Clinical configuration of cyclothymic disturbances

Journal of Affective Disorders
Elena TombaGiovanni A Fava

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. 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). 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...Continue Reading

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Citations

Sep 12, 2012·Psychotherapy and Psychosomatics·Elena Tomba, Per Bech
Apr 23, 2014·Psychotherapy and Psychosomatics·Ajandek EoryZoltan Rihmer
Feb 7, 2013·International Review of Psychiatry·Laura Sirri, Giovanni A Fava
Nov 6, 2012·Progress in Neuro-psychopharmacology & Biological Psychiatry·Giovanni A FavaEliana Tossani
Jul 24, 2012·Nordic Journal of Psychiatry·Giovanni A Fava
Jul 18, 2014·Psychological Medicine·L TecutaG A Fava
Nov 14, 2012·Psychotherapy and Psychosomatics·Fiammetta Cosci, Giovanni A Fava

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