Psychotic Symptoms in Prepubertal Major Depressive Disorder

Chambers, William J.; Puig-Antich, Joaquim; Tabrizi, Mary Ann; Davies, Mark

doi:10.1001/archpsyc.1982.04290080037006

Cited by 115 publications

(42 citation statements)

References 25 publications

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“…Affective illness in puberty tends to show atypical symptomatology. Psychotic symp toms are prevalent in prepubertal major de pressive disorder [43] and adolescent mania [44], Prepubertal manic episodes with psy chotic features improved when treated with lithium alone [45], How atypical and variable the presentation of affective illness can be in adolescence is yet to be established. The onset at puberty, as an age effect, may modify not only the clinical picture but also the course of illness.…”

Section: Discussionmentioning

confidence: 99%

Periodic Psychosis of Puberty: A Review on Near-Monthly Episodes

Abe

Ohta²

1992

Psychopathology

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Published cases of periodic psychosis of puberty and related papers were reviewed. The clinical picture is near-monthly recurrence of episodes of stupor or excitement lasting about 1 or 2 weeks, which are accompanied by delusion and in some cases also by hallucinations or confusion. This condition was found to occur more commonly in girls than in boys, and in half of the girls reported the episodes tended to start a few days before menses. Adolescents with mental retardation were more commonly affected, and this suggests that organic brain damage may play a role in the etiology in some cases. Short-term prognosis is usually favorable, but at long-term follow-up, nearly half of them were found to be suffering from affective or schizophrenic illness. The clinical importance of recognizing this psychosis early in the course of illness is emphasized.

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Section: Discussionmentioning

confidence: 99%

Periodic Psychosis of Puberty: A Review on Near-Monthly Episodes

Abe

Ohta²

1992

Psychopathology

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“…This is the case also with adolescents with certain psy chiatric disorders. Compared to adults with manic-depressive illness, manic-depressive adolescents were more prone to manifest illusional perception [Lange, 1928] and mood-congruent auditory hallucinations [Chambers et al, 1982], Compared with manic patients over age 30, adolescent manic patients had significantly more delu sions and ideas of reference [Ballenger et al, 1982], Relative prevalence of ideas of refer ence in adolescent manic-depressive patients appears to be a reflexion of those inherent to the normal population. Further study of ap parently normal subjects may throw light on various age-related tendencies and the age of onset of symptoms in some psychiatric dis orders.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Some Symptoms in Adolescence and Maturity: Social Phobias, Anxiety Symptoms, Episodic Illusions and Idea of Reference

Abe

Suzuki²

1986

Psychopathology

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In order to compare the prevalence of certain symptoms in adolescence with those at other ages, 6,034 apparently normal subjects aged 9–60 years were studied by questionnaire. Fear of blushing and fear of being looked at showed a maximum in the mid-teens and a subsequent gradual decrease both in males and females. They were more common in females at most ages. The anxiety symptoms also showed a peak in the mid-teens but there was a period of relative increase in the forties. Episodic illusions and the idea of being talked about started to decrease with age in adolescence.

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“…[20][21][22][23][24] If substance abuse is present, an independent diagnosis of major depression requires the presence of depression before substance abuse or during periods of remission. Concurrent treatment of substance use disorder and depression is needed to improve outcomes for both.…”

Section: American Family Physician 75mentioning

confidence: 99%