The Diagnostic Concept of Unipolar Mania: The Missing Entity of the Affective Spectrum.
Journal
The Journal of nervous and mental disease
ISSN: 1539-736X
Titre abrégé: J Nerv Ment Dis
Pays: United States
ID NLM: 0375402
Informations de publication
Date de publication:
01 Nov 2023
01 Nov 2023
Historique:
medline:
30
10
2023
pubmed:
7
8
2023
entrez:
7
8
2023
Statut:
ppublish
Résumé
Although the traditional nosological view interprets mania as strictly connected with depression in the context of manic-depressive illness, unipolar mania (UM), that is, the lifetime occurrence of mania or hypomania in the absence of depression, has been proposed as a necessary diagnostic entity. Epidemiological data estimate that at least 5% of people with type I bipolar disorder never experienced depression. These subjects are more often males with a hyperthymic temperament, a younger age at onset, and more psychotic features. Current classification systems do not formally recognize UM, but different definitions of mania without depression have been proposed. UM should be assessed according to the number of mood episodes, the predominance of manic or hypomanic episodes, and its clinical course. More generally, UM should be considered in the context of an affective spectrum including different clinical phenotypes based on the predominance of depressive or manic symptoms. Additional clinical and epidemiological research in this field is needed.
Identifiants
pubmed: 37549353
doi: 10.1097/NMD.0000000000001704
pii: 00005053-202311000-00002
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
811-813Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Références
Akiskal HS (1994) The temperamental borders of affective disorders. Acta Psychiatr Scand Suppl . 379:32–37.
Angst J (2007) The bipolar spectrum. Br J Psychiatry . 190:189–191.
Angst J (2015) Will mania survive DSM-5 and ICD-11 ? Int J Bipolar Disord . 3:24.
Angst J, Grobler C (2015) Unipolar mania: A necessary diagnostic concept. Eur Arch Psychiatry Clin Neurosci . 265:273–280.
Angst J, Rössler W, Ajdacic-Gross V, Angst F, Wittchen HU, Lieb R, Beesdo-Baum K, Asselmann E, Merikangas KR, Cui L, Andrade LH, Viana MC, Lamers F, Penninx BW, de Azevedo Cardoso T, Jansen K, Dias de Mattos Souza L, Azevedo da Silva R, Kapczinski F, Grobler C, Gholam-Rezaee M, Preisig M, Vandeleur CL (2019) Differences between unipolar mania and bipolar-I disorder: Evidence from nine epidemiological studies. Bipolar Disord . 21:437–448.
Baek JH, Eisner LR, Nierenberg AA (2014) Epidemiology and course of unipolar mania: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Depress Anxiety . 31:746–755.
Bartoli F (2023) The lithium paradox: Declining prescription of the gold standard treatment for bipolar disorder. Acta Psychiatr Scand . 147:314–315.
Bartoli F, Cioni RM, Cavaleri D, Callovini T, Crocamo C, Misiak B, Savitz JB, Carrà G (2022) The association of kynurenine pathway metabolites with symptom severity and clinical features of bipolar disorder: An overview. Eur Psychiatry . 65:e82.
Bartoli F, Nasti C, Palpella D, Piacenti S, Di Lella M, Mauro S, Prestifilippo L, Crocamo C, Carrà G (2023) Characterizing the clinical profile of mania without major depressive episodes: A systematic review and meta-analysis of factors associated with unipolar mania. Psychol Med . 1–10. doi:10.1017/S0033291723000831.
doi: 10.1017/S0033291723000831
Carvalho AF, Solmi M, Sanches M, Machado MO, Stubbs B, Ajnakina O, Sherman C, Sun YR, Liu CS, Brunoni AR, Pigato G, Fernandes BS, Bortolato B, Husain MI, Dragioti E, Firth J, Cosco TD, Maes M, Berk M, Lanctôt KL, Vieta E, Pizzagalli DA, Smith L, Fusar-Poli P, Kurdyak PA, Fornaro M, Rehm J, Herrmann N (2020) Evidence-based umbrella review of 162 peripheral biomarkers for major mental disorders. Transl Psychiatry . 10:152.
Fountoulakis KN, Tohen M, Zarate CA Jr (2022) Lithium treatment of bipolar disorder in adults: A systematic review of randomized trials and meta-analyses. Eur Neuropsychopharmacol . 54:100–115.
Ghaemi SN, Angst J, Vohringer PA, Youngstrom EA, Phelps J, Mitchell PB, McIntyre RS, Bauer M, Vieta E, Gershon S (2022) Clinical Research Diagnostic Criteria for Bipolar Illness (CRDC-BP): Rationale and validity. Int J Bipolar Disord . 10:23.
Gibbs M, Winsper C, Marwaha S, Gilbert E, Broome M, Singh SP (2015) Cannabis use and mania symptoms: A systematic review and meta-analysis. J Affect Disord . 171:39–47.
Gorgulu Y, Uluturk MK, Palabiyik O (2021) Comparison of serum BDNF, IL-1β, IL-6, TNF-α, CRP and leucocyte levels in unipolar mania and bipolar disorder. Acta Neuropsychiatr . 33:317–322.
Kendler KS (2017) The clinical features of mania and their representation in modern diagnostic criteria. Psychol Med . 47:1013–1029.
Koukopoulos A, Ghaemi SN (2009) The primacy of mania: A reconsideration of mood disorders. Eur Psychiatry . 24:125–134.
McIntyre RS, Alda M, Baldessarini RJ, Bauer M, Berk M, Correll CU, Fagiolini A, Fountoulakis K, Frye MA, Grunze H, Kessing LV, Miklowitz DJ, Parker G, Post RM, Swann AC, Suppes T, Vieta E, Young A, Maj M (2022) The clinical characterization of the adult patient with bipolar disorder aimed at personalization of management. World Psychiatry . 21:364–387.
Sangha N, Lyall L, Wyse C, Cullen B, Whalley HC, Smith DJ (2022) The nosological status of unipolar mania and hypomania within UK Biobank according to objective and subjective measures of diurnal rest and activity. Bipolar Disord . 24:726–738.
Sonkurt HO, Altınöz AE, Danışman Sonkurt M, Köşger F (2022) A distinct neurocognitive profile: unipolar mania. Nord J Psychiatry . 76:358–364.
Stokes PRA, Yalin N, Mantingh T, Colasanti A, Patel R, Bellivier F, Leboyer M, Henry C, Kahn JP, Etain B, Young AH (2020) Unipolar mania: Identification and characterisation of cases in France and the United Kingdom. J Affect Disord . 263:228–235.
Wikström F, Zeberg H, Mayston R, Backlund L, Fekadu A (2023) Prevalence and characteristics of unipolar mania in a low-income country setting: Population-based data from the Butajira cohort, rural Ethiopia. Soc Psychiatry Psychiatr Epidemiol . 58:537–545.