망상이나 환각을 동반한 조증 환자

Manic Patients with Delusions or Hallucinations

Hospital records of 101 DSM-III-R bipolar manic patients were reviewed retrospectively to study the clinical and demographic characteristics of manic patients with delusions or hallucinations. Fifty eight(57.4%) manic patients had delusions or hallucinations during index episode. There were more males in manic patients with delusions or hallucinations (p<0.05). There were no significant differences in marital status, education, age at first episode, age at index admission, duration of index admission, illness duration prior to index admission, precipitating factors prior to index episode, type of first episode, previous history of affective disorders, and family history of functional psychoses between two groups. Manic symptoms, i.e., elated mood, irritable mood, verbal activity, and motor activity, were rated on admission by retrospective chart review. The total severity of manic symptoms, elated mood, and irritable mood were significantly severe in manic patients with delusions or hallucinations(p<0.05，respectively). The GAF scores on admission were significantly lower in manic patients with delusions or hallucinations(p<0.001). These results support the hypothesis that mania with psychotic features is not a distinct diagnostic entity, but rather a more severe form of mania