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The Long-term Natural History of the Weekly Symptomatic Status of Bipolar I Disorder

Archives of General Psychiatry · 2002 · Vol. 59(6) · pp. 530–530
Lewis L. JuddHagop S. AkiskalPamela J. SchettlerJean EndicottJack D. MaserDavid A. SolomonAndrew C. LeonJohn A. RiceMartin B. Keller

Abstract

The longitudinal weekly symptomatic course of BP-I is chronic. Overall, the symptomatic structure is primarily depressive rather than manic, and subsyndromal and minor affective symptoms predominate. Symptom severity levels fluctuate, often within the same patient over time. Bipolar I disorder is expressed as a dimensional illness featuring the full range (spectrum) of affective symptom severity and polarity.

Bipolar Disorder and TreatmentSchizophrenia research and treatmentElectroconvulsive Therapy StudiesManiaBipolar disorderDepression (economics)HypomaniaAsymptomaticProspective cohort studyPsychiatryDepressive symptomsMedicineBipolar I disorder

MeSH terms

AdolescentAdultAgedBipolar DisorderChronic DiseaseDepressive DisorderFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedPrognosisProspective StudiesPsychiatric Status Rating Scales

Funding

  • University of California, San Diego
  • National Institute of Mental Health
Citations
2,088
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30
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100%
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References
The Longitudinal Interval Follow-up Evaluation
Archives of General Psychiatry · 1987 · 1,645 citations
Manic Depressive Insanity and Paranoia
The Journal of Nervous and Mental Disease · 1921 · 1,307 citations
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