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Psychologically Stressful Events in the Precipitation of Manic Episodes

Published online by Cambridge University Press:  29 January 2018

A. Ambelas
A. Ambelas*
Affiliation:
Walsgrave Hospital, Coventry
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Summary

The case notes of all 67 manic patients admitted to the psychiatric wing of a District General Hospital over a period of two years were screened for evidence of independent life events during a four week period prior to admission. The nature of such events and of the underlying stresses was examined and the data obtained were compared with data from a control group of acute surgical admissions. Four times as many manic patients had an independent life event closely preceding their admission. It is concluded that stress in the form of loss or threat is a common precipitant of mania. Some surprising findings are focused upon and discussed.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 135 , Issue 1 , July 1979 , pp. 15 - 21
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Blankenburg, W. (1964) Lebensgeschichtliche Faktoren bei manischen Psychosen. Nervenarzt, 35, 536–9.Google Scholar
Borgna, E. (1964) La provocazione psicoreattiva delle ciclotimie nei suoi aspetti psicopatologici clinici e teoretici. Giornale di Psichiatria e Neuropatologia, 92, 795–814.Google Scholar
Brown, G. W. & Birley, J. L. T. (1968) Crises and life changes and the onset of schizophrenia. Journal of Health and Social Behaviour, 9, 203–14.Google Scholar
Brown, G. W. & Birley, J. L. T. (1970) Social precipitants of severe psychiatric disorders, in Psychiatric Epidemiology (Eds. Hare, E. H. and Wing, J. K.). London: Oxford University Press.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A. J., Winokur, G. and Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–63.Google Scholar
Leff, J. P., Fischer, M. & Bertelsen, A. (1976) A cross-national epidemiological study of mania. British Journal of Psychiatry, 129, 428–37.CrossRefGoogle ScholarPubMed
McCabe, M. S. (1975) Reactive psychoses. Acta Psychiatrica Scandinavica, Supplement 259, 1–133.Google Scholar
Meynert, T. H. (1890) Klinische Vorlesungen über Psychiatrie. Wien: W. Braumüller.Google Scholar
Parkes, C. M. (1964) Recent bereavement as a cause of mental illness. British Journal of Psychiatry, 110, 198–204.Google Scholar
Paykel, E. S., McGuiness, B. & Gomez, J. (1976) An Anglo-American comparison of the scaling of life events. British Journal of Medical Psychology, 49, 237–48.Google Scholar
Racamier, P. C. & Blanchard, M. (1957) De l'angoisse a la manic. L'Evolution Psychiatrique, III, 555–87.Google Scholar
Schneider, K. (1919) Uber reaktive Manie und Angstmanie. Monatsschrift für Psychiatrie und Neurologie, 46, 176–80.Google Scholar
Scotti, F. & Cerletti-Scotti, A. (1969) Il lutto maniacale. Rivista Sperimentale di Freniatria e Medicina Legale delle Alienazioni Mentali, 93, 110–30.Google Scholar
Stern, E. S. (1944) The psychopathology of manic-depressive disorder and involutional melancholia. British Journal of Medical Psychology, 20, 20–32.Google Scholar
Tölle, R. & Fritz, H. (1971) Zur Auslösung von Manien. Psychiatria Clinica, (Basle), 4, 12–18.Google Scholar
Westphal, A. (1911) Manie: in Binswanoer, O. und Siemerling, E.—Lehrbuch der Psychiatrie, 3 Aufl. 89–100, Jena, Gustav Fischer.Google Scholar
Winokur, G., Clayton, P. J. & Reich, T. (1969) Manic Depressive Illness. St Louis: C. V. Mosby.Google Scholar
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