Cognitive style in bipolar disorder

Jones, Lisa; Scott, Jan; Haque, Sayeed; Gordon‐Smith, Katherine; Heron, Jessica; Caesar, Sian; Cooper, Caroline; Forty, Liz; Hyde, Sally; Lyon, Louisa; Greening, Jayne; Sham, Pak C.; Farmer, Anne; McGuffin, Peter; Jones, Ian; Craddock, Nick

doi:10.1192/bjp.187.5.431

Cited by 79 publications

(81 citation statements)

References 35 publications

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“…According to Kraepelin [3], the recurrent, nondeteriorating episodes of mood disorders (and the opposite polarity episodes) were the hallmark of ‘manic-depressive insanity’. Another piece of evidence supporting a BP-MDD continuity was the similar patterns of cognitive style [104]. …”

Section: Resultsmentioning

confidence: 99%

Is There a Continuity between Bipolar and Depressive Disorders?

Benazzi¹

2007

Psychother Psychosom

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Background: Recent studies questioned the current categorical split of mood disorders into bipolar disorders (BP) and depressive disorders (MDD). Methods: Medline database search of papers from the last 10 years on the categorical-dimensional classification of mood disorders. Various combinations of the following key words were used: mood disorders, bipolar, unipolar, major depressive disorder, spectrum, category/categorical, classification, continuity. Only English language clinical papers were included, review papers were excluded, similar papers selected by quality. The number of papers found was 1,141. The number of papers selected was 109. Results: The continuity/spectrum between BP (mainly BP-II) and MDD was supported by the following findings:(1) high frequency of mixed states (mixed mania, mixed hypomania, mixed depression, i.e. co-occurring depression and noneuphoric manic/hypomanic symptoms) because opposite polarity symptoms in the same episode do not support a hypomania/mania-depression splitting; (2) MDD was the most common mood disorder in BP probands’ relatives; (3) no bimodal distribution of distinguishing symptoms between BP and MDD; (4) bipolar signs not uncommon in MDD; (5) many MDD shifting to BP; (6) many lifetime manic/hypomanic symptoms in MDD; (7) correlation between lifetime manic/hypomanic symptoms and MDD symptoms; (8) hypomania factors in MDD; (9) MDD often recurrent; (10) similar cognitive style.The categorical distinction between BP (mainly BP-I) and MDD was supported by the following findings: (1) BP more common in BP probands’ relatives; (2) lower age at BP onset; (3) females as common as males in BP-I, more common than males in MDD; (4) BP-I depression more atypical and retarded, MDD depression more sleepless and agitated; (5) BP more recurrent. Conclusions: Focusing on mood spectrum’s extremes (BP-I vs. MDD), a categorical distinction seems supported. Focusing on midway disorders (BP-II and MDD plus bipolar signs), a continuity/spectrum seems supported. Results seem to support both a categorical and a dimensional view of mood disorders.

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Section: Resultsmentioning

confidence: 99%

Is There a Continuity between Bipolar and Depressive Disorders?

Benazzi¹

2007

Psychother Psychosom

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“…Si durante la evaluación del EDM no se pregunta específicamente sobre síntomas previos o actuales de elevación anímica patológica el diagnóstico de la depresión bipolar (y por ende del TB) puede no realizarse [10][11][12] . De hecho, las personas con TB tienden a omitir la mención de episodios previos de ánimo elevado 12 , lo que puede ser acentuado por la distorsión cognitiva de la fase depresiva que lleva al paciente a centrarse en los aspectos negativos de su vida 18 , con olvido selectivo de los períodos durante los cuales se sintió extremadamente feliz y rebosante de energía. Por todo lo anterior, no es sorprendente que en un estudio de 250 pacientes afectados de un EDM el uso de entrevistas estructuradas para indagar sobre episodios previos de elevación de ánimo aumentó la detección del TB desde 28% a 45% 10 .…”

Section: Dificultades En El Diagnóstico De La Depresión Bipolarunclassified

El diagnóstico diferencial entre la Depresión Bipolar y la Depresión Monopolar en la práctica clínica

Leyton

Barrera²

2010

Rev. méd. Chile

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“…About 40% of a group of patients with bipolar disorder had previously misdiagnosed as major depression (Batmaz, Kaymak, Soygur, Ozalp, & Turkcapar, 2013). Considering cognitive theories, we can find many similarities among different types of mood disorders (Alloy, Abramson, Walshaw, & Neeren, 2006;Jones et al, 2005). Generally these similarities include increased rumination, implicit pessimistic attributional style, low self-esteem, and dysfunctional attitudes towards the self (Batmaz, Kaymak, Kocbiyik, & Turkcapar, 2014).…”

Section: Introductionmentioning

confidence: 99%