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This chapter outlines key foci for future research on prosociality and its development. It seeks to identify challenges and priorities and to delineate exciting possibilities for moving the field forward. These include the need for a useful taxonomy to help map the different dimensions and forms of prosociality across development; a call to extend the construct of prosociality by incorporating the perspectives of children and individuals from diverse cultures and backgrounds; the need to integrate knowledge from different levels of analysis; the notion that for a more complete understanding of prosociality in humans, both specificities and commonalities in processes of prosocial development must be addressed; and the need to understand major obstacles to prosocial development – how is it that, despite the human potential for prosociality, some individuals do not become prosocial? – and how to transcend such barriers. Addressing these issues, using rigorous and innovative work, will promote a new era of prosociality science.
Bipolar depression is not strictly clinically identical to unipolar depression.
Objectives
To describe the clinical characteristics of patients with bipolar depression and to identify factors linked to bipolar depression.
Methods
This is a cross-sectional, descriptive and comparative study carried out at the psychiatric department of the University Hospital of Mahdia. We have included 26 patients with bipolar depression and have compared them to 26 patients with unipolar depression. The data were collected from patients’ medical files. The analytical study has been made using Chi2 tests. The threshold of p<0.05 was considered as significant.
Results
The mean age was 45 years. The majority of patients were male (61.5%) and unemployed (69.2%). Half of the patients were married. Alcohol consumption was found in 30.8% of cases. Family history of bipolar disorder and attempted suicide were present in 27% and 11.5% of cases respectively. A hospitalization number greater than or equal to 4 was found in 54% of cases. Personal history of suicide attempts was found in 46.2% of cases. At the psychiatric examination, psychomotor retardation, anxiety and psychotic and atypical characteristics were present in 73%, 31%, 42.3% and 7.7% of cases respectively. 46.2% of patients were treated with antidepressants in combination with a mood stabilizer. Antipsychotic treatment was combined in 80.8% of cases. A significant difference was noted for the number of hospitalizations, anxiety and antipsychotic treatment.
Conclusions
An early distinction between bipolar and unipolar disorders is crucial for the treatment of both diseases.
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