Depressive mania associated with nonresponse to antimanic agents.

Dilsaver, S C; Swann, A C; Shoaib, A M; Bowers, T C; Halle, M T · Am J Psychiatry · 1993

case_series · Level IV

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Abstract

Of 39 patients consecutively admitted for the treatment of primary mania, 21 (53.8%) simultaneously met the Research Diagnostic Criteria for major depressive disorder ("mixed" or "depressive" mania). Only nine (42.9%) of the 21 patients with depressive mania responded to antimanic agents. In contrast, 16 (88.9%) of the 18 patients with pure mania responded to these drugs. This finding is consistent with previous reports suggesting that the mixed state is a virulent form of mania.

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