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Titolo:
The nature of bipolar depression: implications for the definition of melancholia
Autore:
Parker, G; Roy, K; Wilhelm, K; Mitchell, P; Hadzi-Pavlovic, D;
Indirizzi:
Prince Wales Hosp, Mood Disorders Unit, Randwick, NSW 2031, Australia Prince Wales Hosp Randwick NSW Australia 2031 ndwick, NSW 2031, Australia Univ New S Wales, Sch Psychiat, Randwick, NSW 2031, Australia Univ New S Wales Randwick NSW Australia 2031 andwick, NSW 2031, Australia
Titolo Testata:
JOURNAL OF AFFECTIVE DISORDERS
fascicolo: 3, volume: 59, anno: 2000,
pagine: 217 - 224
SICI:
0165-0327(200009)59:3<217:TNOBDI>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Keywords:
depression; bipolar depression; melancholic sub-typing;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Life Sciences
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Parker, G Prince Wales Hosp, Mood Disorders Unit, Randwick, NSW 2031, Australia Prince Wales Hosp Randwick NSW Australia 2031 W 2031, Australia
Citazione:
G. Parker et al., "The nature of bipolar depression: implications for the definition of melancholia", J AFFECT D, 59(3), 2000, pp. 217-224

Abstract

Aim: To examine if melancholic depression is over-represented in those with 'bipolar depression' and, if confirmed, to use that phenomenon to assist the clinical definition of melancholia. Methods: We contrast 83 bipolar and904 unipolar depressed patients on three melancholic sub-typing systems (DSM, Clinical and CORE system) and compare representation of their clinical depressive features. Results: By all three melancholic sub-typing systems, the bipolar patients were more likely to receive diagnoses of 'melancholia'and of psychotic depression. To the extent that this differential prevalence of depressive sub-types was reflected in varying patterns of clinical features, we so indirectly identified a set of items defining 'melancholia'. By such a strategy, melancholia was most clearly distinguished by behaviourally-rated psychomotor disturbance. While a number of 'endogeneity symptoms' were significantly over-represented, logistic regression analyses refinedthe set to psychomotor disturbance (both as a symptom and as a sign) and pathological guilt. We also established a distinctly higher prevalence of bipolar depression in those where a refined diagnosis of melancholia was made. Conclusions: Bipolar depression appears to be more likely to be 'melancholic' in type, thus providing an indirect strategy for the clinical definition of melancholia. (C) 2000 Elsevier Science B.V. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 17:02:12