Mood-congruent versus mood-incongruent psychotic symptoms in first-admission patients with affective disorder

J Affect Disord. 1996 Feb 12;37(1):23-9. doi: 10.1016/0165-0327(95)00073-9.

Abstract

The distribution of mood-congruent and mood-incongruent symptoms in 49 first-admission DSM-III-R psychotic bipolar and 35 psychotic depressed patients is presented. Most patients had mood-incongruent symptoms (77.4%). 73% of mood-incongruent bipolars and 32% of incongruent depressives had a combination of mood-congruent and mood-incongruent symptoms. Demographic and clinical variables were unrelated to incongruence. The only 24-month clinical outcome predicted by mood incongruence was poorer GAF rating. 15 of the 16 patients whose diagnosis was changed at follow-up from affective to nonaffective psychosis had mood-incongruent features initially. The findings raise questions about the general prognostic utility of mood congruence.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Affective Disorders, Psychotic / classification
  • Affective Disorders, Psychotic / diagnosis*
  • Affective Disorders, Psychotic / psychology
  • Bipolar Disorder / classification
  • Bipolar Disorder / diagnosis*
  • Bipolar Disorder / psychology
  • Depressive Disorder / classification
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / psychology
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Patient Admission
  • Psychiatric Status Rating Scales* / statistics & numerical data
  • Psychometrics
  • Reproducibility of Results
  • Schizophrenia / classification
  • Schizophrenia / diagnosis
  • Schizophrenic Psychology
  • Treatment Outcome