A new bipolar spectrum concept: a brief review

Bipolar Disord. 2002:4 Suppl 1:11-4. doi: 10.1034/j.1399-5618.4.s1.1.x.

Abstract

Research on the broad bipolar spectrum is dependent on the definition of hypomania. We recently proposed a new, softer syndromal definition with clinical validity. This broadens the diagnosis of bipolar II (BP-II) disorder at the expense of major depressive disorder (MDD). There is evidence for a third group of suspected BP-II manifesting major depression plus hypomanic symptoms. The two bipolar-II groups together are as prevalent as MDD. A new concept of minor bipolar disorder embracing dysthymia, minor and recurrent brief depression with hypomanic syndromes and symptoms is discussed. Some methodological pitfalls of research on drug-induced hypomania as an element of the bipolar spectrum are also summarized.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Bipolar Disorder / classification
  • Bipolar Disorder / diagnosis*
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / psychology
  • Diagnosis, Differential
  • Humans
  • Time Factors