Bipolar disorders today: beyond DSM-5

  • Gustavo H. Vázquez Centro de Investigaciones en Neurociencias y Neuropsicología. Universidad de Palermo, Buenos Aires, Argentina. International Consortium for Bipolar Disorder Research. McLean Hospital Division of Massachusetts General Hospital. Harvard University, Boston, EEUU
Keywords: bipolar disorders, DSM-5, bipolar spectrum, mixed states, bipolar depression

Abstract

Bipolar disorders constitute a complex group of recurrent mental illnesses with high prevalence among general population. The current systems of classification, such as CIE-10 and DSM-5, represent a significant advance for their accurate identification. However, there is still a relevant delay on their diagnoses. The present paper describes the more distinctive clinical features of these illnesses, discuss the general concepts regarding of bipolar spectrum, mixed states, clinical differences between unipolar and bipolar depression, and the differential clinical criteria with other disorders.

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References

Akiskal, H. S. (1992). The distinctive mixed states of bipolar I, II and III. Clinical Neuropharmacology, 15(1), 632–633.

Akiskal, H. S. (2005). The dark side of bipolarity: detecting bipolar depression in its pleomorphic expressions. Journal of Affective Disorders, 84, 107–115.

Akiskal, H. S. & Tohen, M. (2006). Bipolar Psychopharmacotheraphy: Caring for the Patient. London: John Wiley & Sons, Ltd.

Akiskal, H. S. & Vázquez, G. H. (2006). Una expansión de las fronteras del trastorno bipolar: validación del concepto de espectro. Vertex, 7(69), 340–346.

Akiskal, H., CetkovichBakmas, M., GarcíaBonetto, G., Strejilevich, S., & Vázquez, G. (2006). Trastornos bipolares. Conceptos clínicos, neurobiológicos y terapéuticos. Buenos Aires: Editorial Médica Panamericana.

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders, 4th Edition, Text Revision. Washington, DC: American Psychiatric Association.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders, 5th Edition. Arlington, VA: American Psychiatric Publishing

Angst, J. (1998). The emerging epidemiology of hypomania and bipolar II disorder. Journal of Affective Disorders, 50, 143–151.

Angst, J., Gamma, A., Bowden, C., Azorin, J. M., Perugi, G., Vieta, E., & Young, A. H. (2012). Diagnostic criteria for bipolarity based on an international sample of 5,635 patients with DSMIV major depressive episodes. European Archives of Psychiatry and Clinical Neuroscience, 262, 311.

Balazs, J., Benazzi, F., Rihmer, Z., Akiskal, K. K., & Akiskal, H. S. (2006). The close link between suicide attempts and mixed (bipolar) depression: implications for suicide prevention. Journal of Affective Disorders, 91, 133–138.

Baldessarini, R., Tondo, L., Vázquez, G., Undurraga, J., Bolzani, L., Yildiz, A., … Tohen, M. (2012a). Onsetage versus family history and clinical outcomes in 1665 international bipolarI disorder patients. World Psychiatry, 11(1), 40–46.

Baldessarini, R., Undurraga, J., Vázquez, G., Tondo, L., Salvatore, P., Ha, K., … Vieta, E. (2012b). Predominant Recurrence Polarity Among 928 Adult International BipolarI Disorder Patients. Acta Psychiatrica Scandinavica, 125, 293–302.

Disalver, S., Chen, Y., Shoaib, A., & Swann, A. C. (1999). Phenomenology of mania: Evidence for distinct depressed, dysphoric and euphoric presentations. The American Journal of Psychiatry, 156(3), 426–430.

Dunner, D. L. (2003). Clinical consequences of underrecognized bipolar spectrum disorder. Bipolar Disorders, 5, 456–463.

Geller, B., Zimmerman, B., Williams, M., Bolhofner, K., & Craney, J. L. (2001). Bipolar disorder at prospective followup of adults who had prepubertal major depressive disorder. The American Journal of Psychiatry, 158, 125–127.

Ghaemi, N. (2003). The Diagnosis of Bipolar Disorder. Posgraduate Course on Bipolar Disorder. Boston: Harvard University.

Goldberg, J. F., Perlis, R. H., Bowden, C. L., Thase, M. E., Miklowitz, D. J., Marangell L. B., … Sachs, G. S. (2009). Manic symptoms during depressive episodes in 1,380 patients with bipolar disorder: findings from the STEPBD. The American Journal of Psychiatry, 166, 173–181.

Goodwin, F. K. & Jamison, K. R. (2007). Manicdepressive illness (2da ed). New York: Oxford University Press.

Keitner, G., Solomon, D., & Ryan, C. (1996). Prodromal and residual symptoms in bipolar I disorder. Comprehensive Psychiatry, 37, 362–367.

Koukoupoulos, A., Sani, G., Koukoupoulos, A. E., Manfredi, G., Pacchiarotti, I., & Girardi, P. (2007). Melancholia agitata and mixed depression. Acta Psychiatrica Scandinavica Supplementum, 433, 50–57.

Kraepelin, E. (1996). La locura maníacodepresiva. En E. Kraepelin, K. Kalhbaum, & E. Hecker (Eds.). La locura maníacodepresiva, La catatonía, La hebefrenia (pp. 946). Buenos Aires: Polemos.

Kupfer, D., Frank, E., Grochocinski, V. J., Cluss, P. A., Houck, P. R., & Stapf, D. A. (2002). Demographic and clinical characteristics of individuals in a bipolar disorder case registry. Journal of Clinical Psychiatry, 63(2), 120–125.

Kupka, R., Luckenbaugh, D., Post, R., Suppes, T., Altshuler, L. L., Keck, P. E. Jr, … Nolen W. A. (2005). Comparison of rapidcycling and nonrapidcycling bipolar disorder based on prospective mood ratings in 539 outpatients. The American Journal of Psychiatry, 162(7), 1273–1280.

Lish, J., DimeMeenan, S., & Whybrow, P. (1994). The National Depressive and ManicDepressive Association (DMDA) survey of bipolar members Journal of Affective Disorders, 31, 28194.

Lolich, M., Vázquez, G., & Leiderman, E. (2010). Primer episodio psicótico en trastorno bipolar: diferenciación clínica e impacto funcional en una muestra argentina. Vertex, 11(94), 418–427.

Marneros, A., Deister A., & Rohde A. (1990). The concept of distinct but voluminous groups of bipolar and unipolar diseases. European Archives of Psychiatry and Clinical Neuroscience, 240(2), 77–84.

Merikangas, K., Akiskal, H., Angst J., Greenberg, P. E., Hirschfeld, R. M., Petukhova, M., & Kessler, R. C. (2007). Lifetime and 12month prevalence of bipolar spectrum disorder in the national comorbidity survey replication. Archives of General Psychiatry, 64(5), 543–552

Nordentoft, M., Mortensen, P., & Pedersen, C. (2011). Absolute risk of suicide after first hospital contact in mental disorder. Archives of General Psychiatry, 68(10), 1058–1064.

Organización Mundial de la Salud (1992). Clasificación Internacional de Enfermedades y Problemas Relacionados con la Salud, Décima Revisión. Ginebra: OMS.

Perlis, R. (2005). Misdiagnosis of bipolar disorder. The American Journal of Managed Care, 11(9 Suppl), S271–274 .

Perlis, R., Miyahara, S., Marangell, L. B., Wisniewski, S. R., Ostacher, M., DelBello, M. P., … STEPBD Investigators (2004). Longterm implications of early onset in bipolar disorder: Data from the first 1.000 participants in the Systemic Treatment Enhancement Program for Bipolar Disorder (STEPBD). Biological Psychiatry, 55(9), 875–881.

Rosa, A., Bonnín C., Vázquez G., Reinares, M., Solé, B., Tabarés–Seisdedos, R., …Vieta, E. (2010). Functional impairment in bipolar II: Is it as disabling as bipolar I? Journal of Affective Disorders, 127(13), 71–76.

Strejilevich, S. & Retamal Carrasco, P. (2003). Percepción del impacto y del proceso diagnóstico del trastorno bipolar de personas en tratamiento en centros de Argentina y Chile. Vertex, 14(54), 245–252.

Strejilevich, S., Vázquez G., Garcia Bonetto G., Zaratiegui, R., Vilaprino, J. J., Herbst, L., … CetkovichBakmas, M. (2010). 2º Consenso Argentino sobre el Tratamiento de los Trastornos Bipolares. Vertex, 21(Suplemento especial), 255.

Swann, A., Lafer, B., Perugi, G., Frye, M. A., Bauer, M., Bahk, W. M., … Suppes, T. (2012). Bipolar Mixed States: An International Society for Bipolar Disorders Task Force Report of Symptom Structure, Course of Illness, and Diagnosis. AiA The American Journal of Psychiatry, 170(19), 31–42.

Tondo, L., Vázquez, G., & Baldessarini, R. (2010). Mania associated with antidepressant treatment: comprehensive metaanalytic review. Acta Psychiatrica Scandinavica, 121(6), 404–414.

Vázquez, G. H., Strejilevich, S., Garcia Bonetto G., CetkovichBakmas, M., Zaratiegui, R., Lagomarsino, A., … Gutierrez, B. (2005). Consenso Argentino sobre el Tratamiento de los Trastornos Bipolares. Vertex, 16(Suplemento especial), 324.

Vazquez, G., Baldessarini, R., & Tondo, L. (2014). Cooccurrence of anxiety and bipolar disorders: Clinical and therapeutic overview. Depression and Anxiety, 31, 196–206.

Vázquez, G., Lolich, M., Leiderman, E., Tondo, L., & Baldessarini, R. (2012). AgeatOnset of 648 Patients with Major Affective Disorders: Clinical and Prognostic Implications. Mind & Brain, The Journal of Psychiatry, 3(2),17

Vieta, E., & Suppes, T. (2008). Bipolar II disorder: arguments for and against a distinct diagnostic entity. Bipolar Disorders, 10, 163–178.

Vieta, E., Angst, J., Reed, C., Bertsch, J., Haro, J., & EMBLEM Advisory Board (2009). Predictors of switching from mania to depression in a large observational study across Europe (EMBLEM). Journal of Affective Disorders, 118, 118–123.

Published
2014-12-01
How to Cite
Vázquez, G. H. (2014). Bipolar disorders today: beyond DSM-5. Psicodebate, 14(2), 9-24. https://doi.org/10.18682/pd.v14i2.353