Hostname: page-component-7b9c58cd5d-hxdxx Total loading time: 0 Render date: 2025-03-15T01:18:53.290Z Has data issue: false hasContentIssue false
  • English
  • Français

The Clinical Picture of Bipolar Affective Disorder in its Depressed Phase

A Report from London and Chicago

Published online by Cambridge University Press:  29 January 2018

Ian F. Brockington ,
Edward Altman ,
Valerie Hillier ,
Herbert Y. Meltzer  and
Surinder Nand
Ian F. Brockington
Affiliation:
University Hospital of Manchester, West Didsbury, Manchester M20 8LR
Edward Altman
Affiliation:
University of Illinois
Valerie Hillier
Affiliation:
Computational Group, University of Manchester
Herbert Y. Meltzer
Affiliation:
University of Chicago
Surinder Nand
Affiliation:
Veterans Administration, Chicago, Illinois, 60680
Get access Rights & Permissions [Opens in a new window]

Summary

Using structured psychiatric interviews, we searched for differences between depressed patients with bipolar affective disorder, and with other types of depression. The patients were taken from 2 large series, collected in London and Chicago. Some differences were found, but few more than would be expected by chance, in view of the large number of variables examined. The possible reasons for this failure are discussed. They include contamination of the groups, and the insensitivity of structured mental state inventories.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 141 , Issue 6 , December 1982 , pp. 558 - 562
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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

Abrams, R. & Taylor, M. A. (1980) A comparison of unipolar and bipolar depressive illness. American Journal of Psychiatry, 137, 1084–7.Google ScholarPubMed
Beigel, A. & Murphy, D. L. (1971) Unipolar and bipolar affective illness. Archives of General Psychiatry, 24, 215–20.CrossRefGoogle ScholarPubMed
Bertelsen, A., Harvald, B. & Hauge, M. (1977) A Danish twin study of manic-depressive disorders. British Journal of Psychiatry, 130, 330–51.CrossRefGoogle ScholarPubMed
Brockington, I. F., Kendell, R. E. & Leff, J. P. (1978a) Definitions of schizophrenia: concordance and prediction of outcome. Psychological Medicine, 8, 387–98.CrossRefGoogle ScholarPubMed
Brockington, I. F., Kendell, R. E. & Kellett, J. M. et al (1978b) Trials of lithium, chlorpromazine and amitriptyline in schizoaffective psychosis. British Journal of Psychiatry, 133, 162–8.CrossRefGoogle Scholar
Brockington, I. F., Wainwright, S. & Kendell, R. E. (1980a) Manic patients with schizophrenic or paranoid symptoms. Psychological Medicine, 10, 73–83.CrossRefGoogle ScholarPubMed
Brockington, I. F., Kendell, R. E. & Wainwright, S. (1980b) Depressed patients with schizophrenic or paranoid symptoms. Psychological Medicine, 10, 665–75.Google ScholarPubMed
Brockington, I. F., Cernik, K. F., Schofield, E. M. et al (1981) Puerperal psychosis: phenomena and diagnosis. Archives of General Psychiatry, 38, 829–33.CrossRefGoogle ScholarPubMed
Brockington, I. F., Helzer, J. E., Hillier, V. F. et al (1982a) Definitions of depression: concordance and prediction of outcome. American Journal of Psychiatry, 139, 1022–27.Google ScholarPubMed
Brockington, I. F., Winokur, G. & Dean, C. (1982b) Puerperal psychosis. In Motherhood and Mental Illness (eds. Brockington, I. F. and Kumar, R.). London and New York: Academic Press, (in press).Google Scholar
Brockington, I. F. & Meltzer, H. Y. (1983) Documenting an episode of psychiatric illness. Schizophrenia Bulletin, 8, 485–92.Google Scholar
Brodie, H. K. H. & Leff, M. J. (1971) Bipolar depression —a comparative study of patient characteristics. American Journal of Psychiatry, 127, 1086–90.CrossRefGoogle ScholarPubMed
Cooper, J. E., Kendell, R. E., Gurland, B. J., Sharpe, L., Copeland, J. R. M. & Simon, R. (1972) Psychiatric Diagnosis in New York and London. Maudsley Monograph No. 20. London: Oxford University Press.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B. et al (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–63.CrossRefGoogle ScholarPubMed
Guze, S. B., Woodruff, R. A. & Clayton, P. J. (1975) The significance of psychotic affective disorders. Archives of General Psychiatry, 32, 1147–50.CrossRefGoogle ScholarPubMed
Katz, M. M., Robins, E., Croughan, J. et al (1982) Behavioural measurement and drug response characteristics of unipolar and bipolar depression. Psychological Medicine, 12, 25–36.CrossRefGoogle ScholarPubMed
Reich, T. & Winokur, G. (1970) Postpartum psychoses in patients with manic-depressive disease. Journal of Nervous and Mental Disease, 151, 60–8.CrossRefGoogle ScholarPubMed
Spitzer, R., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria. Instrument No. 58. New York: New York State Psychiatric Institute.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.