Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-25T05:11:05.588Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical presentation of mania compared with depression: data from a geriatric clinic in India

Published online by Cambridge University Press:  01 August 2009

Om Prakash ,
Channaveerachari Naveen Kumar ,
P. T. Shivakumar ,
Srikala Bharath  and
Mathew Varghese
Om Prakash*
Affiliation:
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India
Channaveerachari Naveen Kumar
Affiliation:
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India
P. T. Shivakumar
Affiliation:
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India
Srikala Bharath
Affiliation:
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India
Mathew Varghese
Affiliation:
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India
*
Correspondence should be addressed to: Om Prakash, MD, Assistant Professor of Psychiatry, Consultant in Adult and Geriatric Psychiatry, Geriatric Clinic & Services, Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore – 560029, India. Phone: +91–80-26995351; Fax: +91–80-26564830/26562121. Email: [email protected].
Get access

Abstract

Background: This retrospective chart review evaluated a comparison of the clinical profiles of older outpatients having mania and those with unipolar depression.

Methods: The charts of elderly outpatients with mania and unipolar depression in tertiary care settings were reviewed and relevant information incorporated regarding clinical presentation, past and family history of affective disorder, treatment history and previous psychiatric and neurological history.

Results: Charts for 30 patients with mania (23 men and 7 women with mean (±SD) age of 68.5(± 5.75 years) and 92 with depression (47 men and 45 women with mean (±SD) age of 68.18 (±6.0 years) were evaluated. Fifteen patients (50%) with manic episodes had psychotic symptoms in the form of delusions and hallucinations while only 33 (35.8%) depressed patients had psychotic symptoms. One-third of manic patients received mood stabilizers at index visit. More than half (n = 16; 53.3%) of the patients in the mania group were prescribed antipsychotic medications. On cognitive functions, patients with manic episodes scored poorly compared with those with depression.

Conclusions: These findings suggest that mania in the elderly is a severe form of affective disorder with respect to psychotic and cognitive symptoms. Conclusions from this study are limited due to its retrospective design. Further studies in this area are warranted.

Keywords

maniadepressionelderlyretrospective chartsymptom profile
Type
Research Article
Information
International Psychogeriatrics , Volume 21 , Issue 4 , August 2009 , pp. 764 - 767
Copyright
Copyright © International Psychogeriatric Association 2009

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

Beneditti, A. et al. (2008). Bipolar disorder in late life: clinical characteristics in a sample of older adults admitted for manic episode. Clinical Practice and Epidemiology in Mental Health, 4, 22.CrossRefGoogle Scholar
Charney, D. S. et al. (2003). Depression and Bipolar Support Alliance: depression and bipolar support alliance consensus on the unmet needs in diagnosis and treatment of mood disorders in late life. Archives of General Psychiatry, 60, 664–672.CrossRefGoogle ScholarPubMed
Depp, C. A. and Jeste, D. V. (2004). Bipolar disorder in older adults: a critical review. Bipolar Disorders, 6, 343–67.CrossRefGoogle ScholarPubMed
Ganguli, M. et al. (1995). A Hindi version of MMSE: the development of a cognitive screening instrument for a largely illiterate rural elderly population in India. International Journal of Geriatric Psychiatry, 10, 367–377.CrossRefGoogle Scholar
George, L. K. (1996). Social and economic factors related to psychiatric disorders in late life. In Busse, E. W. and Blazer, D. G. (eds.), Textbook of Geriatric Psychiatry (pp. 129–153). Washington, DC: American Psychiatric Press.Google Scholar
Gildengers, A. G. et al. (2008). Medical burden in late-life bipolar and major depressive disorders. American Journal of Geriatric Psychiatry, 16, 194–200.CrossRefGoogle ScholarPubMed
Nakasujja, N. et al. (2007). Psychiatric disorders among the elderly on non-psychiatric wards in an African setting. International Psychogeriatrics, 19, 691–704.CrossRefGoogle Scholar
Prakash, O. et al. (2007). Profile of psychiatric disorders and life events in medically ill elderly: experiences from geriatric clinic in Northern India. International Journal of Geriatric Psychiatry, 22, 1101–1105.CrossRefGoogle ScholarPubMed
Sadock, B. J. (2000). Psychiatric report and medical record. In Sadock, B. J. and Sadock, V. A. (eds.), Comprehensive Textbook of Psychiatry (pp. 665–669). Philadelphia, PA: Lippincott Williams & Wilkins.Google Scholar
Shulman, K. and Post, F. (1980). Bipolar affective disorder in old age. British Journal of Psychiatry, 136, 26–32.CrossRefGoogle ScholarPubMed
Shulman, K. I. et al. (1992). Mania compared with unipolar depression in old age. American Journal of Psychiatry, 149, 341–345.Google ScholarPubMed
SPSS Inc. (1999). Statistical Package for the Social Sciences, 10th edn. Charlottesville, NJ: SPSS, Inc.Google Scholar
van Gerpen, M. W. et al. (1999). Mania in the geriatric patient population: a review of the literature. American Journal of Geriatric Psychiatry, 7, 188–202.CrossRefGoogle ScholarPubMed
World Health Organization (1992). Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD-10). Geneva: WHO.Google Scholar