The bipolar disorder prodrome revisited: Is there a symptomatic pattern?

Zeschel, Eike; Correll, Christoph U.; Haussleiter, Ida S.; Krüger‐Özgürdal, Seza; Leopold, Karolina; Pfennig, Andrea; Bechdolf, Andreas; Bauer, Michael; Juckel, Georg

doi:10.1016/j.jad.2013.06.043

Cited by 33 publications

(27 citation statements)

References 37 publications

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“…However, more specifically for music, Aust and colleagues (Aust et al, 2013) failed to find any differences in the emotional experience of music in remitted patients with unipolar depression.. Concerning the emotional experience of tension, Zeschel and colleagues (Zeschel et al, 2013) showed that 76.2% of the 42 patients with BD included in their study exhibited physical agitation during their euthymic periods. Although we did not find in our results that BD patients would be more stressed in general, we observed that patients with BD felt more agitated or tense than healthy participants when listening to music inducing wonder or joy.…”

Section: Discussionmentioning

confidence: 94%

“…Although we did not find in our results that BD patients would be more stressed in general, we observed that patients with BD felt more agitated or tense than healthy participants when listening to music inducing wonder or joy. BD Zeschel and colleagues (Zeschel et al, 2013) showed that 76.2% of the 42 patients with BD included in their study exhibited physical agitation during their euthymic periods. patients' increased sensitivity to emotional stimuli and their inability to adequately control their emotional responses presumably also exacerbate their agitation when they are exposed to positive emotional stimuli (Phillips et al, 2008).…”

Section: Discussionmentioning

confidence: 95%

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Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

Choppin

Trost

Dondaine

et al. 2016

Journal of Affective Disorders

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a b s t r a c tBackground: Research has shown bipolar disorder to be characterized by dysregulation of emotion processing, including biases in facial expression recognition that is most prevalent during depressive and manic states. Very few studies have examined induced emotions when patients are in a euthymic phase, and there has been no research on complex emotions. We therefore set out to test emotional hyperreactivity in response to musical excerpts inducing complex emotions in bipolar disorder during euthymia. Methods: We recruited 21 patients with bipolar disorder (BD) in a euthymic phase and 21 matched healthy controls. Participants first rated their emotional reactivity on two validated self-report scales (ERS and MAThyS). They then rated their music-induced emotions on nine continuous scales. The targeted emotions were wonder, power, melancholy and tension. We used a specific generalized linear mixed model to analyze the behavioral data. Results: We found that participants in the euthymic bipolar group experienced more intense complex negative emotions than controls when the musical excerpts induced wonder. Moreover, patients exhibited greater emotional reactivity in daily life (ERS). Finally, a greater experience of tension while listening to positive music seemed to be mediated by greater emotional reactivity and a deficit in executive functions. Limitations: The heterogeneity of the BD group in terms of clinical characteristics may have influenced the results. Conclusions: Euthymic patients with bipolar disorder exhibit more complex negative emotions than controls in response to positive music.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 95%

Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

Choppin

Trost

Dondaine

et al. 2016

Journal of Affective Disorders

View full text Add to dashboard Cite

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“…A fase maníaca possui como características, principalmente, o humor elevado ou eufórico, o aumento de energia e a diminuição da necessidade do sono. 23 Quanto aos dois transtornos alimentares mais associados à obesidade (TCC e BN), em ambos se encontra o consumo excessivo e repetido de grandes quantidades de comida, em curto período de tempo, acompanhado pela sensação subjetiva de perda de controle, seguidos de culpa. 24 Na BN, os episódios de compulsão alimentar provocam comportamentos compensatórios inapropriados, como a indução de vômitos.…”

Section: Como Identificar Os Pacientes Com Transtorno Mentalunclassified

Obesidade e transtornos mentais: construindo um cuidado efetivo

Melca

Fortes

2014

Revista Hospital Universitário Pedro Ernesto

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ResumoOs processos de saúde e adoecimento são influenciados por fatores biológicos, psicológicos e sociais. A obesidade é comumente associada aos transtornos mentais, como depressão e ansiedade. Esta associação é constatada em ambas as direções. Transtornos mentais, como os alimentares, a depressão e ansiedade, favorecem o desenvolvimento da obesidade, assim como a obesidade aumenta a incidência dos transtornos mentais. Quando ocorre a ruptura da estabilidade e da homeostase pelo estresse crônico e fatores determinados geneticamente, pelo meio ambiente e pelas relações afetivas e suporte psicossocial, há uma sobrecarga alostática. Através desta sobrecarga alteram-se múltiplos sistemas e surgem doenças clínicas, como hipertensão, diabetes, síndrome metabólica e também doenças psíquicas, tais como a depressão e a ansiedade. O diagnóstico dos transtornos mentais é feito pela combinação de sintomas, queixas somáticas e psíquicas. Queixas físicas por vezes inexplicáveis e sintomas genéricos como humor depressivo, tristeza, impaciência, irritação, inquietação, além da alteração do sono e do apetite, podem estar presentes em diversos transtornos físicos ou mentais. Essa combinação muitas vezes dificulta o correto diagnóstico em pacientes obesos. Os profissionais da atenção básica devem alertar-se para queixas físicas e para os sofrimentos psíquicos presentes em quadros orgânicos. A compreensão dos efeitos fisiopatoló-gicos do estresse e dos transtornos mentais no adoecimento físico reforça a necessidade de que o cuidado efetivo às doenças crônicas não transmissíveis, incluindo a obesidade, seja organizado a partir de modelos que possam abordar também estes aspectos. O tratamento necessita ser integral para que o cuidado seja realmente efetivo. Deve ser centrado na pessoa, na família e na comunidade ao invés de se organizar ao redor da doença. Isso é fundamental no tratamento da obesidade, pois esta se relaciona diretamente a hábitos de vida, estado emocional e nível de estresse, dependendo de uma transformação do indivíduo e de sua forma de viver para que se alcance a resposta desejada. Através dessa abordagem, a atenção básica pode promover a saúde e prevenir agravos. Descritores:Obesidade; Transtorno da compulsão alimentar; Carga alostática; Atenção primária à saúde. AbstractHealth and disease processes are developed due to biological, psychological and social determinants. Obesity is usually associated with mental disorders, such as depression and anxiety. This association is evidenced in both directions. Mental disorders, such as depression, anxiety and eating disorders, contribute to the development of obesity, as well as obesity increases the incidence of mental disorders. When stability and homeostasis are disrupted, due to chronic stress and factors such as genetics, environment, affective relationships and psychosocial support, allostatic overload is evidenced. Through this overload, multiple systems are misbalanced and clinical diseases, such as hypertension, diabetes and metabolic syndrome, and mental disord...

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“…For example, some authorities have argued that paediatric bipolar disorder is not characterized by typical adult cyclicity but instead has more 'mixed' features that occur more chronically. But prodromal research in first-episode mania cohorts, as well as in cohorts of offspring of bipolar subjects, has thus far failed to identify evidence for a prototypical paediatric bipolar phenotype (Conus et al, 2010;Duffy, 2009;Zeschel et al, 2013). This has made this diagnosis difficult to apply with any meaningful specificity (Cahill et al, 2007).…”

Section: Coming Of Agementioning

confidence: 99%