خلاصة:
Objective: According to DSM-5, bipolar disorder is a condition in which the patient experiences one or several manic episodes and sometimes major depressive episodes too. The signs and symptoms of the disorders in DSM are generally influenced by cultural and ethnic factors. Therefore, the present study was aimed at identifying the clinical manifestations of mania in bipolar I disorder in Iranian population.
Methods: The present work is a cross-sectional study. The participants included 64 patients in the manic phase of bipolar I disorder who were selected from the Razi psychiatric hospital and the Taleghani Hospital, using a convenience sampling method. The study data were gathered using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and the Young Mania Rating Scale (YMRS).
Results: According to the findings, the most common signs and symptoms of mania in hospitalized patients with bipolar I disorder included reduced need for sleep (89.1), poor insight (87.5), elevated mood (85.9), talkativeness (79.7), and psychotic features (68.8). The major symptoms of the patients according to DSM-5 criteria included reduced need for sleep (89.1), talkativeness (79.7), and psychomotor agitation (40.6). According to t-test analysis, patients with and without a history of mental disorders did not have significantly different mania scores. The one-way analysis of variance (ANOVA) analysis indicated no significant difference in mania scores based on the age of onset of the disorder, marital status (single, married, divorced, or widow), education level, and number of hospitalizations. The chi-squared test revealed that patients with a lower education level showed more aggressive behaviors.
Conclusion: According to our results, since the response of a patient to a particular treatment is largely influenced by the symptoms of the disorder, clinicians should pay critical attention to the most common signs and symptoms of any mania.
ملخص الجهاز:
"Results: According to the findings, the most common signs and symptoms of mania in hospitalized patients with bipolar I disorder included reduced need for sleep (89.
The one-way analysis of variance (ANOVA) analysis indicated no significant difference in mania scores based on the age of onset of the disorder, marital status (single, married, divorced, or widow), education level, and number of hospitalizations.
4. Discussion The goal of the present study was to identify the clini- cal manifestations of mania in patients with bipolar I disorder, and to examine the differences in clinical mani- festations based on demographic characteristics.
In the present study, the signs and symptoms of mania in the hospitalized patients with bipolar disorder includ- ed reduced need for sleep, poor insight, elevated mood, talkativeness, and psychotic features, but based on DSM- 5 criteria, the main symptoms of mania included reduced need for sleep, talkativeness, and psychomotor agitation; however, megalomania, reduced need for sleep, and talk- ativeness were particularly the most common symptoms in DSM-5.
In overall, in contrast to a previous report by Yazla, İnanç, and Bilici (2012), no significant difference was found between clinical manifestations of 293 October 2017, Volume 5, Number 4 mania based on demographic characteristics, except that those with a lower education showed more aggressive behaviors.
Conclusively, the study results indicated that, based on DSM-5 criteria, reduced need for sleep, talkativeness, and psychomotor agitation were the most common mania symptoms in patients with bipolar I disorder."