrische Klinik, Freie Universität Berlin, Eschenallee 3, D-14050, Berlin, Germany

    Hanfried Helmchen

  2. Klinikum rechts der Isar, Technische Universität Müchen, Ismaninger Str. 22, D-81675, München, Germany

    Hans Lauter

  3. Zentralinstitut für Seelische Gesundheit, Postfach 12 21 20, D-68072, Mannheim, Germany

    Fritz Henn

  4. Hôpitaux Universitaires de Genève, Belle-Idée, Bâtiment Salève 2, chemin du Petit-Bel-Air, CH-1225, Chêne-Bourg/Genève, Switzerland

    Norman Sartorius

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© 2000 Springer-Verlag Berlin Heidelberg

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Clayton, P.J. (2000). Klinisches Bild und Verlauf bipolarer affektiver Störungen. In: Helmchen, H., Lauter, H., Henn, F., Sartorius, N. (eds) Psychiatrie der Gegenwart 5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59626-1_15

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  • DOI: https://doi.org/10.1007/978-3-642-59626-1_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64057-5

  • Online ISBN: 978-3-642-59626-1

  • eBook Packages: Springer Book Archive

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