Psychopathology of Mixed States

被引:10
|
作者
Barroilhet, Sergio A. [1 ,2 ]
Ghaemi, S. Nassir [2 ,3 ]
机构
[1] Univ Chile, Fac Med, Clin Psiquiatr Univ, Santiago, Chile
[2] Tufts Univ, Tufts Med Ctr, Sch Med, Dept Psychiat, Pratt Bldg,3rd Floor,800 Washington St,Box 1007, Boston, MA 02111 USA
[3] Harvard Univ, Harvard Med Sch, Dept Psychiat, Boston, MA 02115 USA
关键词
Mixed states; Psychopathology; Factor structure; Conceptual models; Mixed depression; Mixed mania; BIPOLAR DISORDER; PHENOMENOLOGICAL SUBTYPES; DEPRESSIVE EPISODE; SYMPTOM STRUCTURE; CLINICAL-PICTURE; MANIC SYMPTOMS; PREVALENCE; FEATURES; MOOD; VALIDATION;
D O I
10.1016/j.psc.2019.10.003
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Mixed states are frequent clinical pictures in psychiatric practice but are not well described in nosologic systems. Debate exists as to defining mixed states. We review factor and cluster analytical studies and prominent clinical/conceptual models of mixed states. While mania involves standard manic symptoms and depression involves standard depressive symptoms, core additional features of the mixed state are, primarily, psychomotor activation and, secondarily, dysphoria. Those features are more pronounced in mixed mania than in mixed depression but are present in both.
引用
收藏
页码:27 / +
页数:21
相关论文
共 50 条
  • [1] Depressive mixed states: A reappraisal of Koukopoulos'criteria
    Faedda, Gianni L.
    Marangoni, Ciro
    Reginaldi, Daniela
    JOURNAL OF AFFECTIVE DISORDERS, 2015, 176 : 18 - 23
  • [2] Mixed affective states in the juvenile age (historical aspects, current state of the problem, psychopathology)
    Kopeiko, G. I.
    ZHURNAL NEVROLOGII I PSIKHIATRII IMENI S S KORSAKOVA, 2011, 111 (10) : 4 - 11
  • [3] Clinical Picture, Temperament, and Personality of Patients with Mixed States
    Luciano, Mario
    Janiri, Delfina
    Fiorillo, Andrea
    Sani, Gabriele
    PSYCHIATRIC CLINICS OF NORTH AMERICA, 2020, 43 (01) : 15 - +
  • [4] Bipolar mixed states: still mixed up?
    Castle, David J.
    CURRENT OPINION IN PSYCHIATRY, 2014, 27 (01) : 38 - 42
  • [5] Mixed symptoms in major depressive and bipolar disorders: A systematic review
    Vazquez, Gustavo H.
    Lolich, Maria
    Cabrera, Casimiro
    Jokic, Ruzica
    Kolar, Dusan
    Tondo, Leonardo
    Baldessarini, Ross J.
    JOURNAL OF AFFECTIVE DISORDERS, 2018, 225 : 756 - 760
  • [6] Evolution of the concept of mixed states in bipolar disorder
    Avedisova, A. S.
    Vorobyev, R. V.
    ZHURNAL NEVROLOGII I PSIKHIATRII IMENI S S KORSAKOVA, 2013, 113 (06) : 4 - 10
  • [7] The argument of antidepressant drugs in the treatment of bipolar depression: mixed evidence or mixed states?
    Fornaro, Michele
    Martino, Matteo
    De Pasquale, Concetta
    Moussaoui, Driss
    EXPERT OPINION ON PHARMACOTHERAPY, 2012, 13 (14) : 2037 - 2051
  • [8] Exclusion of overlapping symptoms in DSM-5 mixed features specifier: heuristic diagnostic and treatment implications
    Malhi, Gin S.
    Byrow, Yulisha
    Outhred, Tim
    Fritz, Kristina
    CNS SPECTRUMS, 2017, 22 (02) : 126 - 133
  • [9] Mixed States Historical Impact and Evolution of the Concept
    Sani, Gabriele
    Swann, Alan C.
    PSYCHIATRIC CLINICS OF NORTH AMERICA, 2020, 43 (01) : 1 - +
  • [10] Continuum of depressive and manic mixed states in patients with bipolar disorder: quantitative measurement and clinical features
    Swann, Alan C.
    Steinberg, Joel L.
    Lijffijt, Marijn
    Moeller, F. Gerard
    WORLD PSYCHIATRY, 2009, 8 (03) : 166 - 172