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Am J Psychiatry. 1999 Jul;156(7):1094-6.

Awareness of illness and subjective experience of cognitive complaints in patients with bipolar I and bipolar II disorder.

Author information

  • 1Neurosciences Institute, Florence, Italy. s.pallanti@agora.stm.it

Abstract

OBJECTIVE:

The authors' goal was to investigate the awareness of illness and subjective cognitive complaints of patients with either bipolar I disorder or bipolar II disorder during a phase of clinical stabilization.

METHOD:

They used a structured clinical interview, the Frankfurt Complaints Questionnaire, to determine subjective cognitive complaints, and the Scale of Unawareness of Mental Disorder to assess 57 consecutively enrolled patients with bipolar I or bipolar II disorder.

RESULTS:

Patients with bipolar II disorder had significantly less insight and a higher level of subjective complaints of stimulus overload than patients with bipolar I disorder.

CONCLUSIONS:

These results suggest that a severe deficit in self-awareness may constitute a distinguishing psychopathological characteristic of patients with bipolar II disorder. Further studies are required to determine if there are associated neuropsychological dysfunctions.

PMID:
10401459
[PubMed - indexed for MEDLINE]
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