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Clinical configuration of cyclothymic disturbances.

Identifieur interne : 000063 ( PubMed/Corpus ); précédent : 000062; suivant : 000064

Clinical configuration of cyclothymic disturbances.

Auteurs : Elena Tomba ; Chiara Rafanelli ; Silvana Grandi ; Jenny Guidi ; Giovanni A. Fava

Source :

RBID : pubmed:22551912

English descriptors

Abstract

While there is an increasing recognition of the role of subthreshold symptomatology in bipolar disorder, little attention has been dedicated to its only formally acknowledged subtype, cyclothymic disorder. The aim of this investigation was to provide a controlled evaluation of DSM-IV cyclothymic disorder by using a broad assessment strategy geared to subclinical signs.

DOI: 10.1016/j.jad.2012.01.014
PubMed: 22551912

Links to Exploration step

pubmed:22551912

Le document en format XML

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<name sortKey="Tomba, Elena" sort="Tomba, Elena" uniqKey="Tomba E" first="Elena" last="Tomba">Elena Tomba</name>
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<nlm:affiliation>Affective Disorders Program, Department of Psychology, University of Bologna, Italy. elena.tomba@unibo.it</nlm:affiliation>
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<name sortKey="Rafanelli, Chiara" sort="Rafanelli, Chiara" uniqKey="Rafanelli C" first="Chiara" last="Rafanelli">Chiara Rafanelli</name>
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<name sortKey="Grandi, Silvana" sort="Grandi, Silvana" uniqKey="Grandi S" first="Silvana" last="Grandi">Silvana Grandi</name>
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<name sortKey="Guidi, Jenny" sort="Guidi, Jenny" uniqKey="Guidi J" first="Jenny" last="Guidi">Jenny Guidi</name>
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<name sortKey="Fava, Giovanni A" sort="Fava, Giovanni A" uniqKey="Fava G" first="Giovanni A" last="Fava">Giovanni A. Fava</name>
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<title level="j">Journal of affective disorders</title>
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<term>Adult</term>
<term>Anxiety Disorders (diagnosis)</term>
<term>Cross-Sectional Studies</term>
<term>Cyclothymic Disorder (diagnosis)</term>
<term>Cyclothymic Disorder (epidemiology)</term>
<term>Cyclothymic Disorder (psychology)</term>
<term>Female</term>
<term>Humans</term>
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<term>Middle Aged</term>
<term>Psychophysiologic Disorders (diagnosis)</term>
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<term>Anxiety Disorders</term>
<term>Cyclothymic Disorder</term>
<term>Psychophysiologic Disorders</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Cyclothymic Disorder</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Cyclothymic Disorder</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
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<div type="abstract" xml:lang="en">While there is an increasing recognition of the role of subthreshold symptomatology in bipolar disorder, little attention has been dedicated to its only formally acknowledged subtype, cyclothymic disorder. The aim of this investigation was to provide a controlled evaluation of DSM-IV cyclothymic disorder by using a broad assessment strategy geared to subclinical signs.</div>
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<Year>2012</Year>
<Month>06</Month>
<Day>11</Day>
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<Year>2013</Year>
<Month>01</Month>
<Day>16</Day>
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<ISSN IssnType="Electronic">1573-2517</ISSN>
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<Volume>139</Volume>
<Issue>3</Issue>
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<Year>2012</Year>
<Month>Aug</Month>
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<Title>Journal of affective disorders</Title>
<ISOAbbreviation>J Affect Disord</ISOAbbreviation>
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<ArticleTitle>Clinical configuration of cyclothymic disturbances.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">While there is an increasing recognition of the role of subthreshold symptomatology in bipolar disorder, little attention has been dedicated to its only formally acknowledged subtype, cyclothymic disorder. The aim of this investigation was to provide a controlled evaluation of DSM-IV cyclothymic disorder by using a broad assessment strategy geared to subclinical signs.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Sixty-two patients who met the DSM-IV criteria for cyclothymic disorder and did not present comorbidity with other mood disorders, alcohol and drug abuse, and borderline personality disorder and 62 control subjects matched for sociodemographic variables were administered the Structured Interview for Diagnostic Criteria for Psychosomatic Research (DCPR), the Clinical Interview for Depression (CID) and the Mania Scale (MAS).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In DSM-IV terms, there was an overlap with anxiety disorders in more than half of the cases. About 3 patients out of 4 were found to present with at least one DCPR syndrome (particularly demoralization and irritable mood). Cyclothymic patients displayed significantly higher levels of depressive and anxiety disturbances on the CID, with particular reference to reactivity to social environment. They also had significantly higher scores on the MAS.</AbstractText>
<AbstractText Label="LIMITATIONS" NlmCategory="CONCLUSIONS">The study was cross-sectional and the sample, because of the exclusion criteria, may not be representative of the clinical populations in psychiatric settings.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In our patients with cyclothymia, without comorbidity with major mood disorders, DSM-IV anxiety disorders, psychosomatic clinical syndromes (irritable mood, demoralization) and subclinical symptoms such as reactivity to social environment resulted to be more frequent than in controls. The use of a broad assessment strategy aimed at subclinical symptomatology may help identifying clinical phenomena that cut across the current definition of subthreshold forms of bipolar disorder.</AbstractText>
<CopyrightInformation>Copyright © 2012 Elsevier B.V. All rights reserved.</CopyrightInformation>
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