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  • To identify specific treatment-emergent symptoms in response to antidepressant therapy in depression preceding bipolar disorder. Methods: Retrospective chart review of response to antidepressants in %22pre-bipolar%22 depression, compared to a matched unipolar sample. Results: Family history of completed suicide (p=0.0003) and bipolar disorder (p=0.004) were more common in the pre-bipolar subgroup. Earlier age of onset of diagnosed depression (p=0.005) as well as even earlier episodes of untreated retrospectively diagnosed major depression (p<0.0001) were associated with a future bipolar course. The pre-bipolar group was less likely to respond to antidepressant treatment (p=0.009). Treatment-emergent %22mixed%22 symptoms (two or more symptoms of DSM IV mania, mood lability, irritability/rage with co-existing depression) and in particular, %22serious symptoms%22 (treatment emergent or increased agitation, rage or suicidality) occurred more commonly in the bipolar group. The two variables that best accounted for the between-group differences in logistic regression, were early age at first symptoms of depression and treatment-emergent agitation. Conclusions: Family history of completed suicide and/or bipolar disorder, early onset of depressive symptoms as well as treatment-emergent %22mixed%22 symptoms are common in depression preceding the diagnosis of bipolar disorder.
  • To identify specific treatment-emergent symptoms in response to antidepressant therapy in depression preceding bipolar disorder. Methods: Retrospective chart review of response to antidepressants in %22pre-bipolar%22 depression, compared to a matched unipolar sample. Results: Family history of completed suicide (p=0.0003) and bipolar disorder (p=0.004) were more common in the pre-bipolar subgroup. Earlier age of onset of diagnosed depression (p=0.005) as well as even earlier episodes of untreated retrospectively diagnosed major depression (p<0.0001) were associated with a future bipolar course. The pre-bipolar group was less likely to respond to antidepressant treatment (p=0.009). Treatment-emergent %22mixed%22 symptoms (two or more symptoms of DSM IV mania, mood lability, irritability/rage with co-existing depression) and in particular, %22serious symptoms%22 (treatment emergent or increased agitation, rage or suicidality) occurred more commonly in the bipolar group. The two variables that best accounted for the between-group differences in logistic regression, were early age at first symptoms of depression and treatment-emergent agitation. Conclusions: Family history of completed suicide and/or bipolar disorder, early onset of depressive symptoms as well as treatment-emergent %22mixed%22 symptoms are common in depression preceding the diagnosis of bipolar disorder. (en)
Title
  • Antidepressant monotherapy in pre-bipolar depression; predictive value and inherent risk
  • Antidepressant monotherapy in pre-bipolar depression; predictive value and inherent risk (en)
skos:prefLabel
  • Antidepressant monotherapy in pre-bipolar depression; predictive value and inherent risk
  • Antidepressant monotherapy in pre-bipolar depression; predictive value and inherent risk (en)
skos:notation
  • RIV/00216208:11120/08:43906871!RIV13-MSM-11120___
http://linked.open...avai/riv/aktivita
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  • 1-3
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  • 356431
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  • RIV/00216208:11120/08:43906871
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  • antidepressant medication; mixed symptoms; depressive mixed state; unipolar depression; bipolar depression (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • NL - Nizozemsko
http://linked.open...ontrolniKodProRIV
  • [7B6D02D0B318]
http://linked.open...i/riv/nazevZdroje
  • Journal of Affective Disorders
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
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http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 107
http://linked.open...iv/tvurceVysledku
  • Alda, Martin
  • Hájek, Tomáš
http://linked.open...ain/vavai/riv/wos
  • 000254546000041
issn
  • 0165-0327
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.jad.2007.08.003
http://localhost/t...ganizacniJednotka
  • 11120
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