Psychotic features, particularly mood incongruence, as a hallmark of severity of bipolar i disorder

SUMMARY

    Taken together, the results suggest a more severe clinical picture for BD I patients with psychotic features than those without psychotic features, and for BD with MI as compared to BD with MC psychotic features. Although the observed higher clinical severity of BD with MI psychotic features provides support to the DSM-IV (and now repeated in the DSM-5) distinction between MI and MC psychotic features, the nosological position of BD with MI psychotic features on the hypothesized spectrum ranging from BD to schizophrenia is still not definitely determined. White matter abnormalities are suggested to be . . .

     

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