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Bipolar Affective Disorder in Old Age

Published online by Cambridge University Press:  29 January 2018

Kenneth Shulman  and
Felix Post
Kenneth Shulman
Affiliation:
Sunnybrook Medical Centre, Department of Psychiatry, 2075 Bayview Avenue, Toronto, Ontario, Canada
Felix Post
Affiliation:
The Bethlem Royal and Maudsley Hospitals, Denmark Hill, London SE5
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Summary

In a retrospective study of 67 elderly bipolar patients the first manic attack occurred at about age 60, often after a long period from the time of the first affective episode, after which further depressive episodes occurred. This calls into question Perris’ criteria for unipolar diagnosis. Among the men, a preponderance of cerebral-organic disorders was found. The evidence for sub-classification of bipolar disorders into secondary or symptomatic manias is discussed. The recurrent nature of the illness in old age stresses the need for further evaluation of lithium prophylaxis.

Type
Papers
Information
The British Journal of Psychiatry , Volume 136 , Issue 1 , January 1980 , pp. 26 - 32
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Abrams, R. & Taylor, M. A. (1974) Unipolar mania, a preliminary report. Archives of General Psychiatry, 30, 441–3.Google Scholar
Angst, J. (1966) Zur Ätiologie und Nosologic endogener depressiver Psychosen. In Monographien aus dem Gesamtgebiete der Neurologic und Psychiatrie. Berlin: Springer Verlag.Google Scholar
Barker, M. G. (1968) Psychiatric illness after hysterectomy. British Medical Journal, ii, 91–5.Google Scholar
Carlson, G. A., Davenport, Y. B. & Jamison, K. (1977) A comparison of outcome in adolescent and late-onset bipolar manic-depressive illness. American Journal of Psychiatry, 134, 919–22.Google Scholar
Caroff, S. N. (1978) Klinefelter's syndrome and bipolar affective illness: a case report. American Journal of Psychiatry, 135, 748–9.Google ScholarPubMed
Dalén, P. (1965) Family history, the EEG and perinatal factors in manic conditions. Acta Psychiatrica Scandinavica, 41, 527–63.Google Scholar
Dewhurst, K. (1969) The neurosyphilitic psychoses today; a survey of 91 cases. British Journal of Psychiatry, 115, 31–8.Google Scholar
Fairbairn, A. S. & Acheson, E. D. (1969) The extent of organ removal in the Oxford area. Journal of Chronic Diseases, 22, 111–22.CrossRefGoogle ScholarPubMed
Feighner, J., Robins, E., Guze, S., Woodruff, R. A., Winokur, G. & Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–63.Google Scholar
Goetzel, V., Green, R., Whybrow, P. & Jackson, R. (1974) X-linkage revisited. Archives of General Psychiatry, 31, 665–72.Google Scholar
Herbert, M. E. & Jacobson, S. (1967) Late paraphrenia. British Journal of Psychiatry, 113, 461–9.Google Scholar
Hopkinson, G. (1964) A genetic study of affective illness in patients over 50. British Journal of Psychiatry, 110, 244–54.CrossRefGoogle ScholarPubMed
Hopkinson, G. & Ley, P. (1969) A genetic study of affective disorder. British Journal of Psychiatry, 115, 917–22.CrossRefGoogle ScholarPubMed
James, N. M. (1977) Early- and late-onset bipolar affective disorder: a genetic study. Archives of General Psychiatry, 34, 715–7.CrossRefGoogle ScholarPubMed
Kay, D. W. K. (1959) Observations on the natural history and genetics of old age psychoses: a Stockholm material 1931–1937. Proceedings of the Royal Society of Medicine, 52, 29–32.Google ScholarPubMed
Kay, D. W. K. (1976) The depressions and neuroses of later life. In Recent Advances in Clinical Psychiatry. (Ed. K. Granville-Grossman). Edinburgh: Churchill Livingstone.Google Scholar
Kay, D. W. K. & Roth, M. (1961) Environmental and hereditary factors in the schizophrenias of old age and their bearing on the general problem of schizophrenia. Journal of Mental Science, 107, 649–86.Google Scholar
Leonhard, K., Korff, I. & Schulz, H. (1962) Die Temperamente in den Familien der monopolaren und bipolaren phasischen Psychosen. Psychiatria et Neurologia, 143, 416–34.Google Scholar
Mendlewicz, J. (1976) The age factor in depressive illness: some genetic considerations. Journal of Gerontology, 31, 300–3.Google Scholar
Mendlewicz, J., Fieve, R. R., Rainer, J. D. & Fleiss, J. L. (1972) Manic-depressive illness: a comparative study of patients with and without a family history. British Journal of Psychiatry, 120, 523–30.Google Scholar
Perris, C. (1966) A study of bipolar (manic-depressive) and unipolar recurrent psychoses (I–X). Acta Psychiatrica Scandinavica, Supplement, 194, 1–189.Google Scholar
Post, F. (1962) The Significance of Affective Symptoms in Old Age. London: Oxford University Press.Google Scholar
Post, F. (1972) The management and nature of depressive illnesses in late life: a follow-through study. British Journal of Psychiatry, 121, 393–404.Google Scholar
Post, F. (1978) The functional psychoses. In Studies of Geriatric Psychiatry. (Ed. A. Isaacs and F. Post). Chichester: John Wiley & Sons.Google Scholar
Richards, D. H. (1973) Depression after hysterectomy. Lances, 2, 430–2.Google ScholarPubMed
Rosenbaum, A. H. & Barry, M. J. (1975) Positive therapeutic response to lithium in hypomania secondary to organic brain syndrome. American Journal of Psychiatry, 132, 1072–3.Google ScholarPubMed
Roth, M. (1955) The natural history of mental disorder in old age. Journal of Mental Science, 101, 281–301.Google Scholar
Ryback, R. S. & Schwab, R. S. (1971) Manic response to levodopa therapy; report of a case. New England Journal of Medicine, 285, 788–9.Google Scholar
Sayed, A. J. (1976) Mania and bromism: a case report and a look to the future. American Journal of Psychiatry, 133, 228–9.Google Scholar
Spicer, C. C., Hare, E. H. & Slater, E. (1973) Neurotic and psychotic forms of depressive illness: evidence from age-incidence in a national sample. British Journal of Psychiatry, 123, 535–41.Google Scholar
Steinberg, D., Hirsch, S. R., Marston, S. D., Reynolds, K. & Sutton, R. N. P. (1972) Influenza infection causing manic psychosis. British Journal of Psychiatry, 120, 531–5.CrossRefGoogle ScholarPubMed
Stenstedt, A. (1959) Involutional melancholia. Acta Psychiatrica Neurologica Scandinavica, Supplement, 127.Google Scholar
Taylor, M. & Abrams, R. (1973) Manic states: a genetic study of early and late onset affective disorders. Archives of General Psychiatry, 28, 656–8.CrossRefGoogle Scholar
Wiesert, K. N. & Hendrie, H. C. (1977) Secondary mania? A case report. American Journal of Psychiatry, 134, 929–30.Google ScholarPubMed
Winokur, G. (1975) The Iowa 500: Heterogeneity and course in manic-depressive illness (bipolar). Comprehensive Psychiatry, 16, 125–31.Google Scholar
Winokur, G., Clayton, P. & Reich, T. (1969) Manic-depressive illness. St Louis: C. V. Mosby Co.Google Scholar
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