Clinical and psychopathological characteristics of endogenous continuous cycling affective disorders in youth

The aim of the study: analysis of clinics and psychopathology of continuous cycling affective disorders in youth in order to determine coredynamic patterns. Material and methods: 54 patients (35 men, 19 women) in age 16–25 years with continuous cycling endogenous affective disorders were studied during their inpatient admission in MHRC in 2014–2017 with one of the following ICD-10 diagnosis: F31.0, F34.0, F25.0. Patients were observed clinically with thorough research of their anamnesis and analysis of current psychopathology and its previous dynamics. Results: the age of the onset of continuous bipolar spectrum disorders in youth is one of the factors that effects its dynamics over the following years. There are two points when the disease manifested more often. Taking into account this fact and prevailing clinical phenomena, the frequency and sequence of affective phases we developed the typology of the continual course of affective disorders in youth: type I — rhythmic dynamics, type II — dysrhythmic dynamics with two subtypes: 1) juvenile and 2) psychotic. Conclusion: patients presenting with the continual flow of affective disorders in youth demonstrate psychopathological heterogeneity of isolated affective phases. Signifcant differences in the timing of manifestation and patterns of the phase alternations were found. This dynamic is extremely risky in terms of suicide and self-injury actions. These observations are intended to improve the diagnostic and prognostic evaluation of this complicated patient sample therefore the study of the catamnesis is required in the follow-up study.

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