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Latent structure of the symptomatology of hospitalized patients with bipolar mania

Published online by Cambridge University Press:  15 April 2020

A. Filgueiras ,
A.L.S. Nunes ,
L.A.S. Silveira ,
R. de Assis da Silva ,
R.O. da Silva ,
J. Landeira-Fernandez  and
E. Cheniaux
A. Filgueiras*
Affiliation:
University of Western Ontario (UWO), Pontifícia Universidade Católica do Rio de Janeiro (PUC-Rio), Brazil
A.L.S. Nunes
Affiliation:
Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB-UFRJ), Brazil
L.A.S. Silveira
Affiliation:
Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB-UFRJ), Brazil
R. de Assis da Silva
Affiliation:
Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB-UFRJ); Instituto Philippe Pinel, Brazil
R.O. da Silva
Affiliation:
Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (USP), Brazil
J. Landeira-Fernandez
Affiliation:
Pontifícia Universidade Católica do Rio de Janeiro (PUC-Rio), Universidade Estácio de Sá, Brazil
E. Cheniaux
Affiliation:
Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB-UFRJ), Universidade do Estado do Rio de Janeiro (UERJ), Brazil
*
*PUC-Rio–Departamento de Psicologia, Rua Marques de São Vicente, 225/201L, 22453-900 Gávea, Rio de Janeiro, Brazil. Tel.: +55 21 3527 1185. E-mail address: [email protected] (A. Filgueiras).
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Abstract

Several studies have attempted to understand the dimensions of psychiatric symptoms in manic episodes, but only a few have been able to model the latent structure of mania in bipolar disorder patients using confirmatory factor analysis. The objective of the present study was to search for the best model of the symptomatology of hospitalized manic patients. To achieve this goal, 117 manic inpatients during a manic crisis participated in this research. Exploratory factor analysis was conducted followed by confirmatory factor analysis using an exploratory factor analysis solution and three other theory-based models. The exploratory factor analysis results revealed a six-factor structure: depression, suicide, insomnia, mania, psychosis, and anxiety. This solution also presented the best fit to the data when tested with confirmatory factor analysis. A five-factor solution, without suicide as a separate dimension, appeared to be more theoretically suitable. Another important finding was that anxiety was an independent dimension in mania. Some hypotheses are discussed in light of contemporary theories, and future studies should investigate this aspect further.

Keywords

ManiaConfirmatory factor analysisBipolar disorderLatent structure
Type
Original article
Information
European Psychiatry , Volume 29 , Issue 7 , September 2014 , pp. 431 - 436
Copyright
Copyright © 2014 Elsevier Masson SAS

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