4.5 Article

Depressive and manic symptoms are not opposite poles in bipolar disorder

期刊

ACTA PSYCHIATRICA SCANDINAVICA
卷 123, 期 3, 页码 206-210

出版社

WILEY-BLACKWELL
DOI: 10.1111/j.1600-0447.2010.01602.x

关键词

bipolar disorder; mania; depression

资金

  1. Medical Research Council [G9721149, G0400615]
  2. National Cancer Institute
  3. National Institute of Mental Health
  4. Lilly
  5. Astra Zeneca
  6. UK National Institute for Health Research
  7. Jansen-Cilag
  8. Eli Lilly
  9. Research for Patient Benefit Programme
  10. National Institute of Health
  11. Welsh Office of Research and Development
  12. Medical Research Council [G0400615] Funding Source: researchfish
  13. MRC [G0400615] Funding Source: UKRI

向作者/读者索取更多资源

Objective: This study of 236 individuals with bipolar disorders employed longitudinal analyses to determine whether the symptoms of mania and depression can be understood as one dimension (with depression and mania as opposites) or two relatively independent dimensions. Method: Weekly severity ratings of manic and depression were assessed using the Longitudinal Interval Follow-up Evaluation-II for 72 weeks. The within-subjects correlation of manic and depressive severity was examined using random effects regression. Results: Contrary to the one-dimension model, mania and depression symptoms were not negatively related. Indeed, the correlations of mania with depressive symptoms were quite small. Conclusion: The data suggest that depressive and manic symptoms are not opposite poles. Rather depressive and manic symptoms appear to fluctuate relatively independently within bipolar disorder.

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