Abstract
Depressive elements were observed on a quantitative behavioral rating scale during manic episodes in 28 of 30 patients, suggesting that most manic patients manifest a "mixed" manic-depressive picture. A factor analysis of the scale confirmed a "core" group of manic symptoms as well as a dichotomous grouping of elated-grandiose (E-G) and paranoid-destructive (P-D) patients. It also suggested a close relationship between the presence of rated depression during mania and the particular symptomatic complex found in the P-D subgroup of manic patients. Elation ratings were not significantly correlated with total mania scale ratings in all, but only in the subgroup of E-G patients. These differences had apparent relationships to therapeutic responses to lithium carbonate; manic patients in the E-G subgroup responded more frequently than did patients in the P-D subgroup.
Keywords
Lithium carbonateManiaPsychologyLithium (medication)Depression (economics)Rating scaleYoung Mania Rating ScaleDepressive symptomsBipolar disorderPsychiatryClinical psychologyAnxietyChemistryDevelopmental psychology
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Publication Info
- Year
- 1974
- Type
- article
- Volume
- 31
- Issue
- 5
- Pages
- 643-643
- Citations
- 100
- Access
- Closed
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Cite This
Dennis L. Murphy
(1974).
Depression, Elation, and Lithium Carbonate Responses in Manic Patient Subgroups.
Archives of General Psychiatry
, 31
(5)
, 643-643.
https://doi.org/10.1001/archpsyc.1974.01760170043007
Identifiers
- DOI
- 10.1001/archpsyc.1974.01760170043007