양극성 장애의 조증 전구증상

Abstract

Objectives：Pharmacotherapy is efficacious for acute treatment of bipolar disorder, but still limited for the relapse prevention. Early detection of relapse and its management have been included as one of major strategies in recent psychosocial treatments of patients with bipolar disorder. The detection of manic prodromes can be useful for the early intervention. The aim of this study was to interview and report on prodromal symptoms in a recent manic episode.

Method：43 euthymic bipolar patients were interviewed about a variety of their prodromes of manic states, with open questions and a prodrome checklist.

Results：All of the subjects could detect the prodromes of mania and their prodromal symptoms were diverse. Most common manic prodromes were the symptom of decreased need for sleep and more talkative observed in 75% of the bipolar subjects. Some patients reported depressive symptoms in the initial prodromal period.

Conclusion：Bipolar subjects reported a variety of and diverse prodromal symptoms of manic episode. Psychosocial treatments, especially including education for early detection of manic prodromes and programs for their proper management will be needed for relapse prevention.