Affective Disorders

  • Charles Van Valkenburg
  • Hagop S. Akiskal
Chapter

Abstract

Transient feelings of depression are a universal experience, and depressed mood is easy to recognize. The outward expression or affect of depression is on a continuum with normal experience, and even when a depressive state has a known organic precipitant (e.g., reserpine toxicity), the observable change in affect is usually more one of degree than of quality.

Keywords

Affective Disorder Personality Disorder Panic Disorder Panic Attack Pelvic Inflammatory Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. Akiskal, H. S. (1981). Subaffective disorders: Dysthymic, cyclothymic, and Bipolar II disor-ders in the “borderline” realm. Psychiatric Clinics of North America, 4, 25–46.PubMedGoogle Scholar
  2. Akiskal, H. S. (1982). Affective disorders. In R. Berkow (Ed.), Merck manual of diagnosis and therapy (pp. 1448–1462 ). New Jersey: Merck, Sharp, and Dohme Research Labora-tories.Google Scholar
  3. Akiskal, H. S. (1983). Diagnosis and classification of affective disorders: New insights from clinical and laboratory approaches. Psychiatric Developments, 1, 123–160. (a)Google Scholar
  4. Akiskal, H. S. (1983). Dysthymic disorder: Psychopathology of proposed chronic depressive subtypes. American Journal of Psychiatry, 140, 11–20. (b)Google Scholar
  5. Akiskal, H. S. (1983). The bipolar spectrum: New concepts in classification and diagnosis. In L. Grinspoon (Ed.), Psychiatry update: The American Psychiatric Association annual review, II, Washington, DC: American Psychiatric Association. (c)Google Scholar
  6. Akiskal, H. S. (1984). The boundaries of affective disorders: Implications for defining temperamental variants, atypical subtypes, and schizoaffective disorders. In G. Tischler (Ed.), DSM-III: An interim appraisal. Washington, DC: American Psychiatric Association.Google Scholar
  7. Akiskal, H. S., Cassano, G. B. (1983). The impact of therapeutic advances in widening the nosologic boundaries of affective disorders: Clinical and research implications. Pharmacopsychiatria, 16, 111–118.PubMedCrossRefGoogle Scholar
  8. Akiskal, H. S., McKinney, W. T. (1975). Overview of recent research in depression: Integration of ten conceptual models into a comprehensive clinical frame. Archives of General Psychiatry, 32, 285–305.Google Scholar
  9. Akiskal, H. S., Puzantian, V. R. (1979). Psychotic forms of depression and mania. Psychiatric Clinics of North America, 2, 419–439.Google Scholar
  10. Akiskal, H. S., Tashjian, R. (1983). Affective disorders: Part II. Recent advances in laboratory and pathogenetic approaches. Hospital and Community Psychiatry, 34, 82 2830.Google Scholar
  11. Akiskal, H. S., Webb, W. L. (Eds.). (1978). Psychiatric diagnosis: Exploration of biological predictors. New York: Spectrum Publications.Google Scholar
  12. Akiskal, H. S., Djenderedjian, A. H., Rosenthal, R. H., Khani, M. K. (1977). Cyclothymic disorder: Validating criteria for inclusion in the bipolar affective group. American Journal of Psychiatry, 134, 1227–1233.Google Scholar
  13. Akiskal, H. S., Bitar, A. H., Puzantian, V. R., Rosenthal, T. L., Walker, P. W. (1978). The nosological status of neurotic depression: A prospective three-to-four year examination in light of the primary-secondary and unipolar-bipolar dichotomies. Archives of General Psychiatry, 35, 756–766.PubMedCrossRefGoogle Scholar
  14. Akiskal, H. S., Khani, M. K., Scott-Strauss, A. (1979). Cyclothymic temperamental disorders. Psychiatric Clinics of North America, 2, 527–554.Google Scholar
  15. Akiskal, H. S., Rosenthal, R. H., Rosenthal, T. L., Kashgarian, M., Khani, M. K., Puzantian, V. R. (1979). Differentiation of primary affective illness from situational symptomatic and secondary depressions. Archives of General Psychiatry, 36, 635–643.Google Scholar
  16. Akiskal, H. S., Rosenthal, T. L., Haykal, R. F., Lemmi, H., Rosenthal, R. H., Scott-Strauss, A. (1980). Characterological depressions: Clinical and sleep EEG findings separating “subaffective dysthymias” from “character-spectrum” disorders. Archives of General Psychiatry, 37, 777–783.PubMedCrossRefGoogle Scholar
  17. Akiskal, H. S., Walker, P. W., Puzantian, V. R., King, D., Rosenthal, T. L., Dranon, M. (1983). Bipolar outcome in the course of depressive illness: Phenomenologic, familial and pharmacologic predictors. Journal of Affective Disorders, 5, 115–128.Google Scholar
  18. Akiskal, H. S., Lemmi, H., Dickson, H., King, D., Yerevanian, B. I., VanValkenburg, C. (1984). Chronic depressions: Part 2. Sleep EEG differentiation of primary dysthymic disorders from anxious depressions. Journal of Affective Disorders, 6, 287–295.Google Scholar
  19. Akiskal, H. S., Yerevanian, B. I., Davis, G. C., King, D., Lemmi, H. (1985). The nosologic status of borderline personality: Clinical and polysomnographic study.Google Scholar
  20. American Journal of Psychiatry.Google Scholar
  21. American Psychiatric Association. (1980). Diagnostic and statistical Manual of Mental disorders (3d ed.) Washington, DC: Author.Google Scholar
  22. Andreasen, N. C., Canter, A. (1974) The creative writer: Psychiatric symptoms and family history. Comprehensive Psychiatry, 15, 123–131.Google Scholar
  23. Beck, A. (1967), Depression: Clinical, experimental and theoretical aspects. New York: Harper Row.Google Scholar
  24. Carlson, G. A., Goodwin, F. K. (1978). The stages of mania: A longitudinal analysis of the manic episode. Archives of General Psychiatry, 28, 221–228.Google Scholar
  25. Carroll, B. J. (1982). Clinical applications of the dexamenthasone suppression test for endogenous depression. Pharmacopsychiatria, 15, 12–24.CrossRefGoogle Scholar
  26. Davidson, J. R. T., Miller, R. D., Turnbull, C. D., Sullivan, J. L. (1982). Atypical depression. Archives of General Psychiatry, 39, 527–534.CrossRefGoogle Scholar
  27. Depue, R. A., Slater, J. R., Wolfsetter-Kaush, M., Klein, D., Coplerud, E., Farr, D. (1981). A biobehavioral paradigm for identifying persons at risk for bipolar depressive disorders: A conceptual framework and five validation studies. Journal of Abnormal Psychology Monograph, 90, 381–437.Google Scholar
  28. Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G., Munoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–63.Google Scholar
  29. Fieve, R. R., Dunner, D. L., (1975). Unipolar and bipolar affective states. In F. Flach S. Draghi (Eds), The nature and treatment of depression. New York: Wiley.Google Scholar
  30. Goodwin, D. W., Guze, S. B. (1984). Psychiatric diagnosis (3rd ed.) New York: Oxford University Press.Google Scholar
  31. Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.Google Scholar
  32. Jamison, K. R., Akiskal, H. S. (1983). Medication compliance in patients with bipolar disorders. Psychiatric Clinics of North America, 6, 175–192.Google Scholar
  33. Klerman, G. I. (1983). Psychotherapies and somatic therapies in affective disorders. Psychiatric Clinics of North American, 6, 85–103.Google Scholar
  34. Kupfer, D. J., Thase, M. E. (1983). The use of the sleep laboratory in the diagnosis of affective disorders. Psychiatric Clinics of North America, 6, 3–40.Google Scholar
  35. Kupfer, D. J., Pickar, D., Himmelhoch, J. M., Detre, T. (1975). Are there two types of unipolar depression? Archives of General Psychiatry, 32, 866–871.Google Scholar
  36. Leckman, J. R., Weissman, M. W., Merikangas, K. R., Paula, D. L., Prusoff, B. A. (1983). Panic disorders and major depression: Increased risk of depression, alcoholism, panic and phobic disorders in families of depressed probands with panic disorder. Archives of General Psychiatry, 40, 1055–1060.Google Scholar
  37. Liebowitz, M., Klein, D. (1979). Hysteroid dysphoria. Psychiatric Clinics of North America, 2, 555–575.Google Scholar
  38. Robins, E., Guze, S. B. (1972). Classification of affective disorders: The primary-secondary, the endogenous-reactive and the neurotic-psychotic concepts. In T. A. Williams, M. M. Katz, J. A. Shields (Eds.), Recent advances in the psychobiology of the depressive illness. Washington, DC: US Government Printing Office.Google Scholar
  39. Rosenthal, T. L., Akiskal, H. S., Scott-Strauss, A., Rosenthal, R. H., David, M. (1981). Familial and developmental factors in characterological depressions. Journal of Affective Disorders, 3, 183–192.Google Scholar
  40. Sheard, M. H., Marini, J. L. (1978). Treatment of human aggressive behavior: Four case studies of the effect of lithium. Comprehensive Psychiatry, 19, 37–45.Google Scholar
  41. Spitzer, R., Endicott, Jr., Robins, E. (1979). Research diagnostic criteria (RDC) for a selected group of functional disorders ( 4th ed. ). New York: Biometrics Research Division, New York Psychiatric Institute.Google Scholar
  42. Stone, M. H. (1979). Contemporary shift of the borderline concept from a schizophrenic disorder to subaffective disorder. Psychiatric Clinics of North America, 3, 517594.Google Scholar
  43. VanValkenburg, C., Akiskal, H. S., Puzantian, V. R., Rosenthal, T. L. (1984). AnxiousGoogle Scholar
  44. depressions—Clinical, family history, and naturalistic outcome comparisons with panic and major depressive disorders. Journal of Affective Disorders,6, 67–82.Google Scholar
  45. Weissman, M. M., Myers, J. K. (1978). Affective disorders in a U.S. urban community. Archives of General Psychiatry, 35, 1304–1311.Google Scholar

Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • Charles Van Valkenburg
    • 1
  • Hagop S. Akiskal
    • 2
  1. 1.Department of PsychiatryUniversity of Minnesota, School of MedicineMinneapolisUSA
  2. 2.Department of PsychiatryUniversity of TennesseeMemphisUSA

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