Navigation Links
Many Depressed People Have Mild, Brief Episodes of Mania
Date:8/17/2010

By Madonna Behen
HealthDay Reporter

TUESDAY, Aug. 17 (HealthDay News) -- Nearly 40 percent of Americans with major depression also have brief but recurring episodes of manic behavior, a new study suggests.

Researchers at the U.S. National Institute of Mental Health (NIMH) reported that these patients have what's called "subthreshold hypomania" -- meaning a milder form of mania that lasts fewer than four days, and is therefore below the threshold for bipolar disorder.

"With hypomania, people may be more active and energetic than usual, and they may sleep less and become agitated more easily," said the study's senior author, Kathleen Merikangas, a senior investigator at the NIMH in Bethesda, Md. "The behavior is definitely different than their usual state, but it doesn't cause impairment in their lives."

The findings were published Aug. 16 in the online advance edition of the American Journal of Psychiatry.

Merikangas and her colleagues analyzed data from a survey of more than 5,000 U.S. households. They found that people with subthreshold hypomania have higher rates of anxiety and substance abuse and more depressive episodes than depressed people who don't exhibit manic behavior. What's more, they were just as likely to have a family history of mania as people with bipolar disorder, which suggests that they may be at a higher risk of developing full-blown bipolar disorder down the road.

Although these mild episodes of mania last only two or three days, they recur frequently, Merikangas said. She stressed that some periods of high energy are entirely natural. "If someone has one instance where she feels really good for a few days because of something that happened in her life, like falling in love, that's not subthreshold hypomania," Merikangas said.

A true manic episode lasts for one week or more, often includes psychotic symptoms and sometimes requires hospitalization. However, the researchers noted that most people with bipolar disorder experience hypomania rather than mania.

"This study really helps consolidate an idea that's been around for a while, which is that there's a broad continuum -- ranging from pure unipolar depression to classic bipolar depression," said Dr. Gregory Simon, a psychiatrist and mental health researcher at the Group Health Research Institute in Seattle.

Simon added that the findings raise questions about treatment implications, which need to be addressed in future studies. "Does it mean that these people may get greater benefit from some treatments rather than others? There's a way to answer that question, but we haven't done that yet."

In the meantime, Merikangas advises friends and family members to be aware of a loved one who behaves in a way that's uncharacteristic for them for a few days, like drinking more than usual or spending a lot of money, and then goes back to normal.

"If you see this kind of behavior, it's really wise for that person to get an evaluation by a mental health professional," she said. "The idea is to intervene before someone develops more serious problems, like drug and alcohol abuse. We can't prevent bipolar disease from occurring, but we can prevent the consequences."

More information

There's more on bipolar disorder at the U.S. National Library of Medicine.

SOURCES: Kathleen Merikangas, Ph.D., senior investigator, U.S. National Institute of Mental Health, Bethesda, Md.; Gregory Simon, M.D., M.P.H., senior investigator, Group Health Research Institute, Seattle; Aug. 16, 2010, American Journal of Psychiatry, online


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Depressed people feel more gray than blue
2. People With Asthma More Likely to Be Depressed
3. Combination Treatment May Help Depressed Alcoholics
4. Depressed? Fearful? It might help to worry, too
5. Chocolate a Sweet Pick-Me-Up for the Depressed
6. Depressed chronic kidney disease patients more likely to face complications
7. Depressed men with ED at risk for cardiovascular problems
8. Exercise Success for People Over 50: Reports of Improved Fitness, Circulation and Balance
9. Vaccine May Prevent TB in People With HIV
10. People with anxiety disorder less able to regulate response to negative emotions, study shows
11. Can mobile phones help people EatWell?
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Many Depressed People Have Mild, Brief Episodes of Mania
(Date:6/20/2017)... IN (PRWEB) , ... June 20, 2017 , ... ... benefits advisory organization, announces recipients of its annual “UBBIE” Awards (pronounced you-bee) for ... who have demonstrated significant achievements toward their involvement with UBA, the clients they ...
(Date:6/20/2017)... ... June 20, 2017 , ... ... services, has published a new eBook titled “ 5 Questions to Ask Before ... Research Analyst on the Genetic Test Evaluation (GTE) team, the book explores the ...
(Date:6/20/2017)... ... 2017 , ... EdChoice and the American Enterprise Institute each ... economic development in economically distressed urban areas. The first report presents a case ... the economic development of the city of Santa Ana, California. The second report ...
(Date:6/20/2017)... , ... June 20, 2017 , ... ... help content solutions for the enterprise, is proud to announce Touchpoints ... e-commerce, ticketing systems, company websites, and more to provide a seamless customer experience. ...
(Date:6/20/2017)... BC (PRWEB) , ... June 20, 2017 , ... As ... community on the link between stroke and gum disease. Those with bleeding gums in ... If left untreated, this condition can lead to heart disease, stroke and diabetes. Drs. ...
Breaking Medicine News(10 mins):
(Date:6/20/2017)... June 19, 2017  Hill-Rom Holdings, Inc. (NYSE: HRC), will ... webcast on Friday, July 28, 2017, beginning at 7:30 a.m. ... Only Dial-in information: To participate in the conference call, dial ... the call at least 10 minutes prior to the start ... Webcast: A simultaneous ...
(Date:6/14/2017)... -- The Bio Supply Management Alliance (BSMA) has announced ... and the Biomedical Manufacturing Network to advance the ... California by providing a platform for imparting ... development. The primary focus of this alliance is to ... as small and mid-sized biomedical companies. ...
(Date:6/10/2017)... K. Burchfield, DPM, is recognized by Continental Who,s Who as a ... Alabama . Dr. Burchfield serves as ... over 20 years of experience, as well as expertise in the ... "The podiatry professional ... to welcome you to his practice," the company,s website states. "We ...
Breaking Medicine Technology: