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Early recognition of bipolar disorder

Published online by Cambridge University Press:  16 April 2020

Marta Hauser ,
Andrea Pfennig ,
Seza Özgürdal ,
Andreas Heinz ,
Michael Bauer  and
Georg Juckel
Marta Hauser
Affiliation:
Early Recognition Center of Beginning Psychoses, Department of Psychiatry, Charité, Campus Mitte, Berlin, Germany
Andrea Pfennig
Affiliation:
Bipolar Research Group, Department of Psychiatry, Charité, Campus Mitte, Berlin, Germany
Seza Özgürdal
Affiliation:
Early Recognition Center of Beginning Psychoses, Department of Psychiatry, Charité, Campus Mitte, Berlin, Germany Bochum Early Recognition and Therapy Center, Department of Psychiatry, Ruhr-University Bochum, Bochum, Germany
Andreas Heinz
Affiliation:
Early Recognition Center of Beginning Psychoses, Department of Psychiatry, Charité, Campus Mitte, Berlin, Germany
Michael Bauer
Affiliation:
Bipolar Research Group, Department of Psychiatry, Charité, Campus Mitte, Berlin, Germany
Georg Juckel*
Affiliation:
Early Recognition Center of Beginning Psychoses, Department of Psychiatry, Charité, Campus Mitte, Berlin, Germany Bochum Early Recognition and Therapy Center, Department of Psychiatry, Ruhr-University Bochum, Bochum, Germany
*
*Corresponding author. Westfalian Centre Bochum, Psychiatry–Psychotherapy–Psychosomatic Medicine, Ruhr-University Bochum, Alexandrinenstrasse 1, 44791 Bochum, Germany. Tel.: +49 0234 5077 201; fax: +49 0234 5077 204. E-mail addresses: marta.hauser@charite.de (M. Hauser), andrea.pfennig@charite.de (A. Pfennig), seza.oezguerdal@wkp-lwl.org (S. Özgürdal), andreas.heinz@charite.de (A. Heinz), michael.bauer@charite.de (M. Bauer), georg.juckel@wkp-lwl.org (G. Juckel).
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Abstract

Bipolar disorders are frequently not diagnosed until long after their onset, leaving patients with no or correspondingly inadequate treatment. The course of the disorder is all the more severe and the negative repercussions for those affected all the greater. Concerted research effort is therefore going into learning how to recognize bipolar disorders at an early stage. Drawing on current research results, this paper presents considerations for an integrative Early Symptom Scale with which persons at risk can be identified and timely intervention initiated. This will require prospective studies to determine the predictive power of the risk factors integrated into the scale.

Keywords

Early recognitionBipolar disorderRisk factorsEarly symptom scaleEarly intervention
Type
Review Article
Information
European Psychiatry , Volume 22 , Issue 2 , March 2007 , pp. 92 - 98
Copyright
Copyright © Elsevier Masson SAS 2006

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References

Amminger, G.P., Leicester, S., Yung, A.R., Phillips, L.J., Berger, G.E., Francey, S.M.Early-onset of symptoms predicts conversion to non-affective psychosis in ultra-high risk individuals. Schizophr Res 2006;84:67–76.CrossRefGoogle ScholarPubMed
Angst, G., Gamma, A., Benazzi, F., Ajdacic, V., Eich, D., Rössler, W.Research report: Towards a re-definition of subthreshold bipolarity: epidemiology and proposed criteria for bipolar-II, minor bipolar disorders and hypomania. J Affect Disord 2003;73:133–146.CrossRefGoogle Scholar
Angst, G., Gamma, A., Benazzi, F., Ajdacic, V., Eich, D., Rössler, W.Diagnostic issues in bipolar disorder. Eur Neuropsychopharmacol 2003;13:43–50.CrossRefGoogle ScholarPubMed
Angst, G., Gamma, A., Endrass, J.Risk factors for the bipolar and depression spectra. Acta Psychiatr Scand 2003;108(Suppl. 418):15–19.CrossRefGoogle Scholar
Angst, G., Sellaro, R., Stassen, H.H., Gamma, A.Research report: Diagnostic conversion from depression to bipolar disorders: results of a long-term prospective study of hospital admissions. J Affect Disord 2005;84:149–157.CrossRefGoogle Scholar
Akiskal, H.S., Bourgeois, M.L., Angst, J., Post, R., Möller, H.J., Hirschfeld, R.Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders. J Affect Disord 2000;59:S5–S30.CrossRefGoogle ScholarPubMed
Akiskal, H.S., Brieger, P., Mundt, C., Angst, J., Marneros, A.Temperament und affektive Störungen. Die TEMPS-A-Skala als Konvergenz europäischer und US-amerikanischer Konzepte. Nervenarzt 2002;3:262–271.CrossRefGoogle Scholar
Akiskal, H.S., Maser, J.D., Zeller, P.J., Endicott, J., Coryell, W., Keller, M.Switching from ‘unipolar’ to bipolar II. An 11-year prospective study of clinical and temperamental predictors in 559 patients. Arch Gen Psychiatry 1995;52(2):114–123.CrossRefGoogle ScholarPubMed
Bauer, M., Pfennig, A.Epidemiology of bipolar disorders. Epilepsia 2005;46(Suppl. 4):8–13.CrossRefGoogle ScholarPubMed
Berk, M., Dodd, S.Are treatment emergent suicidality and decreased response to antidepressants in younger patients due to bipolar disorder being misdiagnosed as unipolar depression?. Med Hypotheses 2005;65:39–43.CrossRefGoogle ScholarPubMed
Birmaher, B., Arbelaez, C., Brent, D.Course and outcome of child and adolescent major depressive disorder. Child Adolesc Psychiatr Clin North Am 2002;11(3):619–637.CrossRefGoogle ScholarPubMed
Chang, K., Steiner, H., Dienes, K., Adleman, N., Ketter, T.Bipolar offspring: A window into bipolar disorder evolution. Biol Psychiatry 2003;53(11):945–951.CrossRefGoogle ScholarPubMed
Chiaroni, P., Hantouche, E.-G., Gouvernet, J., Azorin, J.-M., Akiskal, H.S.Research report: The cyclothymic temperament in healthy controls and familially at risk individuals for mood disorder: endophenotype for genetic studies?. J Affect Disord 2005;85:135–145.CrossRefGoogle Scholar
Dittman, S., Biedermann, N.C., Grunze, H., Hummel, B., Schärer, L.O., Kleindienst, N.The Stanley Foundation Bipolar Network: Results of the naturalistic follow-up study after 2.5 years of follow-up in the German centres. Neuropsychobiology 2002;46(suppl. 1):2–9.CrossRefGoogle Scholar
Faedda, G.L., Baldessarini, R.J., Glovinsky, I.P., Austin, N.B.Pediatric bipolar disorder: phenomenology and course of illness. Bipolar Disord 2004;6:305–313.CrossRefGoogle ScholarPubMed
Ghaemi, S.N., Hsu, D.J., Soldani, F., Goodwin, F.K.Antidepressants in bipolar disorder. The case for caution. Bipolar Disord 2003;5(6):421–433.CrossRefGoogle ScholarPubMed
Klosterkötter, J., Hellmich, M., Steinmeyer, E.M., Schultze-Lutter, F.Diagnosing schizophrenia in the initial prodromal phase. Arch Gen Psychiatry 2001;58:158–164.CrossRefGoogle ScholarPubMed
Klosterkötter, J., Ruhrmann, S., Schultze-Lutter, F., Salokangas, R.K., Linszen, D., Birchwood, M.et al.The European Prediction of Psychosis Study (EPOS): integrating early recognition and intervention in Europe. World Psychiatry 2005;4(3):161–167.Google ScholarPubMed
Lish, J.D., Dime-Meenan, S., Whybrow, P.C., Price, R.A., Hirschfeld, R.M.The National Depressive and Manic-depressive Association (DMDA) survey of bipolar members. J Affect Disord 1994;31(4):281–294.CrossRefGoogle ScholarPubMed
Mendlowicz, M.V., Girardin, J.-L., Kelsoe, J.R., Akiskal, H.S.Research report: A comparison of recovered bipolar patients, healthy relatives of bipolar probands, and normal controls using the short TEMPS-A. J Affect Disord 2005;85:147–151.CrossRefGoogle ScholarPubMed
Meyer, T.D., Blechert, J.Research report: Are there attentional deficits in people putatively at risk for affective disorders?. J Affect Disord 2005;84:63–72.CrossRefGoogle Scholar
Meyer, T.D., Hautzinger, M.Research report: Screening for bipolar disorder using the Hypomanic Personality Scale. J Affect Disord 2003;75:149–154.CrossRefGoogle Scholar
Miller, T.J., McGlashan, T.H., Woods, S.W., Stein, K., Driesen, N., Corcoran, C.M.et al.Symptom assessment in schizophrenic prodromal states. Psychiatr Q 1999;70:273–287.CrossRefGoogle ScholarPubMed
Reichart, C.G., Nolen, W.A.Earlier onset of bipolar disorder in children by antidepressants or stimulants? An hypothesis. J Affect Disord 2004;78(1):81–84.CrossRefGoogle ScholarPubMed
Simpson, S.G., Jamison, K.R.The risk of suicide with bipolar disorders. J Clin Psychiatry 1999;60(2):53–56.Google ScholarPubMed
Thompson, K.N., Conus, P.O., Ward, J.L., Phillips, L.J., Koutsogiannis, J., Leicester, S.et al.Preliminary report: The initial prodrome to bipolar affective disorder: prospective case studies. J Affect Disord 2003;77:79–85.CrossRefGoogle Scholar
Yung, A.R., Phillips, L.J., Yuen, H.P., McGorry, P.D.Risk factors for psychosis in an ultra high-risk group: psychopathology and clinical features. Schizophr Res. 2004;67(2-3):131–142.CrossRefGoogle Scholar
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