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The concept of distinct but voluminous groups of bipolar and unipolar diseases

III. Bipolar and unipolar comparison
  • A. Marneros
  • A. Deister
  • A. Rohde
Original Articles

Summary

Comparing unipolar diseases (n=121) as one group with bipolar diseases (n=86) as another group (both groups including affective and schizoaffective disorders) relevant differences were found in sex distribution, age at onset, premorbid personality, long-term course and some aspects of long-term outcome. Although building two voluminous groups of “unipolar diseases” and “bipolar diseases” runs some risk of inhomogeneity, this danger could perhaps be limited by referring to the “affective subtype” and the “schizoaffective subtype”.

Key words

Affective disorders Schizoaffective disorders Unipolar diseases Bipolar diseases Premorbid features Long-term course Long-term outcome 

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References

  1. Angst J (1966) Zur Aetiologie und Nosologie endogener depressiver Psychosen. Eine genetische, soziologische und klinische Studie. Springer, Berlin Heidelberg New York (Monographien aus dem Gesamtgebiet der Neurologie und Psychiatrie, Heft 112)Google Scholar
  2. Angst J (1978) The course of affective disorders. II. Typology of bipolar manic-depressive illness. Arch Psychiatr Nervenkr 226:65–73Google Scholar
  3. Angst J (1980a) Verlauf unipolar depressiver, bipolar manisch-depressiver and schizoaffektiver Erkrankungen und Psychosen. Fortschr Neurol Psychiatr 48:3–30Google Scholar
  4. Angst J (1980b) Clinical typology of bipolar illness. In: Belmaker RH, Praag HM van (eds) Mania. An evolving concept. Spectrum, Jamaica, NY, pp 61–76Google Scholar
  5. Angst J (1986a) The course of affective disorders. Psychopathology 19 [Suppl 2]:47–52Google Scholar
  6. Angst J (1986b) The course of major depression, atypical bipolar disorder, and bipolar disorder. In: Hippius H, Klerman GL, Matussek N (eds) New results in depression research. Springer, Berlin Heidelberg New York, pp 26–35Google Scholar
  7. Angst J (1986c) The course of schizoaffective disorders. In: Marneros A, Tsuang MT (eds) Schizoaffective psychoses. Springer, Berlin Heidelberg New York, pp 63–93Google Scholar
  8. Angst J (1989) Der Verlauf schizoaffektiver Psychosen. In: Marneros A (ed) Schizoaffektive Psychosen. Diagnose, Therapie und Prophylaxe. Springer, Berlin Heidelberg New York, pp 47–54Google Scholar
  9. Angst J, Clayton PJ (1986) Premorbid personality of depressive, bipolar, and schizophrenic patients with special reference to suicidal issues. Compr Psychiatry 27:511–532Google Scholar
  10. Angst J, Baastrup P, Grof P, Hippius H, Pöldinger W, Weis P (1973) The course of monopolar depression and bipolar psychoses. Psychaitr Neurol Neurochir 76:489–500Google Scholar
  11. Angst J, Felder W, Lohmeyer R (1986) Course of schizoaffective psychoses: results of a follow-up study. Schizophr Bull 6:579–585Google Scholar
  12. Coryell W, Winokur G (1984) Depression spectrum disorders: clinical diagnosis and biological implications. In: Post RM, Ballenger JC (eds) Neurobiology of mood disorders. Williams and Wilkins, Baltimore, pp 102–106Google Scholar
  13. Coryell W, Endicott J, Reich T, Andreasen NC, Keller MB (1984) A family study of bipolar II disorder. Br J Psychiatry 145:49–54Google Scholar
  14. Deister A, Marneros A, Rohde A, Staab B, Jünemann H (1990) Long-term outcome of affective, schizoaffective and schizophrenic disorders — a comparison. In: Marneros A, Tsuang MT (eds) Affective and schizoaffective disorders. Similarities and differences. Springer, Berlin Heidelberg New York, pp 157–167Google Scholar
  15. Dunner DL (1980) Unipolar and bipolar depression: recent findings from clinical and biologic studies. In: Mendels J, Amsterdam JD (eds) The psychobiology of affective disorders. Karger, Basel, pp 11–24Google Scholar
  16. Dunner DL, Fleiss JL, Fieve RR (1976) The course of development of mania in patients with recurrent depression. Am J Psychiatry 133:905–908Google Scholar
  17. Kendell RE (1986) The relationship of schizoaffective illnesses to schizophrenic and affective disorders. In: Marneros A, Tsuang MT (1986) Schizoaffective psychoses. Springer, Berlin Heidelberg New York, pp 18–30Google Scholar
  18. Klerman GL (1981) The spectrum of mania. Compr Psychiatry 22:11–20Google Scholar
  19. Maj M (1985) Clinical course and outcome of schizoaffective disorders: a three-year follow-up study. Acta Psychiatr Scand 72:542–550Google Scholar
  20. Maj M, Perris C (1985) An approach to the diagnosis and the classification of schizoaffective disorders for research purposes. Acta Psychiatr Scand 72:405–413Google Scholar
  21. Marneros A, Tsuang MT (eds) (1986) Schizoaffective psychoses. Springer, Berlin Heidelberg New YorkGoogle Scholar
  22. Marneros A, Tsuang MT (eds) (1990) Affective and schizoaffective disorders. Similarities and differences. Springer, Berlin Heidelberg New YorkGoogle Scholar
  23. Marneros A, Deister A, Rohde A, Jünemann H, Fimmers R (1988a) Long-term course of schizoaffective disorders. I. Definitions, methods, frequency of episodes and cycles. Eur Arch Psychiatry Neurol Sci 237:264–275Google Scholar
  24. Marneros A, Rohde A, Deister A, Jünemann H, Fimmers R (1988b) Long-term course of schizoaffective disorders. II. Length of cycles, episodes, and intervals. Eur Arch Psychiatry Neurol Sci 237:276–282Google Scholar
  25. Marneros A, Rohde A, Deister A, Fimmers R, Jünemann H (1988c) Long-term course of schizoaffective disorders. III. Onset, type of episodes and syndrome shift, precipitating factors, suicidality, seasonality, inactivity of illness, and outcome. Eur Arch Psychiatry Neurol Sci 237:283–290Google Scholar
  26. Marneros A, Deister A, Rohde A (1989a) Unipolar and Bipolar schizoaffective disorders: a comparative study. I. Premorbid and sociodemographic features. Eur Arch Psychiatry Neurol Sci 239:158–163Google Scholar
  27. Marneros A, Rohde A, Deister A (1989b) Unipolar and Bipolar schizoaffective disorders: a comparative study. II. Long-term course. Eur Arch Psychiatry Neurol Sci 239:164–170Google Scholar
  28. Marneros A, Deister A, Rohde A, Jünemann H (1989c) Unipolar and bipolar schizoaffective disorders: A comparative study. III. Long-term outcome. Eur Arch Psychiatry Neurol Sci 239:171–176Google Scholar
  29. Marneros A, Deister A, Rohde A (1989d) Quality of affective symptomatology and its importance for the definition of schizoaffective disorders. Psychopathology 22:152–160Google Scholar
  30. Marneros A, Rohde A, Deister A, Steinmeyer EM (1989e) Prämorbide und soziale Merkmale von Patienten mit schizoaffektiven Psychosen. Fortschr Neurol Psychiatr 57:205–212Google Scholar
  31. Perris C (1966) A study of bipolar (manic-depressive) and unipolar recurrent depressive psychoses. Acta Psychiatr Scand [Suppl] 194:1–189Google Scholar
  32. Perris C (1969) The separation of bipolar (manic-depressive) from unipolar recurrent depressive psychoses. Behav Neuropsychiatry 1:17–24Google Scholar
  33. Perris C (1982) The distinction between bipolar and unipolar affective disorders. In: Paykel ES (ed) Handbook of affective disorders. Churchill Livingstone, Edinburgh, pp 45–58Google Scholar
  34. Rohde A, Marneros A, Deister A, Jünemann H, Staab B (1990) Course of affective and schizoaffective disorders. In: Marneros A, Tsuang MT (Eds) Affective and schizoaffective disorders. Similarities and differences. Springer, Berlin Heidelberg New York, pp 146–156Google Scholar
  35. Winokur G (1972) Depression spectrum disease: description and family study. Comp Psychiatr 13:3–8Google Scholar
  36. Winokur G, Clayton PJ (1967) Family history studies. I. Two types of affective disorders separated according to genetic and clinical factors. In: Wortis J (ed) Recent advances in biological psychiatry, vol. 9. Plenum Press, New York pp 35–50Google Scholar
  37. Winokur G, Kadramas A, Crowe R (1986) Schizoaffective mania: family history and clinical characteristics. In: Marneros A, Tsuang MT (eds) Schizoaffective psychoses. Springer, Berlin Heidelberg New York, pp 115–122Google Scholar
  38. Winokur G, Black DW, Nasrallah A (1990) The schizoaffective continuum: non-psychotic, mood congruent, and mood incongruent. In: Marneros A, Tsuang MT (eds) Affective and schizoaffective disorders. Similarities and differences. Springer, Berlin Heidelberg New York, pp 23–32Google Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • A. Marneros
    • 1
  • A. Deister
    • 1
  • A. Rohde
    • 1
  1. 1.Psychiatric Department of the University of BonnBonn 1Federal Republic of Germany

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