Biomaterial Database

Establishing diagnostic criteria for mania. 1983

M A Young, and R Abrams, and M A Taylor, and H Y Meltzer

There has been general agreement on the symptoms of mania, but the validity of criteria for diagnosing mania have not been studied. The present study evaluates diagnostic criteria for mania by examining their internal construct validity, i.e., whether they are consistent with structure implicit in the concept of diagnostic criteria. Symptom information from 235 patients with varying diagnoses were studied. Elevated, expansive, or irritable mood, hyperactivity, and rapid or pressured speech were found to define a diagnostic classification of mania. Grandiosity and flight of ideas were related to this classification but did not contribute to its definition. Results suggested new diagnostic criteria for mania, with patients being diagnosed manic if they had at least two of the three designated symptoms. Additional information on the presence or absence of grandiosity and/or flight of ideas changed the diagnoses of only seven patients (3 per cent), all of whom had had the lowest certainty of diagnosis based on three symptoms. The entire study was replicated on an independent sample of 182 patients with nearly identical results.

UI	MeSH Term	Description	Entries
D008370	Manuals as Topic	Works about presentation designed to give factual information or instructions.
D008962	Models, Theoretical	Theoretical representations that simulate the behavior or activity of systems, processes, or phenomena. They include the use of mathematical equations, computers, and other electronic equipment.	Experimental Model,Experimental Models,Mathematical Model,Model, Experimental,Models (Theoretical),Models, Experimental,Models, Theoretic,Theoretical Study,Mathematical Models,Model (Theoretical),Model, Mathematical,Model, Theoretical,Models, Mathematical,Studies, Theoretical,Study, Theoretical,Theoretical Model,Theoretical Models,Theoretical Studies
D011336	Probability	The study of chance processes or the relative frequency characterizing a chance process.	Probabilities
D011569	Psychiatric Status Rating Scales	Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness.	Factor Construct Rating Scales (FCRS),Katz Adjustment Scales,Lorr's Inpatient Multidimensional Psychiatric Rating Scale,Wittenborn Scales,Edinburgh Postnatal Depression Scale,Mini International Neuropsychiatric Interview
D004644	Emotions	Those affective states which can be experienced and have arousing and motivational properties.	Feelings,Regret,Emotion,Feeling,Regrets
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006948	Hyperkinesis	Excessive movement of muscles of the body as a whole, which may be associated with organic or psychological disorders.	Hyperactivity, Motor,Hyperkinesia,Hyperkinesia, Generalized,Hyperkinetic Movements,Generalized Hyperkinesia,Generalized Hyperkinesias,Hyperkinesias, Generalized,Hyperkinetic Movement,Motor Hyperactivity,Movement, Hyperkinetic,Movements, Hyperkinetic
D001714	Bipolar Disorder	A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.	Affective Psychosis, Bipolar,Bipolar Disorder Type 1,Bipolar Disorder Type 2,Bipolar Mood Disorder,Depression, Bipolar,Manic Depression,Manic Disorder,Manic-Depressive Psychosis,Psychosis, Manic-Depressive,Type 1 Bipolar Disorder,Type 2 Bipolar Disorder,Psychoses, Manic-Depressive,Bipolar Affective Psychosis,Bipolar Depression,Bipolar Disorders,Bipolar Mood Disorders,Depression, Manic,Depressions, Manic,Disorder, Bipolar,Disorder, Bipolar Mood,Disorder, Manic,Manic Depressive Psychosis,Manic Disorders,Mood Disorder, Bipolar,Psychoses, Bipolar Affective,Psychoses, Manic Depressive,Psychosis, Bipolar Affective,Psychosis, Manic Depressive
D013060	Speech	Communication through a system of conventional vocal symbols.	Public Speaking,Speaking, Public