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Life Events and Mania

A Special Relationship?

Published online by Cambridge University Press:  02 January 2018

A. Ambelas*
Affiliation:
Department of Psychiatry, Clinical Sciences Building, Leicester Royal Infirmary, PO Box 65, Leicester LE2 7LX

Abstract

Fifty patients in their first manic episode were compared retrospectively with groups of (a) manic patients in other than first admissions and (b) acute surgical cases. They were then followed up for 3–8 years. First manic admissions were linked to life events far more frequently – 66% vs 20% and 8% respectively for the other groups. Within-group comparisons showed patients with life events were much younger. The link between life events and manic episodes appeared immediate and selective, a view further supported by the findings of the follow-up. Later episodes precipitated by life events seem to require smaller amounts of stress. The possible role of life events in relation to mania is discussed.

Type
Research Article
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

Ambelas, A. (1979) Psychologically stressful events in the precipitation of manic episodes. British Journal of Psychiatry, 135, 1521.CrossRefGoogle ScholarPubMed
Blankenburg, W. (1964) Lebengeshichtliche Factoren bei manischen Psychosen. Nervenartz, 35, 536539.Google Scholar
Bonnafous-Serieux, H. & Ey, H. (1938) Manies de veuvage. Annales Medico-Psychologiques, Part 1, 96, 225232.Google Scholar
Borgna, E. (1964) La provocazione psicoreattiva delle ciclotimie nei suoi as petti psicopatologici clinici e teoretici. Giomale di Psiciatria e Neuropatologia, 92, 795814.Google Scholar
Brockington, I. F., Schofield, E. M., Donnely, P. & Hyde, C. (1978) A clinical study of puerperal psychisis. In Mental Illness in Pregnancy and the Puerperium (ed. M. Sandler). New York: Oxford University Press.Google Scholar
Brown, G. W. & Birley, J. L. T. (1968) Crises and life changes and the onset of schizophrenia. Journal of Health and Social Behaviour, 9, 203214.CrossRefGoogle ScholarPubMed
Dean, C. & Kendell, R. E. (1981) The symptomatology of puerperal illnesses. British Journal of Psychiatry, 139, 128133.CrossRefGoogle ScholarPubMed
Dunner, D. L., Patrick, V. & Fieve, R. R. (1979) Life events at the onset of bipolar affective illness. American Journal of Psychiatry, 136, 508511.CrossRefGoogle ScholarPubMed
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A. J., Winokur, G. & Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.CrossRefGoogle ScholarPubMed
Glassner, B. & Haldipur, C. V. (1983) Life events and early and late onset of bipolar disorder. American Journal of Psychiatry, 140, 215217.Google ScholarPubMed
Hedri, A. von (1976) Zur Frage der Umweltabhängigkeit bei Manie. Zeitschrift für Allgemeinmedizin, Dresden, 52,474475.Google Scholar
Hollender, M. H. & Goldin, M. L. (1978) Funeral mania. Journal of Nervous and Mental Disease, 166, 830832.CrossRefGoogle ScholarPubMed
Kadrmas, A., Winokur, G. & Crow, R. (1979) Post-partum mania. British Journal of Psychiatry, 135, 551554.CrossRefGoogle Scholar
Katona, C. L. E. (1983) Puerperal mental illness: comparisons with non-puerperal controls. British Journal of Psychiatry, 141, 447452.CrossRefGoogle Scholar
Kennedy, S., Thompson, R., Stancer, H. C., Roy, A. & Persad, E. (1983) Life events precipitating mania. British Journal of Psychiatry, 142, 358403.CrossRefGoogle ScholarPubMed
Klein, M. (1948) Contribution to the psychogenesis of manic depressive states. In Contributions to Psychoanalysis. London: Hogarth Press.Google Scholar
Krauthammer, C. & Klerman, G. L. (1978) Secondary mania. Archives of General Psychiatry, 35, 13331339.CrossRefGoogle ScholarPubMed
Parkes, C. M. (1964) Recent bereavement as a cause of mental illness. British Journal of Psychiatry, 110, 198204.CrossRefGoogle ScholarPubMed
Paykel, E. S., McGuiness, B. & Gomez, J. (1976) An Anglo-American comparison of the scaling of life events. British Journal of Medical Psychiatry, 49, 237248.CrossRefGoogle ScholarPubMed
Rickarby, G. A. (1977) Four cases of mania associated with bereavement. Journal of Nervous and Mental Disease, 165, 255262.CrossRefGoogle ScholarPubMed
Scorn, F. & Cerletti-Scotti, A. (1969) II lutto maniacale. Rivistä Sperimentale di Freniatria e Medicina Legale delle Alienazioni Mentoli, 93, 110130.Google Scholar
Stern, E. S. (1944) The psychopathology of manic-depressive disorder and involutional melancholia. British Journal of Medical Psychology, 20, 2032.CrossRefGoogle Scholar
Tölle, R. & Fritz, H. (1971) Zur Auslosung von Manien. Psychiatria Clinica (Basle), 4, 1218.Google Scholar
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