First episode in bipolar disorder: Misdiagnosis and psychotic symptoms

Ana Gonzalez-Pinto; Miguel Gutierrez; Fernando Mosquera; Javier Ballesteros; Purificacion Lopez; Jesus Ezcurra; Juan L. Figuerido; Jose De Leon

doi:10.1016/S0165-0327(98)00032-9

First episode in bipolar disorder: Misdiagnosis and psychotic symptoms

Ana Gonzalez-Pinto, Miguel Gutierrez, Fernando Mosquera, Javier Ballesteros, Purificacion Lopez, Jesus Ezcurra, Juan L. Figuerido, Jose De Leon

Research output: Contribution to journal › Article › peer-review

81 Scopus citations

Abstract

Background: This study explores factors that can influence other psychotic diagnoses in the first episode of a DSM-III-R bipolar disorder. Methods: It includes all 163 bipolar in-patients and out-patients in the state of Alava, North of Spain (Basque country) from February 1994 to May 1996. Patients were divided into two non-overlapping groups: unstable diagnoses, bipolars with an initial diagnosis of schizophrenia (or other psychosis), and stable diagnoses of bipolar disorder. Results: A logistic regression analysis using marital status, age at onset and mood incongruent psychotic symptoms found that the latter was the only independent factor significantly associated with an unstable diagnosis.

Original language	English
Pages (from-to)	41-44
Number of pages	4
Journal	Journal of Affective Disorders
Volume	50
Issue number	1
DOIs	https://doi.org/10.1016/S0165-0327(98)00032-9
State	Published - Jul 1 1998

Bibliographical note

Funding Information:
The study of bipolar patients was supported by two Spanish Grants: one from the Spanish Government (Fondo de Investigaciones Sanitarias) and one from the Basque Government.

Keywords

Age at onset
Bipolar disorder
Psychotic symptoms
Stability of diagnosis

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/S0165-0327(98)00032-9

Cite this

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title = "First episode in bipolar disorder: Misdiagnosis and psychotic symptoms",

abstract = "Background: This study explores factors that can influence other psychotic diagnoses in the first episode of a DSM-III-R bipolar disorder. Methods: It includes all 163 bipolar in-patients and out-patients in the state of Alava, North of Spain (Basque country) from February 1994 to May 1996. Patients were divided into two non-overlapping groups: unstable diagnoses, bipolars with an initial diagnosis of schizophrenia (or other psychosis), and stable diagnoses of bipolar disorder. Results: A logistic regression analysis using marital status, age at onset and mood incongruent psychotic symptoms found that the latter was the only independent factor significantly associated with an unstable diagnosis.",

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author = "Ana Gonzalez-Pinto and Miguel Gutierrez and Fernando Mosquera and Javier Ballesteros and Purificacion Lopez and Jesus Ezcurra and Figuerido, {Juan L.} and {De Leon}, Jose",

note = "Funding Information: The study of bipolar patients was supported by two Spanish Grants: one from the Spanish Government (Fondo de Investigaciones Sanitarias) and one from the Basque Government.",

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T2 - Misdiagnosis and psychotic symptoms

AU - Gonzalez-Pinto, Ana

AU - Gutierrez, Miguel

AU - Mosquera, Fernando

AU - Ballesteros, Javier

AU - Lopez, Purificacion

AU - Ezcurra, Jesus

AU - Figuerido, Juan L.

AU - De Leon, Jose

N1 - Funding Information: The study of bipolar patients was supported by two Spanish Grants: one from the Spanish Government (Fondo de Investigaciones Sanitarias) and one from the Basque Government.

PY - 1998/7/1

Y1 - 1998/7/1

N2 - Background: This study explores factors that can influence other psychotic diagnoses in the first episode of a DSM-III-R bipolar disorder. Methods: It includes all 163 bipolar in-patients and out-patients in the state of Alava, North of Spain (Basque country) from February 1994 to May 1996. Patients were divided into two non-overlapping groups: unstable diagnoses, bipolars with an initial diagnosis of schizophrenia (or other psychosis), and stable diagnoses of bipolar disorder. Results: A logistic regression analysis using marital status, age at onset and mood incongruent psychotic symptoms found that the latter was the only independent factor significantly associated with an unstable diagnosis.

AB - Background: This study explores factors that can influence other psychotic diagnoses in the first episode of a DSM-III-R bipolar disorder. Methods: It includes all 163 bipolar in-patients and out-patients in the state of Alava, North of Spain (Basque country) from February 1994 to May 1996. Patients were divided into two non-overlapping groups: unstable diagnoses, bipolars with an initial diagnosis of schizophrenia (or other psychosis), and stable diagnoses of bipolar disorder. Results: A logistic regression analysis using marital status, age at onset and mood incongruent psychotic symptoms found that the latter was the only independent factor significantly associated with an unstable diagnosis.

KW - Age at onset

KW - Bipolar disorder

KW - Psychotic symptoms

KW - Stability of diagnosis

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First episode in bipolar disorder: Misdiagnosis and psychotic symptoms

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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