PMID- 12792837
OWN - NLM
STAT- MEDLINE
DCOM- 20030703
LR  - 20061115
IS  - 1300-2163 (Print)
IS  - 1300-2163 (Linking)
VI  - 14
IP  - 1
DP  - 2003 Spring
TI  - [Phenomenological differences between adolescent and adult onset mania: a 
      comparative study].
PG  - 21-30
AB  - OBJECTIVE: The aim of this study is to determine the relationship between age of 
      onset and phenomenology of bipolar affective disorder (mania). METHOD: The 
      current and retrospective diagnoses of the patients were made according to DSM-IV 
      Bipolar Affective Disorder (mania) criteria. Sociodemographic features, clinical 
      features, type of episode, number and length of hospitalizations were 
      investigated in three groups which were consisted of adolescent-onset adolescents 
      (n=60), adolescent-onset adults (n=60) and adult-onset adults (n=60). The groups 
      were determined according to age of onset and current age categories. All 
      patients have been assessed by Structured Clinical Interview for DSM-IV-Clinical 
      Version (SCID-I), Young Mania Rating Scale (YMRS), Hamilton Depression Rating 
      Scale (HAM-D) and Scale for the Assessment of Positive Symptoms (SAPS). RESULTS: 
      The groups were consisted of equal numbers of women and men. Rate of single 
      (%51.7) and divorced patients (%21.7), rate of unemployment status (%70) were 
      higher in adolescent-onset patients than adult-onsets. Adolescent-onset 
      adolescents and adolescent-onset adults were different from adult-onset patients 
      with respect to mixt episodes (%26.7, %15) and mood congruent or incongruent 
      psychotic features (%35/%50, %31.7/%66.7) and length of hospitalization 
      (23.9+/-4.8, 23.8+/-3.9). CONCLUSION: Adolescent-onset of illness causes higher 
      probability of mixt episodes, psychotic features such as mood congruent or 
      incongruent hallucinations and delusions. This study supports the hypothesis that 
      adolescent-onset mania may be a different subtype than adult-onset mania with 
      respect to type of episode, phenomenology, and clinical features.
FAU - Erkiran, Murat
AU  - Erkiran M
AD  - Uzm., Bakirkoy Prof. Mazhar Osman Ruh Sagligi ve Hastaliklari Egitim ve Arastirma 
      Hastanesi, Istanbul.
FAU - Karamustafalioglu, Nesrin
AU  - Karamustafalioglu N
FAU - Tomruk, Nesrin
AU  - Tomruk N
FAU - Kahraman, Erdem
AU  - Kahraman E
FAU - Alpay, Nihat
AU  - Alpay N
LA  - tur
PT  - English Abstract
PT  - Journal Article
TT  - Ergen ve eriskin baslangicli maninin fenomenolojik farkliliklari: karsilastirmali 
      bir calisma.
PL  - Turkey
TA  - Turk Psikiyatri Derg
JT  - Turk psikiyatri dergisi = Turkish journal of psychiatry
JID - 9425936
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Age of Onset
MH  - Bipolar Disorder/diagnosis/*epidemiology/etiology/pathology
MH  - Female
MH  - Hospitalization
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Medical Records
MH  - Middle Aged
MH  - Prospective Studies
MH  - Psychiatric Status Rating Scales
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Turkey/epidemiology
EDAT- 2003/06/07 05:00
MHDA- 2003/07/04 05:00
CRDT- 2003/06/07 05:00
PHST- 2003/06/07 05:00 [pubmed]
PHST- 2003/07/04 05:00 [medline]
PHST- 2003/06/07 05:00 [entrez]
AID - 420 [pii]
PST - ppublish
SO  - Turk Psikiyatri Derg. 2003 Spring;14(1):21-30.