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Bipolar Disorders: Mixed States, Rapid-Cycling, and Atypical Forms

Bipolar Disorders: Mixed States, Rapid-Cycling, and Atypical Forms

Bipolar Disorders: Mixed States, Rapid-Cycling, and Atypical Forms

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Chronic 4.8 18.2 9.1 10 NC<strong>Rapid</strong>-cycling depression 69.2 54.0 61.5 48.4 90.5 76.5 98.3 0.0001<strong>Rapid</strong>-cycling (mania depression) 82.2 82.0 61.5 48.4 100 88.2 98.3 0.0001Seasonal depression (fall/winter) 64.1 55.1 61.1 42.9 47.6 47.1 36.0 0.1014Spring depression 20.5 12.2 19.4 3.6 19.1 5.9 4.0 0.0278Summer depression 7.7 2.0 5.6 0 2.4 0 4.0 NC<strong>Atypical</strong> depression DSM-IV 69.2 30.6 52.8 39.3 45.2 35.3 32.0 6.0 0.0001<strong>Atypical</strong> depression: Zurich criteria 82.1 44.9 58.3 42.9 45.2 41.2 34.0 6.0 0.0001Personality ‘‘ups <strong>and</strong> downs’’ 41.0 36.0 20.5 19.4 35.7 23.5 13.3 3.8 0.0126Depressive personality disorder 33.3 8.9 14.3 8.3 29.0 5.9 27.3 4.3 0.0047Anxious personality 33.3 10.0 25.6 4.8 23.8 11.8 16.7 3.8 0.0038Sociopathy (including adulthood) 12.8 8.0 5.1 11.3 4.8 3.3 1.6 NCConduct problems (adolescence) 28.2 47.9 17.1 25.5 24.4 29.4 23.4 20.2 0.0558Thefts 7.7 18.8 17.1 16.0 7.5 23.5 2.2 10.5 NCTruancy 18.0 18.8 8.6 14.0 5.0 8.7 2.1 NCRunaway 10.3 8.3 5.7 8.0 11.8 1.05 NCFrequent fights 5.1 20.8 5.7 6.0 10.0 8.7 5.3 NCOffenses 33.3 24.0 18.0 25.8 11.9 23.5 15.0 6.0 0.2194Freiburg Personality Inventory at age 35 yearsAggressiveness 20.6 18.3 17.8 12.6 19.5 20.4 18.8 14.6 0.6914Extroversion 16.9 19.9 13.9 19.4 17.5 18.0 16.9 18.5 0.0161Neuroticism 20.4 17.5 20.0 16.9 20.5 17.7 18.7 13.1 0.0889Impulsivity/irritability 25.3 21.3 23.0 22.1 22.8 21.2 22.3 17.1 0.0001ComorbidityAnxiety disorders 71.8 58.0 69.2 45.2 50.0 23.5 51.7 13.0 0.0072DSM-III panic disorder 15.4 18.0 20.5 4.8 16.7 5.9 11.7 1.6 0.2314

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