Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-25T17:20:53.185Z Has data issue: false hasContentIssue false

Depresión bipolar psicótica frente a no psicótica en pacientes ambulatorios

Published online by Cambridge University Press:  12 May 2020

Get access

Resumen

Se comparó la depresión bipolar psicótica con la depresión bipolar no psicótica. Se entrevistó a pacientes ambulatorios con depresión bipolar psicótica (n = 59) y no psicótica (n = 176) según la SCID-DSM-IV. La depresión bipolar psicótica era significativamente más grave y más crónica, tenía menos rasgos atípicos y comorbilidad del eje I y la padecían más pacientes con trastorno bipolar I y menos con trastorno bipolar II. La edad en el comienzo, la duración de la enfermedad, el género y las recurrencias no difirieron significativamente.

Type
Comunicación Breve
Copyright
Copyright © European Psychiatric Association 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

Akiskal, HS.The prevalent clinical spectrum of bipolar disorders: DSM-IV. J Clin Psychopharmacol 1996;16(Suppl 1):414S.CrossRefGoogle ScholarPubMed
Akiskal, HS.Mood disorders: clinical features. In: Kaplan, HISadock, BJ, eds. Comprehensive Texbook of Psychiatry. 6th ed.Baltimore, Md: Williams & Wilkins; 1995. p. 1123–52.Google Scholar
Akiskal, HSMaser, JDZeller, PJEndicott, JCoryell, WKeller, M, et al.Switching from ‘unipolar’ to bipolar II. An 11-year prospective study of clinical and temperamental predictors in 559 patients. Arch Gen Psychiatry 1995;52:114–23.CrossRefGoogle ScholarPubMed
Altshuler, LLPost, RMLeverich, GSMikalauskas, KRosoff, AAckerman, L.Antidepressant-induced mania and cycle acceleratiom a controversy revisitecl. Am J Psychiatry 1995;152:1130–8.Google Scholar
American Psychiatric Association. Diagnostic and statis-tical manual of mental disorders. 4th ed.Washington, DC: American Psychiatric Association; 1994.Google Scholar
Amsterda.m, JDGarcia-Espana, FFawcett, JQuitkin, FMReimherr, FWRosenbaum, JF, et al.Efficacy and safety of fluoxetine in treating bipolar II major depressive epi-sode. J Clin Psychopharmacol 1998;18:435–40.Google Scholar
Benazzi, F.Prevalence of bipolar II disorder in outpa-tient depression: a 203-case study in private practice. J Affect Disord 1997;43:163–6.CrossRefGoogle Scholar
Benazzi, F.Antidepressant-associated hypomania in out-patient depression: a 203-case study in private practice. J Affect Disord 1997;46:73–7.CrossRefGoogle ScholarPubMed
Benazzi, F.Chronic depression: a case series of 203 out-patients treated at a private. J Psychiatry Neurosci 1998;23:51–5.Google ScholarPubMed
Benazzi, F.Late-life depression in private practice depressed outpatients: a 203-case study. Int J Geriatr Psychiatry 1998;23:181–2.Google Scholar
Benazzi, F.Psychotic depression in private practice depressed outpatients. Eur Psychiatry 1998;13:320–1.CrossRefGoogle Scholar
Benazzi, F.Atypical depression in private practice depressed outpatients: a 203-case study. Compr Psychiatry 1999;40:80–3.CrossRefGoogle ScholarPubMed
Benazzi, F.Prevalence and clinical features of atypical depression in depressed outpatients: a 467-case study. Psychiatry Res 1999;86:259–65.CrossRefGoogle ScholarPubMed
Benazzi, F.Bipolar versus unipolar psychotic outpatient depression. J Affect Disord 1999;55:63–6.CrossRefGoogle ScholarPubMed
Benazzi, F.Is atypical depression a moderate severity depression? A 536-case study. I Psychiatry Neurosci 1999;24:244–7.Google ScholarPubMed
Benazzi, F.Gender differences in bipolar II and unipolar depressed outpatients: a 557-case study. Ann Clin Psychiatry 1999;11:55–9.CrossRefGoogle ScholarPubMed
Bowden, CL.Treatment of bipolar disorder. In: Schatzberg, AFNemeroff, GB, eds. The American Psychiatric Press Texbook of Psychopharmacology. Washington, DC: American Psychiatric Press; 1998. p. 733–45.Google Scholar
Charney, DSBerman, RMMiller, HL.Treatment of depression. In: Schatzberg, AFNemeroff, CB, eds. The American Psychiatric Press textbook of psychopharmacology. Washington, DC: American Psychiatric Press; 1998. p. 705–31.Google Scholar
Coryell, WEndicott, JMaster, JDKeller, MLeon, ACAkiskal, HS.Long-term stability of polarity distinctions in the affective disorders. Am J Psychiatry 1995;152:385–90.Google ScholarPubMed
Dunner, DLKai Tay, KL.Diagnostic reliability of the his-tory of hypomania in bipolar II patients and patients with major depression. Compr Psychiatry 1993;34:303–7.CrossRefGoogle Scholar
First, MBSpitzer, RLGibbon, MWilliams, JBW.Structured Clinical Interview for DSM-IV Axis I Disorders-Clinician Version (SCID-CV). Washington, DC: American Psychiatric Press, 1997.Google Scholar
Frances, ADocherty, JPKahn, DA.The expert consen-sus guidelines series. Treatment of bipolar disorder. J Clin Psychiatry 1996;57(suppl 12A):188.Google Scholar
Goodwin, FKJamison, KR.Manic-depressive illness. New York: Oxford University Press; 1990. p. 44, 5673.Google Scholar
Kendler, KSEaves, LJWalters, EENeale, MCHeath, ACKessler, RC.The identification and validation of distinct depressive syndromes in a population-based sample of female twins. Arch Gen Psychiatry 1996;53:391–9.CrossRefGoogle Scholar
Lebowitz, BDRudorfer, MV.Treatment research at the millennium: from efficacy to effectiveness. J Clin Psychopharmacol 1998;18:1.CrossRefGoogle ScholarPubMed
McMahon, FJStine, CChase, GAMeyers, DASimpson, SGDepaulo, JR.Influence of clinical subtype, sex, and lineality on age at onset of major affective disorder in a famiy sample. Am J Psychiatry 1994;151:210–5.Google Scholar
Montgomery, SAAsberg, M.A new depression scale designed to be sensitive to change. Br J Psychiatry 1979;134:382–9.CrossRefGoogle ScholarPubMed
Quitkin, FMStewart, JWMcGrath, PJNunes, EVKlein, DF.The identification and validation of distinct depressive syndromes in a population-based sample of female twins. Arch Gen Psychiatry 1997;54:970–2.CrossRefGoogle Scholar
Schatzberg, AFRothschild, AJ.Psychotic (delusional) major depression: should it be included as a distinct syn-drome in DSM-IV? Am J Psychiatry 1992;149:733–45.Google Scholar
Stewart, JWGarfinkel, RNunes, EVDonovan, SKlein, DF.Atypical features and treatment response in the national ins-titute of mental health treatment of depression collaborative research program. J Clin Psychopharmacol 1998;18:429–34.CrossRefGoogle Scholar
Sullivan, PFKessler, RCKendler, KS.Latent class analy-sis of lifetime depressive symptoms in the national co-morbidity survey. Am J Psychiatry 1998;155:1398–406.CrossRefGoogle Scholar
Thase, MEMallinger, AGMcKnight, DHimmelhoch, JM.Treated of imipramine-resistant recurrent depression for anergic bipolar depression. Am J Psychiatry 1992;149:195–8.Google Scholar
Tohen, MZarate, CA.Antipsychotic agents and bipolar disorder. J Clin Psychiatry 1998;59(Suppl 1):3848.Google ScholarPubMed