Mood-congruent versus mood-incongruent psychotic symptoms in first-admission patients with affective disorder

Shmuel Fennig; Evelyn J. Bromet; Marsha Tanenberg Karant; Rangathan Ram; Lina Jandorf

doi:10.1016/0165-0327(95)00073-9

Mood-congruent versus mood-incongruent psychotic symptoms in first-admission patients with affective disorder

Shmuel Fennig, Evelyn J. Bromet, Marsha Tanenberg Karant, Rangathan Ram, Lina Jandorf

Research output: Contribution to journal › Article › peer-review

66 Scopus citations

Abstract

The distribution of mood-congruent and mood-incongruent symptoms in 49 first-admission DSM-III-R psychotic bipolar and 35 psychotic depressed patients is presented. Most patients had mood-incongruent symptoms (77.4%). 73% of mood-incongruent bipolars and 32% of incongruent depressives had a combination of mood-congruent and mood-incongruent symptoms. Demographic and clinical variables were unrelated to incongruence. The only 24-month clinical outcome predicted by mood incongruence was poorer GAF rating. 15 of the 16 patients whose diagnosis was changed at follow-up from affective to noneffective psychosis had mood-incongruent features initially. The findings raise questions about the general prognostic utility of mood congruence.

Original language	English
Pages (from-to)	23-29
Number of pages	7
Journal	Journal of Affective Disorders
Volume	37
Issue number	1
DOIs	https://doi.org/10.1016/0165-0327(95)00073-9
State	Published - 12 Feb 1996
Externally published	Yes

Keywords

Affective psychosis
Diagnostic stability
First-admission
Mood incongruence
Outcome

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10.1016/0165-0327(95)00073-9

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title = "Mood-congruent versus mood-incongruent psychotic symptoms in first-admission patients with affective disorder",

abstract = "The distribution of mood-congruent and mood-incongruent symptoms in 49 first-admission DSM-III-R psychotic bipolar and 35 psychotic depressed patients is presented. Most patients had mood-incongruent symptoms (77.4%). 73% of mood-incongruent bipolars and 32% of incongruent depressives had a combination of mood-congruent and mood-incongruent symptoms. Demographic and clinical variables were unrelated to incongruence. The only 24-month clinical outcome predicted by mood incongruence was poorer GAF rating. 15 of the 16 patients whose diagnosis was changed at follow-up from affective to noneffective psychosis had mood-incongruent features initially. The findings raise questions about the general prognostic utility of mood congruence.",

keywords = "Affective psychosis, Diagnostic stability, First-admission, Mood incongruence, Outcome",

author = "Shmuel Fennig and Bromet, {Evelyn J.} and Karant, {Marsha Tanenberg} and Rangathan Ram and Lina Jandorf",

note = "Funding Information: This research was supported in part by National Institute of Mental Health Grant 44801. We are grateful to Dr. Jyothi Krishna for assistance with symptom ratings. We also wish to thank Janet Lavelle for supervising the field work, the project interviewers and the many mental health professionals in Suffolk County who have supportedt his study.",

year = "1996",

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doi = "10.1016/0165-0327(95)00073-9",

language = "English",

volume = "37",

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T1 - Mood-congruent versus mood-incongruent psychotic symptoms in first-admission patients with affective disorder

AU - Fennig, Shmuel

AU - Bromet, Evelyn J.

AU - Karant, Marsha Tanenberg

AU - Ram, Rangathan

AU - Jandorf, Lina

N1 - Funding Information: This research was supported in part by National Institute of Mental Health Grant 44801. We are grateful to Dr. Jyothi Krishna for assistance with symptom ratings. We also wish to thank Janet Lavelle for supervising the field work, the project interviewers and the many mental health professionals in Suffolk County who have supportedt his study.

PY - 1996/2/12

Y1 - 1996/2/12

N2 - The distribution of mood-congruent and mood-incongruent symptoms in 49 first-admission DSM-III-R psychotic bipolar and 35 psychotic depressed patients is presented. Most patients had mood-incongruent symptoms (77.4%). 73% of mood-incongruent bipolars and 32% of incongruent depressives had a combination of mood-congruent and mood-incongruent symptoms. Demographic and clinical variables were unrelated to incongruence. The only 24-month clinical outcome predicted by mood incongruence was poorer GAF rating. 15 of the 16 patients whose diagnosis was changed at follow-up from affective to noneffective psychosis had mood-incongruent features initially. The findings raise questions about the general prognostic utility of mood congruence.

AB - The distribution of mood-congruent and mood-incongruent symptoms in 49 first-admission DSM-III-R psychotic bipolar and 35 psychotic depressed patients is presented. Most patients had mood-incongruent symptoms (77.4%). 73% of mood-incongruent bipolars and 32% of incongruent depressives had a combination of mood-congruent and mood-incongruent symptoms. Demographic and clinical variables were unrelated to incongruence. The only 24-month clinical outcome predicted by mood incongruence was poorer GAF rating. 15 of the 16 patients whose diagnosis was changed at follow-up from affective to noneffective psychosis had mood-incongruent features initially. The findings raise questions about the general prognostic utility of mood congruence.

KW - Affective psychosis

KW - Diagnostic stability

KW - First-admission

KW - Mood incongruence

KW - Outcome

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AN - SCOPUS:0030034132

SN - 0165-0327

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SP - 23

EP - 29

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

IS - 1

ER -

Mood-congruent versus mood-incongruent psychotic symptoms in first-admission patients with affective disorder

Abstract

Keywords

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