Chinchilla A, Viñas R, Moreno I, Sánchez P, Carrasco J L, Cebollada A, Vega M, Jordá L, Camarero M
Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1989 Jul-Aug;17(4):237-44.
60 bipolar patients and 30 patients with recurrent major depression, both fulfilling DSM-III criteria, were studied in terms of sociodemographic profile, personal and family antecedents, clinical psychopathology, personality type and triggers of the first episodes. We found a greater frequency in the bipolar group of personality disorders of the hypomanic, cyclothymic and sociopathic types; the melancholic-anancastic being more associated with unipolar depression. The bipolar patients in our study had a higher socioeconomical and cultural level compared with the unipolar patients. More than 50% of the depressive episodes of each group had unfavourable life event triggers; 45% of the manic episodes also had previous unfavourable life events; 44% of the patients of this later group, exhibited a previous hypomanic, sociopathic or cyclothymic personality.
60名双相情感障碍患者和30名复发性重度抑郁症患者，均符合《精神疾病诊断与统计手册》第三版标准，对其社会人口学特征、个人及家族病史、临床精神病理学、人格类型及首次发作的诱因进行了研究。我们发现，双相情感障碍组中轻躁狂、环性心境障碍和反社会型人格障碍的发生率更高；抑郁-强迫型人格障碍与单相抑郁症的关联更大。与单相抑郁症患者相比，我们研究中的双相情感障碍患者具有更高的社会经济和文化水平。每组超过50%的抑郁发作有不良生活事件诱因；45%的躁狂发作之前也有不良生活事件；后一组中44%的患者表现出之前有轻躁狂、反社会或环性心境障碍人格。
