{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T21:15:37Z","timestamp":1790889337877,"version":"4.1.0"},"reference-count":38,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2006,12,1]],"date-time":"2006-12-01T00:00:00Z","timestamp":1164931200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2006,12]]},"DOI":"10.1016\/j.jad.2004.08.012","type":"journal-article","created":{"date-parts":[[2004,10,14]],"date-time":"2004-10-14T15:18:48Z","timestamp":1097767128000},"page":"215-223","source":"Crossref","is-referenced-by-count":27,"title":["The mood-instability hypothesis in the origin of mood-congruent versus mood-incongruent psychotic distinction in mania: validation in a French National Study of 1090 patients"],"prefix":"10.1016","volume":"96","author":[{"given":"Jean Michel","family":"Azorin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hagop","family":"Akiskal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elie","family":"Hantouche","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jad.2004.08.012_bib1","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1001\/archpsyc.1974.01760170040006","article-title":"Manic-depressive illness and paranoid schizophrenia. A phenomenologic, family history, and treatment-response study","volume":"31","author":"Abrams","year":"1974","journal-title":"Arch. Gen. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib2","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/S0193-953X(18)30987-0","article-title":"Psychotic forms of depression and mania","volume":"2","author":"Akiskal","year":"1979","journal-title":"Psychiatr. Clin. North Am."},{"key":"10.1016\/j.jad.2004.08.012_bib3","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/S0165-0327(98)00113-X","article-title":"Gender, temperament and the clinical picture in dysphoric mixed mania: findings from a French national study (EPIMAN)","volume":"50","author":"Akiskal","year":"1998","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2004.08.012_bib4","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1016\/S0165-0327(00)00203-2","article-title":"Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders","volume":"59","author":"Akiskal","year":"2000","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2004.08.012_bib5","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/S0165-0327(01)00441-4","article-title":"Toward a refined phenomenology of DSM-IV mania: combining clinician-assessment and self-report in the French EPIMAN study","volume":"67","author":"Akiskal","year":"2001","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2004.08.012_bib6","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/S0165-0327(02)00318-X","article-title":"A proposed multidimensional structure of mania: beyond the euphoric-dysphoric dichotomy","volume":"73","author":"Akiskal","year":"2003","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2004.08.012_bib7","series-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1980"},{"key":"10.1016\/j.jad.2004.08.012_bib8","series-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"10.1016\/j.jad.2004.08.012_bib9","series-title":"Scale for the Assessment of Positive Symptoms (SAPS)","author":"Andreasen","year":"1984"},{"key":"10.1016\/j.jad.2004.08.012_bib10","first-page":"340","article-title":"Notes sur un genre de folie dont les acc\u00e8s sont caract\u00e9ris\u00e9s par deux p\u00e9riodes r\u00e9guli\u00e8res, l'une de d\u00e9pression, l'autre d'excitation","volume":"19","author":"Baillarger","year":"1854","journal-title":"Bull. Acad. Natl. M\u00e9d."},{"key":"10.1016\/j.jad.2004.08.012_bib11","series-title":"Psychiatrische Systematik. Dritte Auflage","author":"Berner","year":"1982"},{"key":"10.1016\/j.jad.2004.08.012_bib12","first-page":"947","article-title":"Construction et validation pr\u00e9liminaire d'une \u00e9chelle d'anxi\u00e9t\u00e9 extraite de l'AMDP francophone, l'AMDP-AT","volume":"52","author":"Bobon","year":"1985","journal-title":"Enc\u00e9phale"},{"key":"10.1016\/j.jad.2004.08.012_bib13","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1001\/archpsyc.1973.01750320053009","article-title":"The stages of mania: a longitudinal analysis of the manic episode","volume":"28","author":"Carlson","year":"1978","journal-title":"Arch. Gen. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib14","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/S0165-0327(98)00016-0","article-title":"Signs and symptoms of mania in pure and mixed episodes","volume":"50","author":"Cassidy","year":"1998","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2004.08.012_bib15","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/0010-440X(86)90030-1","article-title":"Heterogeneity in psychotic depression","volume":"27","author":"Coryell","year":"1986","journal-title":"Compr. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib16","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/S0165-0327(99)00024-5","article-title":"The significance of psychotic features in manic episodes. A report from the NIMH collaborative study","volume":"67","author":"Coryell","year":"2001","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2004.08.012_bib17","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1176\/ajp.156.3.426","article-title":"Phenomenology of mania: evidence for distinct depressed, dysphoric, and euphoric presentations","volume":"156","author":"Dilsaver","year":"1999","journal-title":"Am. J. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib18","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1001\/archpsyc.1978.01770310043002","article-title":"A diagnostic interview: the schedule for affective disorders and schizophrenia","volume":"35","author":"Endicott","year":"1978","journal-title":"Arch. Gen. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib19","first-page":"382","article-title":"M\u00e9moire sur la folie circulaire","volume":"19","author":"Falret","year":"1854","journal-title":"Bull. Acad. Natl. M\u00e9d."},{"key":"10.1016\/j.jad.2004.08.012_bib20","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1017\/S0033291798007429","article-title":"Subclinical symptoms in mood disorders","volume":"29","author":"Fava","year":"1999","journal-title":"Psychol. Med."},{"key":"10.1016\/j.jad.2004.08.012_bib21","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/0165-0327(95)00073-9","article-title":"Mood-congruent versus mood-incongruent psychotic symptoms in first-admission patients with affective disorder","volume":"37","author":"Fennig","year":"1996","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2004.08.012_bib22","series-title":"Structured Clinical Interview for the Diagnostic and Statistical Manual","author":"First","year":"1997"},{"key":"10.1016\/j.jad.2004.08.012_bib23","series-title":"Manic Depressive Illness","author":"Goodwin","year":"1990"},{"key":"10.1016\/j.jad.2004.08.012_bib24","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1001\/archpsyc.1995.03950230061009","article-title":"Evidence of chaotic mood variation in bipolar patients","volume":"52","author":"Gottschalk","year":"1995","journal-title":"Arch. Gen. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib25","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/S0165-0327(01)00442-6","article-title":"The feasibility of self-assessment of dysphoric mania in the French national EPIMAN study","volume":"67","author":"Hantouche","year":"2001","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2004.08.012_bib26","first-page":"359","article-title":"Caract\u00e9risation de la manie dans une cohorte nationale de 1090 patients dans \u00abEPIMAN-II Mille\u00bb: fr\u00e9quence des sous-types cliniques, d\u00e9but et errances diagnostiques [Mania in a national cohort of 1090 patients from \u201cEPIMAN-II Mille\u201d study: frequency of clinical sub-types, onset, and diagnostic errors]","volume":"161","author":"Hantouche","year":"2003","journal-title":"Ann. M\u00e9d. Psychol."},{"key":"10.1016\/j.jad.2004.08.012_bib27","unstructured":"Jaspers, K. (Hoenig, J., Hamilton, M.W., trans) 1963. General Psychopathology. University of Chicago Press, Chicago III."},{"key":"10.1016\/j.jad.2004.08.012_bib28","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/S0010-440X(03)00089-0","article-title":"Psychosis in bipolar disorder: phenomenology and impact on morbidity and course of illness","volume":"44","author":"Keck","year":"2003","journal-title":"Compr. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib29","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1001\/archpsyc.1991.01810280078012","article-title":"Mood-incongruent psychotic affective illness. A historical and empirical review","volume":"48","author":"Kendler","year":"1991","journal-title":"Arch. Gen. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib38","doi-asserted-by":"crossref","unstructured":"Kraepelin, E., 1899\/1921. Manic-depressive Insanity and Paranoia. ES Livingstone, Edinburgh.","DOI":"10.1097\/00005053-192104000-00057"},{"key":"10.1016\/j.jad.2004.08.012_bib30","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0010-440X(00)90136-6","article-title":"Psychopathology of stable and unstable mixed states: a historical view","volume":"41","author":"Maggini","year":"2000","journal-title":"Compr. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib31","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1192\/bjp.134.4.382","article-title":"A new depression scale designed to be sensitive to change","volume":"134","author":"Montgomery","year":"1979","journal-title":"Br. J. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib32","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1001\/archpsyc.1978.01770310017001","article-title":"Diagnosis in schizophrenia and manic-depressive illness: a reassessment of the specificity of \u2018schizophrenic\u2019 symptoms in the light of current research","volume":"35","author":"Pope","year":"1978","journal-title":"Arch. Gen. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib33","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1176\/ajp.153.5.674","article-title":"Suicidality among patients with mixed and manic bipolar disorder","volume":"153","author":"Strakowski","year":"1996","journal-title":"Am. J. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib34","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1001\/archpsyc.1977.01770220105012","article-title":"Catatonia: prevalence and importance in the manic phase of manic-depressive illness","volume":"34","author":"Taylor","year":"1977","journal-title":"Arch. Gen. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib35","doi-asserted-by":"crossref","first-page":"1580","DOI":"10.1176\/ajp.149.11.1580","article-title":"Prediction of outcome in mania by mood-congruent or mood-incongruent psychotic features","volume":"149","author":"Tohen","year":"1992","journal-title":"Am. J. Psychiatry"},{"key":"10.1016\/j.jad.2004.08.012_bib36","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s004060170061","article-title":"Is mood-incongruent manic psychosis a distinct subtype?","volume":"251","author":"Toni","year":"2001","journal-title":"Eur. Arch. Psychiatry Clin. Neurosci."},{"key":"10.1016\/j.jad.2004.08.012_bib37","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1037\/0021-843X.109.4.792","article-title":"Expressed emotion and attributions in the relatives of bipolar patients: an analysis of problem-solving interactions","volume":"109","author":"Wendel","year":"2000","journal-title":"J. Abnorm. Psychology"}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032704002745?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032704002745?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2023,4,29]],"date-time":"2023-04-29T15:31:49Z","timestamp":1682782309000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032704002745"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,12]]},"references-count":38,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2006,12]]}},"alternative-id":["S0165032704002745"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2004.08.012","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2006,12]]}}}