Clinical and demographic features of mood disorder subtypes

Alessandro Serretti, Laura Mandelli, Enrico Lattuada, Cristina Cusin, Enrico Smeraldi

Research output: Contribution to journalArticle

Abstract

The aim of this study was to investigate demographic, clinical and symptomatologic features of the following mood disorder subtypes: bipolar disorder I (BP-I); bipolar disorder II (BP-II); major depressive disorder, recurrent (MDR); and major depressive episode, single episode (MDSE). A total of 1832 patients with mood disorders (BP-I=863, BP-II=141, MDR=708, and MDSE=120) were included in our study. The patients were assessed using structured diagnostic interviews and the operational criteria for psychotic illness checklist (n=885), the Hamilton depression rating scale (n=167), and the social adjustment scale (n=305). The BP-I patients were younger; had more hospital admissions; presented a more severe form of symptomatology in terms of psychotic symptoms, disorganization, and atypical features; and showed less insight into their disorder than patients in the other groups. Compared with the major depressive subgroups, BP-I patients were more likely to have an earlier age at onset, an earlier first lifetime psychiatric treatment, and a greater number of illness episodes. BP-II patients had a higher suicide risk than both BP-I and MDSE patients. MDSE patients presented less severe symptomatology, lower age at observation, and a higher number of males. The retrospective approach and the selection constraints due to the inclusion criteria are the main limitations of the study. Our data support the view that BP-I disorder is quite different from the remaining mood disorders from a demographic and clinical perspective, with BP-II disorder having an intermediate position to MDR and MDSE, that is, as a less severe disorder. This finding may help in the search for the biological basis of mood disorders.

Original languageEnglish
Pages (from-to)195-210
Number of pages16
JournalPsychiatry Research
Volume112
Issue number3
DOIs
Publication statusPublished - Nov 15 2002

Keywords

  • Bipolar disorder
  • Depressive disorder
  • Psychosis
  • Suicide
  • Symptomatology

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry
  • Psychology(all)

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    Serretti, A., Mandelli, L., Lattuada, E., Cusin, C., & Smeraldi, E. (2002). Clinical and demographic features of mood disorder subtypes. Psychiatry Research, 112(3), 195-210. https://doi.org/10.1016/S0165-1781(02)00227-5