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KMID : 1007420070050020114
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Mood and Emotion
2007 Volume.5 No. 2 p.114 ~ p.118
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Comparison of Clinical Characteristics between First Admitted Bipolar I Disorder with and without Psychotic Features
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Kim Taek-Su
Kim Yun-Ki
Cho Hyun-Sang
Lee Eun
Seok Jeong-Ho
Jon Duk-In
Kim Se-Joo
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Abstract
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Objectives：Bipolar disorder is classified as several subtypes depending on symptoms and phenotypes. Results of current research suggest that the psychotic mania is a distinct subtype among many subtypes of bipolar disorder. However, psychotic mania has not been thoroughly studied as an independent entity in Korea. This study aimed to
examine the impact of psychotic features on clinical manifestation in first admitted bipolar I patients (manic).
Method：From 2001 to 2005, 162 bipolar I patients with mania were recruited from four hospitals. Data on demographics, age of onset, age of first treatment, GAF score, family history, suicidal attempt history and comorbidities were collected retrospectively. Statistical analyses were done using SAS 9.1 for Windows.
Results：Among the total of 162 subjects who entered the study during a manic episode, 86 subjects had psychotic features. Symptom severity ratings at intake were more severe for those with psychotic features. Psychotic features were associated with younger age at the time of receiving first treatment. Suicidal history was significantly more common in subjects without psychotic features compared to those with psychotic features.
Conclusion：Current results suggest that psychotic mania represents a distinct subgroup of patients with bipolar disorder.
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KEYWORD
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Bipolar disorder, Mania, Psychotic feature, First admission, Climical characteristics
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