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“Folie circulaire” vs “Folie à double forme”: Contribution from a French national study

Published online by Cambridge University Press:  16 April 2020

J.-M. Azorin*
Affiliation:
SHU psychiatrie adultes, Sainte-Marguerite Hospital, University of Marseille, 13274Marseille cedex 9, France
A. Kaladjian
Affiliation:
SHU psychiatrie adultes, Sainte-Marguerite Hospital, University of Marseille, 13274Marseille cedex 9, France
N. Besnier
Affiliation:
SHU psychiatrie adultes, Sainte-Marguerite Hospital, University of Marseille, 13274Marseille cedex 9, France
M. Adida
Affiliation:
SHU psychiatrie adultes, Sainte-Marguerite Hospital, University of Marseille, 13274Marseille cedex 9, France
E.-G. Hantouche
Affiliation:
Pitié-Salpêtrière Hospital, University of Paris VI, Paris, France
S. Lancrenon
Affiliation:
Sylia-Stat, Bourg-La-Reine, France
H. Akiskal
Affiliation:
International Mood Center, La Jolla, CA, USA
*
*Corresponding author. Tel.: +33 4 91 74 40 82; fax: +33 4 91 74 55 78. E-mail address: [email protected] (J.-M. Azorin).
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Abstract

Objective

To check whether the presence or not of free intervals between episodes could help differentiate subtypes of bipolar disorder, as suggested by the seminal controversy between Falret and Baillarger.

Methods

From 1090 bipolar I patients included in a French national study, 981 could be classified as with or without free intervals and assessed for demographic and illness characteristics.

Results

Compared with patients with free intervals (n = 722), those without (n = 259) had an earlier age at onset, more episodes, suicide attempts, cyclothymic and irritable temperaments. The following independent variables were associated with no free intervals: being single or divorced, delay to mood stabilizer treatment, multiple hospitalizations, incongruent psychotic features, panic and generalized anxiety disorder.

Conclusions

“Folie à double forme” (without free intervals) and “folie circulaire” (with free intervals) may actually refer to early and later onset bipolar subtypes, insofar as most differences we found between them were previously evidenced between the latter two. We cannot, however, exclude that they might simply be two separate subtypes, whose main characteristics could be accounted for by different explanatory factors.

Type
Original article
Copyright
Copyright © Elsevier Masson SAS 2011

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References

Akiskal, HSDelineating irritable and hyperthymic variants of the cyclothymic temperament. J Personal Disord 1992;6:326342.CrossRefGoogle Scholar
Akiskal, HS, Bourgeois, ML, Angst, J, Post, R, Moller, H, Hirschfeld, RRe-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders. J Affect Disord 2000;59suppl. 1:S5S30.CrossRefGoogle ScholarPubMed
Akiskal, HS, Azorin, JM, Hantouche, EGProposed multidimensional structure of mania: beyond the euphoric-dysphoric dichotomy. J Affect Disord 2003;73:718.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington DC: American Psychiatric Association; 1994.Google Scholar
Andreasen, NCScale for the Assessment of Positive Symptoms (SAPS). Iowa City, IA: University of Iowa: 1984.Google Scholar
Angst, J, Angst, F, Gerber-Werder, R, Gamma, ASuicide in 406 mood disorder patients with and without long-term medication: a 40 to 44 years’ follow-up. Arch Suicide Res 2005;91:279300.CrossRefGoogle Scholar
Azorin, JM, Akiskal, HS, Hantouche, EThe mood-instability hypothesis in the origin of mood-congruent versus mood-incongruent psychotic distinction in mania: validation in a French National Study of 1090 patients. J Affect Disord 2006;96:215223.CrossRefGoogle Scholar
Baillarger, JGF. Note sur un genre de folie dont les accès sont caractérisés par deux périodes régulières, l’une de dépression et l’autre d’excitation. Bull Acad Imperiale Med. Séance 31st January 1854.Google Scholar
Bauwens, F, Tray, A, Pardoen, D, Van der Elst, M, Mendlewicz, JSocial maladjustment of remitted bipolar and unipolar outpatients. Br J Psychiatry 1991;159:239244.CrossRefGoogle Scholar
Beigel, A, Murphy, D, Bunney, WThe manic state rating scale: scale construction, reliability and validity. Arch Gen Psychiatry 1971;25:256262.CrossRefGoogle Scholar
Bordeleau, LCentre hospitalier universitaire du Québec. Québec, Canada: Ste Foy; 1997 p. G2V4G2.Google Scholar
Boyer, P, Lecrubier, YFiche descriptive et traduction française de la SAPS. Psychiatr Psychobiol 1997;6:425438.Google Scholar
Boylan, KR, Bieling, PJ, Marriott, M, et al.Impact of comorbid anxiety disorders on outcome in a cohort of patients with bipolar disorder. J Clin Psychiatry 2004;65:11061113.CrossRefGoogle Scholar
Carlson, GA, Kelly, KLManic symptoms in psychiatrically hospitalized children — what do they mean? J Affect Disord 1998;51:123135.CrossRefGoogle ScholarPubMed
Cornwall, PL, Scott, JPartial remission in depressive disorder. Acta Psychiatr Scand 1997;95:265271.CrossRefGoogle Scholar
Coryell, W, Turvey, C, Endicott, J, Leon, AC, Mueller, T, Solomon, D, et al.Bipolar I affective disorder: predictors of outcome after 15 years. J Affect Disord 1998;50:109116.CrossRefGoogle ScholarPubMed
Dell’Osso, L, Placidi, GF, Nassi, R, Freer, P, Cassano, GB, Akiskal, HSThe manic-depressive mixed state: familial, temperamental and psychopathologic characteristics in 108 female impatients. Eur Arch Psychiatry Clin Neurosc 1991;240:2342369.CrossRefGoogle Scholar
Falret, JPLeçons cliniques de médecine mentale. Paris: Baillière: 1854.Google Scholar
Feske, U, Franck, E, Mallinger, AG, et al.Anxiety as a correlate of response to the acute treatment of bipolar I disorder. Am J Psychiatry 2000;157:956962.CrossRefGoogle ScholarPubMed
First, M, Spitzer, R, Williams, JStructured Clinical Interview for the Diagnostic and Statistical Manual. 4th ed. Washington, DC: American Psychiatric Association; 1997. [Patient version]Google Scholar
Gitlin, MJ, Swendsen, J, Heller, TL, Hammen, CRelapse and impairment in bipolar disorder. Am J Psychiatry 1995;152:16351640.Google ScholarPubMed
Goldberg, JF, Ernst, CLFeatures associated with the delayed initiation of mood stabilizers at illness onset in bipolar disorder. J Clin Psychiatry 2002;63:985991.CrossRefGoogle ScholarPubMed
Gonzáles-Pinto, A, Aldama, A, Masquera, F, Gonzáles Gómez, CEpidemiology, diagnosis and management of mixed mania. CNS Drugs 2007;21:611626.CrossRefGoogle Scholar
Gorwood, P, Corruble, E, Fallisard, B, Goodwin, GMToxic effects of depression on brain function: impairment of delayed recall and the cumulative length of depressive disorder in a large sample of depressed outpatients. Am J Psychiatry 2008;165:731739.CrossRefGoogle Scholar
Hantouche, E, Kochman, F, Akiskal, HÉvaluation des tempéraments affectifs : version complète des outils d’auto-évaluation. Encephale 2001;27:2430.Google Scholar
Haustgen, T, Akiskal, HSFrench antecedents of “contemporary” concepts in the American Psychiatric Associations's classification of bipolar (mood) disorders. J Affect Disord 2006;96:149163.CrossRefGoogle Scholar
Judd, LL, Akiskal, HS, Schettler, PJ, Endicott, J, Maser, J, Solomon, DA, et al.The long-term natural history of the weekly symptomatic status of bipolar I disorder. Arch Gen Psychiatry 2002;59:530537.CrossRefGoogle ScholarPubMed
Keitner, GI, Solomon, DA, Ryan, CE, Miller, IW, Mallinger, A, Kupfer, DJ, et al.Prodromal and residual symptoms in bipolar I disorder. Compr Psychiatry 1996;37:362367.CrossRefGoogle ScholarPubMed
Keller, MB, Lavori, PW, Coryell, W, Andreasen, NC, Endicott, J, Clayton, HJ, et al.Differential outcome of pure manic, mixed/cycling, and pure depressive episodes in patients with bipolar illness. JAMA 1986;255:31383142.CrossRefGoogle ScholarPubMed
Keller, MB, Lavori, PN, Kane, JM, Gelenberg, AJ, Rosembaum, JF, Walzer, EA, et al.Subsyndromal symptoms in bipolar disorder. Arch Gen Psychiatry 1992;49:371376.CrossRefGoogle ScholarPubMed
Koukopoulos, A, Sani, G, Koukopoulos, AE, Albert, MJ, Girardi, P, Tatarelli, REndogenous and exogenous cyclicity and temperament in bipolar disorder: review, new data and hypotheses. J Affect Disord 2006;96:165175.CrossRefGoogle ScholarPubMed
Lam, DH, Watkins, ER, Hayward, P, Bright, J, Wright, K, Kerr, N, et al.A randomized controlled study of cognitive therapy for relapse prevention for bipolar affective disorder. Arch Gen Psychiatry 2003;60:145152CrossRefGoogle ScholarPubMed
Marangell, LB, Bauer, MS, Dennely, EB, Wisniewsky, SR, Allen, MH, Miklowitz, DJ, et al.Prospective predictors of suicide and suicide attempts in 1556 patients with bipolar disorders followed for up to 2 years. Bipolar Disord 2006;8:566575.CrossRefGoogle ScholarPubMed
Marneros, A, Angst, JBipolar disorders: roots and evolution. In: Marneros, A, Angst, J, editors. Bipolar Disorders: 100 years after manic-depressive insanity-. Dordrecht: Kluwer Academic Publishers; 2000. p. 135.Google Scholar
Masi, G, Perugi, G, Millepiedi, S, Mucci, M, Toni, C, Bertini, N, et al.Developmental differences according to age at onset in juvenile bipolar disorder. J Child Adolesc Psychopharmacol 2006;16:679685.CrossRefGoogle ScholarPubMed
Nwulia, EA, Zandi, PP, McInnis, MG, DePaulo, JR Jr., MacKinnon, DFRapid switching of mood in families with familial bipolar disorder. Bipolar Disord 2008;10:597606.CrossRefGoogle ScholarPubMed
Olfson, M, Broadhead, E, Weissman, MM, Leon, AC, Farber, L, Haven, C, et al.Subthreshold psychiatric symptoms in a primary care group practice. Arch Gen Psychiatry 1996;53:880886.CrossRefGoogle Scholar
Perlis, RH, Miyahara, S, Marangell, LB, Wisniewski, SR, Ostacher, M, Delbello, M, et al.Long-term implications of early onset in bipolar disorder: data from the first 1000 participants in the systematic treatment enhancement program for bipolar disorder (STEP-BD). Biol Psychiatry 2004;55:875881.CrossRefGoogle ScholarPubMed
Perugi, G, Akiskal, HS, Micheli, C, Musetti, L, Paiano, A, Quilici, C, et al.Clinical subtypes of bipolar mixed states: validating a broader European definition in 143 cases. J Affect Disord 1997;43:169180.CrossRefGoogle ScholarPubMed
Perugi, G, Toni, C, Travierso, MC, Akiskal, HSThe role of cyclothymia in atypical depression: toward a data-based reconceptualization of the borderline bipolar II connection. J Affect Disord 2003;73:8798.CrossRefGoogle Scholar
Post, KM, Rubinow, DR, Ballenger, JCConditioning and sensitisation in the longitudinal course of affective illness. Br J Psychiatry 1986;149:191201.CrossRefGoogle ScholarPubMed
Rosen, LN, Rosenthal, NE, Dunner, DL, et al.Social outcome compared on psychotic and nonpsychotic bipolar I patients. J Nerv Ment Dis 1983;171:272275.CrossRefGoogle ScholarPubMed
Schulze, TG, Muller, DJ, Krauss, H, et al.Further evidence for age of onset being an indicator for severity in bipolar disorder. J Affect Disord 2002;68:343345.CrossRefGoogle ScholarPubMed
Schürhoff, F, Bellivier, F, Jouvent, R, Mouren-Simeoni, MC, Bouvard, M, Allilaire, JF, et al.Early and late onset bipolar disorders: two different forms of manic-depressive illness? J Affect Disord 2000;58:215221.CrossRefGoogle ScholarPubMed
Strakowski, SM, Keck, PE, Mc-Elroy, SL, et al.Twelve-month outcome after first hospitalisation for affective psychosis. Arch Gen Psychiatry 1998;55:4955.CrossRefGoogle ScholarPubMed
Strakowski, SM, Williams, JR, Sax, KW, Fleck, DE, DelBello, MP, Bourne, MLIs impaired outcome following a first manic episode due to mood – incongruent psychosis? J Affect Disord 2000;61:8794.CrossRefGoogle ScholarPubMed
Strober, M, Schmidt Lackner, S, Freeman, R, Bower, S, Lampert, C, De Antonio, MRecovery and relapse in adolescents with bipolar affective. J Am Acad Child Adolesc Psychiatry 1995;34:724731.CrossRefGoogle ScholarPubMed
Suominen, K, Mantere, O, Valtonen, H, Arvilommi, P, Leppamaki, S, Paunio, T, et al.Early age at onset of bipolar disorder is associated with more severe clinical features but delayed treatment seeking. Bipolar Disord 2007;9:698705.CrossRefGoogle ScholarPubMed
Tamam, L, Özpoyraz, NComorbidity of anxiety disorder among patients with bipolar I disorder in remission. Psychopathology 2002;35:203209.CrossRefGoogle ScholarPubMed
Tohen, M, Waternaux, CM, Tsuang, MTOutcome in mania: a 4-year prospective follow-up of 75 patients utilizing survival analysis. Arch Gen Psychiatry 1990;47:11061111.CrossRefGoogle ScholarPubMed
Tohen, M, Tsuang, MT, Goodwin, DCPrediction of outcome in mania by mood-congruent or mood-incongruent psychotic features. Am J Psychiatry 1992;149:15801584.Google ScholarPubMed
Tohen, M, Hennen, J, Zarate, C, et al.Two-year syndromal and functional recovery in 219 cases of first-episode major affective disorder with psychotic features. Am J Psychiatry 2000;157:220228.CrossRefGoogle ScholarPubMed
Toni, C, Perugi, G, Mata, B, Madaro, D, Maremmani, I, Akiskal, HSIs mood-incongruent manic psychosis and distinct subtype? Eur Arch Psychiatry Clin Neurosci 2001;251:1217.CrossRefGoogle ScholarPubMed
Turvey, CL, Coryell, WH, Solomon, DA, Leon, AC, Endicott, J, Keller, M, et al.Long-term prognosis of bipolar I disorder. Acta Psychiatr Scand 1999;99:110119.CrossRefGoogle ScholarPubMed
Vieta, E, Colom, F, Corbella, A, Martinez-Arán, A, Reinares, M, Benabarre, A, et al.Clinical correlates of psychiatric comorbidity in bipolar I patients. Bipolar Disord 2001;3:253258.CrossRefGoogle ScholarPubMed
Yildiz, A, Sachs, GSAge onset of psychotic versus non-psychotic bipolar illness in men and women. J Affect Disord 2003;74:197201.CrossRefGoogle Scholar
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