The role of cyclothymia in atypical depression: Toward a data-based reconceptualization of the borderline-bipolar II connection

Journal of Affective Disorders

Volumn 73, Issue 1-2, 2003, Pages 87-98

  Perugi, Giulio ^a,b   Toni, Cristina ^b   Travierso, Maria Chiara ^a   Akiskal, Hagop S ^c  

^a UNIVERSITY OF PISA   (Italy)

^b G DE LISIO INSTITUTE OF BEHAVIOURAL SCIENCES   (Italy)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Atypical depression; Bipolar II; Borderline personality; Cyclothymic temperament; Interpersonal sensitivity

Indexed keywords

ALCOHOL;

ADULT; AGORAPHOBIA; ALCOHOL ABUSE; ANXIETY DISORDER; ARTICLE; ATYPICAL DEPRESSION; BIPOLAR II DISORDER; BULIMIA; CLINICAL FEATURE; COMORBIDITY; CONTROLLED STUDY; CYCLOTHYMIA; DEMOGRAPHY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PANIC; PARANOIA; PERSONALITY DISORDER; PRIORITY JOURNAL; RATING SCALE; SCORING SYSTEM; TEMPERAMENT;

ADOLESCENT; ADULT; AFFECT; BORDERLINE PERSONALITY DISORDER; CYCLOTHYMIC DISORDER; DEPRESSIVE DISORDER; DISEASE PROGRESSION; FEMALE; HUMANS; MALE; MIDDLE AGED; PERIODICITY; PROGNOSIS;

EID: 0037219475     PISSN: 01650327     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0165-0327(02)00329-4     Document Type: Article

References (70)

1. Akiskal H.S., Djenderedjian A.M., Rosenthal R.H., Khani M.K. Cyclothymic disorder: validating criteria for inclusion in the bipolar affective group. Am. J. Psychiatry. I34:1977;1227-1233.
2. Akiskal H.S., Khani M.K., Scott-Strauss A. Cyclothymic temperamental disorders. Psychiatr. Clin. North Am. 2:1979;527-554.
3. Akiskal H.S. Subaffective disorders: dysthymic, cyclothymic and bipolar II disorders in the 'borderline' realm. Psychiatr. Clin. North Am. 4:1981;25-46.
4. Akiskal H.S., Walker P.W., Puzantian V.R., King D., Rosenthal T.L., Dranon M. Bipolar outcome in the course of depressive illness: Phenomenologic, familial, and pharmacologic predictors. J. Affect. Disord. 5:1983;115-128.
5. Akiskal H.S., Chen S.E., Davis G.C., Puzantian V.R., Kashgarian M., Bolinger J.M. Borderline: an adjective in search of a noun. J. Clin. Psychiatry. 46:1985;41-48.
6. Akiskal H.S., Mallya G. Criteria for the 'soft' bipolar spectrum: treatment implications. Psychopharmacol. Bull. 23:1987;68-73.
7. Akiskal H.S., Akiskal K. Cyclothymic, hyperthymic and depressive temperaments as subaffective variants of mood disorders. Tasman A., Riba M.B. APA Review. 1992;43-62 American Psychiatric Press, Washington, DC.
8. Akiskal H.S. Dysthymic and cyclothymic depressions. Therapeutic considerations. J. Clin. Psychiatry. 55:(4 Suppl.):1994;46-52.
9. Akiskal H.S., Maser J.D., Zeller P.J., Endicott J., Coryell W., Keller M. Switching from 'unipolar' to bipolar II. An 11 year prospective study of clinical and temperamental predictors in 559 patients. Arch. Gen. Psychiatry. 52:1995;114-123.
10. Akiskal H.S., Hantouche E., Bourgeois M., Azorin J.M., Sechter D., Allilaire J.F., Lancrenon S., Fraud J.P., Chatenet-Duchene L. Gender, temperament and the clinical picture in dysphoric mixed mania: Findings from a French national study (EPIMAN). J. Affect. Disord. 50:1998;175-186.
11. Akiskal H.S., Placidi G.F., Signoretta A., Liguori S., Gervasi R., Maremmani I., Mallya G., Puzantian V.R. TEMPS-I: Delineating the most discriminant traits of cyclothymic, depressive, irritable and hyperthymic temperaments in a nonpatient population. J. Affect. Disord. 51:1998;7-19.
12. Akiskal H.S., Pinto O. The evolving bipolar spectrum: Prototypes I, II, III, IV. Psychiatr. Clin. North Am. 22:1999;517-534.
13. Akiskal H.S., Bourgeois M.L., Angst J., Post R., Moller H.J., Hirschfeld R.M.A. Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders. J. Affect. Disord. 59:(Suppl. 1):2000;5s-30s.
14. Alpert K.E., Uebelacker L.A., Mclean N.E., Nierenberg A.A., Pava J.A., Worthington J.J., Tedlow J.R., Rosenbaum J.F., Fava M. Social phobia, avoidant personality disorder and atypical depression: co-occurrence and clinical implications. Psychol. Med. 27:1997;627-633.
15. DSM-III-R: Diagnostic and Statistical Manual of Mental Disorders. 3rd Edition, revised: 1987;American Psychiatric Association, Washington, DC.
16. DSM-IV: Diagnostic and Statistical Manual of Mental Disorders. 4th Edition: 1994;American Psychiatric Association, Washington, DC.
17. Andreasen N.C., Endicott J., Spitzer R.L., Winokur G. The family history method using diagnostic criteria: reliability and validity. Arch. Gen. Psychiatry. 34:1977;229-235.
18. Angst J. The emerging epidemiology of hypomania and bipolar II disorder. J. Affect. Disord. 50:1998;143-151.
19. Angst J., Gamma A., Sellaro R., Zhang H., Merikangas K. The validity of atypical depression in the community: Results of the Zurich cohort study. J. Affect. Disord. 72:2002;125-138.
20. Benazzi F. Prevalence of bipolar II disorder in atypical depression. Eur. Arch. Psychiatry Neurol. Sci. 249:1999;62-65.
21. Benazzi F. Borderline personality disorder and bipolar II disorder in private practice depressed patients. Comp. Psychiatry. 41:2000;106-110.
22. Benazzi F. Exploring aspects of DMS-IV interpersonal sensitivity in bipolar II. J. Affect. Disord. 60:2000;43-46.
23. Benazzi F., Rihmer Z. Sensitivity and specificity of DMS-IV atypical features for bipolar II disorder diagnosis. Psychiatry Res. 93:2000;257-262.
24. Benazzi F. Atypical depression with hypomanic symptoms. J. Affect. Disord. 65:2001;179-183.
25. Benazzi F. Is 4 days the minimum duration of hypomania in bipolar II disorder? Eur. Arch. Psychiatriy Clin. Neurosci. 251:2001;32-34.
26. Cassano G.B., Akiskal H.S., Musetti L., Perugi G., Soriani A., Mignani V. Psychopathology, temperament and past course in primary major depressions. 2. Toward a redefinition of bipolarity with a new semistructured interview for depression. Psychopathology. 22:1989;278-288.
27. Cassano G.B., Akiskal H.S., Savino M., Musetti L., Perugi G. Proposed subtypes of bipolar II and related disorders: with hypomanic episodes (or cyclothymia) and with hyperthymic temperament. J. Affect. Disord. 26:1992;127-140.
28. Davidson J.R.T., Miller R.D., Turnbull C.D., Sullivan J.L. Aytpical depression. Arch. Gen. Psychiatry. 39:1982;527-534.
29. Davidson J., Zysook S., Giller E., Helms M. Symptoms of interpersonal sensitivity in depression. Comp. Psychiatry. 30:1989;357-368.
30. Dell'Osso L., Placidi G.F., Nassi R., Freer P., Cassano G.B., Akiskal H.S. The manic depressive mixed state: familial, temperamental and psychopathologic characteristics in 108 female in patients. Eur. Arch. Psychiatry Neurol. Sci. 240:1991;234-239.
31. Deltito J., Martin L., Riefkohl J., Austria B., Kisselenko A., Corless P., Morse C. Do patients with borderline personality disorder belong to the bipolar spectrum? J. Affect. Disord. 67:2001;221-228.
32. Derecho C.N., Wetzler S., Mcginn L.K., Sandeerson W.C., Asnis G.M. Atypical depression among psychiatric inpatients: clinical features and personality traits. J. Affect. Disord. 39:1996;55-59.
33. Derogatis L.R., Lipman R.S., Covi L. The SCL-90: An outpatient psychiatric rating scale. Psychopharmacol. Bull. 9:1973;13-28.
34. Ebert D., Barocka A. The early course of atypical depression. Eur. Arch. Psych. Neurol. Sci. 241:1991;131-132.
35. Feighner G., Robins E., Guze S.B., Wosdruff R.A., Winokur G., Munoz R. Diagnostic criteria for use in psychiatric research. Arch. Gen. Psychiatry. 26:1972;57-63.
36. First M.B., Spitzer R.L., Gibbon M. Williams J.B.W., Benjamin L. Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Version 2.0. 1994;Biometric Research Department, New York State Psychiatric Institute, New York, NY.
37. Hamilton M. Development of a rating scale for primary depressive illness. Br. J. Soc. Clin. Psychol. 6:1967;278-296.
38. Henry C., Mitropoulou V., New A., Koenigsber H., Silverman J., Siever L. Affective instability and impulsivity in borderline personality and bipolar II disorders: similarities and differences. J. Psychiatr. Res. 35:2001;307-312.
39. Himmelhoch J.M., Thase M.E. The vagaries of the concept of atypical depression. Howells J.G. Modern Perspectives in the Psychiatry of the Affective Disorders. 1989;223-242 Plenum Press, New York.
40. Himmeloch J.M., Thase M.E., Mallinger A.G., Houck P. Tranylcypromine versus imipramine in anergic bipolar depression. Am. J. Psychiatry. 48:1991;I90-I96.
41. Horwath E., Johnson J., Weissman M.M., Hornig C.D. The validity of major depression with atypical features based on a community study. J. Affect. Disord. 26:1992;117-126.
42. International Classification of Diseases and Related Health Problems, 10th revision. 1992;World Health Organization, Geneva.
43. Kraepelin, E., 1899/1921. Manic depressive insanity and paranoia. Edunburgh: ES Livingstone.
44. Levitan R.D., Kaplan A.S., Levitt A.J., Joffe R.T. Seasonal fluctuations in mood and eating behavior in bulimia nervosa. Int. J. Eating Disord. 16:1994;255-299.
45. Levitan R.D., Rector N.A., Bagby R.M. Negative attributional style in seasonal and nonseasonal depression. Am. J. Psychiatry. 155:1998;428-430.
46. Levitt A.J., Joffe R.T., Ennis J., MacDonald C., Kutcher S.P. The prevalence of cyclothymia in borderline personality disorder. J. Clin. Psychiatry. 51:1990;335-339.
47. Liebowitz M.R., Klein D.F. Hysteroid dysphoria. Psychiatr. Clin. North Am. 2:1979;555-575.
48. Liebowitz M.R., Quitkin F.M., Stewart J.W., McGrath P.J., Harrison W.M., Markowiz J.S. Antidepressant specificity in atypical depression. Arch. Gen. Psychiatry. 45:1988;129-137.
49. Manning J.S., Haykal R.F., Connor P.D., Akiskal H.S. On the nature of depressive and anxious states in a family practice setting: the high prevalence of bipolar II and related disorders in a cohort followed longitudinally. Comp. Psychiatry. 38:1997;102-108.
50. Perugi and Akiskal. Are Bipolar II, Atypical Depression, and Borderline Personality overlapping manifestations of a common cyclothymic-sensitive diathesis? J. Clin. Psychiatry, in press.
51. Perugi G., Musetti L., Simonini E., Piagentini F., Cassano G.B., Akiskal H.S. Gender-mediated clinical features of depressive illness. The importance of temperamental differences. Br. J. Psychiatry. 157:1990;835-841.
52. Perugi G., Giannotti D., Di Vaio S., Frare F., Saettoni M., Cassano G.B. Fluvoxamine in the treatment of body dysmorphic disorder (dysmorphophobia). Int. Clin. Psychopharmacol. 11:1996;247-254.
53. Perugi G., Akiskal H.S., Micheli C., Musetti L., Paiano A. Clinical subtypes of bipolar mixed states: validating a broader European definition in 143 cases. J. Affect. Disord. 43:1997;169-180.
54. Perugi G., Akiskal H.S., Lattanzi L., Cecconi D., Mastrocinque C., Patronelli A., Vignoli S., Bemi E. The high prevalence of soft bipolar (II) features in atypical depression. Comp. Psychiatry. 39:1998;1-9.
55. Perugi G., Toni C., Akiskal H.S. Anxious-Bipolar comorbidity: diagnostic and treatment challenges. Psychiatr. Clin. North Am. 22:(3):1999;565-583.
56. Perugi G., Micheli C., Akiskal H.S., Madaro D., Socci C., Quilici C., Musetti L. Polarity of the first episode, clinical characteristics, and course of manic depressive illness: A systematic retrospective investigation of 320 bipolar I patients. Comp. Psychiatry. 41:2000;13-18.
57. Perugi G., Maremmani I., Toni C., Madaro D., Mata B., Akiskal H.S. The contrasting influence of depressive and hyperthymic temperament on psychometrically derived manic subtypes. Psych. Res. 101:2001;249-258.
58. Phillips K.A., Nierenberg A.A., Brendel G., Fava M. Prevalence and clinical features of body dysmorphic disorder in atypical major depression. J. Nerv. Ment. Dis. 184:(2):1996;125-129.
59. Placidi G.F., Signoretta A., Liguori S., Gervasi R., Maremmani I., Akiskal H.S. The Semi-Structured Affective Temperament Interview (TEMPS-I): Reliability and psychometric properties in 1010 14-26 year students. J. Affect. Disord. 47:1998;1-10.
60. Quitkin F.M., Stewart J.W., McGrath P.J., Liebowitz M.R., Harrison W.M., Tricamo E. Phenelzine versus imipramine in the treatment of probable atypical depression: defining syndrome boundaries of selective MAOI responders. Am. J. Psychiatry. 145:1988;306-311.
61. Robertson H.A., Lam R.W., Stewart J.N., Yatham L.N., Tam E.M. Atypical depressive symptoms and clusters in unipolar and bipolar depression. Acta Psychiatr. Scand. 94:1996;421-427.
62. Rosenthal N.E., Heffernan M.M. Bulimia, carbohydrate craving, and depression. A central connection. Wurtman R.J. Nutrition and the Brain. Vol.7:1986;139-166 Raven Press, New York.
63. Soloff P.H., George A., Nathan R.S., Schulz P.M. Characterizing depression in borderline patients. J. Clin. Psychiatry. 48:(4):1987;155-157.
64. Sotsky S.M., Simmens S.J. Pharmacotherapy response and diagnostic validity in atypical depression. J. Affect. Disord. 54:1999;237-247.
65. Spitzer R.L., Williams J.B.W., Gibbon M., First M.B. Structured Clinical Interview for DSM-III-R (SCID-P). 1990;American Psychiatric Press, Washington, DC.
66. Stewart J.W., McGrath P.J., Rabkin J.G., Quitkin F.M. Atypical depression. A valid clinical entity? Psychiatr. Clin. North. Am. 16:1993;479-495.
67. Tyrer P., Seivewright N., Ferguson B., Tyrer J. The general neurotic syndrome: A coaxial diagnosis of anxiety, depression and personality disorder. Acta Psychiatr. Scand. Mar. 3:1992;201-206.
68. West E.D., Dally P.J. Effect of iproniazid in depressive syndromes. Br. Med. J. 1:1959;1491-1494.
69. Zisook S., Shuchter S.R., Gallagher T., Sledge P. Atypical depression in an outpatient psychiatric population. Depression. 1:1993;268-274.
70. Zubieta J.K., Pande A.C., Demitrack M.A. Two-year follow-up of atypical depression. J. Psych. Res. 33:1999;23-29.