{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T20:32:48Z","timestamp":1774989168739,"version":"3.50.1"},"reference-count":81,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2021,2]]},"DOI":"10.1016\/j.jad.2020.08.080","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T15:19:34Z","timestamp":1598973574000},"page":"980-988","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"special_numbering":"C","title":["The Koukopoulos mixed depression rating scale (KMDRS) and the assessment of mixed symptoms during the perinatal period"],"prefix":"10.1016","volume":"281","author":[{"given":"Alexia E.","family":"Koukopoulos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2689-5888","authenticated-orcid":false,"given":"Lavinia","family":"De Chiara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessio","family":"Simonetti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios D.","family":"Kotzalidis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delfina","family":"Janiri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Manfredi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gloria","family":"Angeletti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Sani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1\u20132","key":"10.1016\/j.jad.2020.08.080_bib0001","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/S0165-0327(02)00330-0","article-title":"Family history validation of the bipolar nature of depressive mixed states","volume":"73","author":"Akiskal","year":"2003","journal-title":"J. Affect. Disord."},{"issue":"5","key":"10.1016\/j.jad.2020.08.080_bib0002","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1159\/000088445","article-title":"Psychopathologic correlates of suicidal ideation in major depressive outpatients: is it all due to unrecognized (bipolar) depressive mixed states?","volume":"38","author":"Akiskal","year":"2005","journal-title":"Psychopathology"},{"issue":"3","key":"10.1016\/j.jad.2020.08.080_bib0003","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.jad.2004.12.004","article-title":"Agitated \u201cunipolar\u201d depression re-conceptualized as a depressive mixed state: implications for the antidepressant-suicide controversy","volume":"85","author":"Akiskal","year":"2005","journal-title":"J. Affect. Disord."},{"issue":"1\u20132","key":"10.1016\/j.jad.2020.08.080_bib0004","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jad.2004.12.001","article-title":"TEMPS-A: progress towards validation of a self-rated clinical version of the Temperament Evaluation of the Memphis, Pisa, Paris, and San Diego Autoquestionnaire","volume":"85","author":"Akiskal","year":"2005","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2020.08.080_bib0005","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1016\/j.jad.2013.07.032","article-title":"A multinational study to pilot the modified hypomania checklist (mHCL) in the assessment of mixed depression","volume":"152\u2013154","author":"Altinbas","year":"2014","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2020.08.080_bib0006","series-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2000"},{"key":"10.1016\/j.jad.2020.08.080_bib0007","series-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013"},{"issue":"8","key":"10.1016\/j.jad.2020.08.080_bib0008","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1001\/archgenpsychiatry.2011.87","article-title":"Prevalence and characteristics of undiagnosed bipolar disorders in patients with a major depressive episode: the BRIDGE study","volume":"68","author":"Angst","year":"2011","journal-title":"Arch. Gen. Psychiatry"},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0009","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1186\/s12978-019-0823-5","article-title":"Suicidal ideation and intentional self-harm in pregnancy as a neglected agenda in maternal health; an experience from rural Sri Lanka","volume":"16","author":"Arachchi","year":"2019","journal-title":"Reprod. Health"},{"issue":"3","key":"10.1016\/j.jad.2020.08.080_bib0010","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/j.jad.2011.10.003","article-title":"Identifying features of bipolarity in patients with first-episode postpartum depression: findings from the international BRIDGE study","volume":"136","author":"Azorin","year":"2012","journal-title":"J. Affect. Disord."},{"issue":"5","key":"10.1016\/j.jad.2020.08.080_bib0011","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1080\/13554794.2012.690429","article-title":"Deep transcranial magnetic stimulation for treatment-resistant bipolar depression: a case report of acute and maintenance efficacy","volume":"19","author":"Bersani","year":"2013","journal-title":"Neurocase"},{"issue":"2","key":"10.1016\/j.jad.2020.08.080_bib0012","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/S0165-0327(02)00265-3","article-title":"Mixed depressive features predict maniform switch during treatment of depression in bipolar I disorder","volume":"78","author":"Bottlender","year":"2004","journal-title":"J. Affect. Disord."},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0013","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1034\/j.1399-5618.2001.030105.x","article-title":"The clinical epidemiology of pure and mixed manic episodes","volume":"3","author":"Cassidy","year":"2001","journal-title":"Bipolar Disord."},{"issue":"6","key":"10.1016\/j.jad.2020.08.080_bib0014","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1002\/cpp.633","article-title":"A novel scale for measuring mixed states in bipolar disorder","volume":"16","author":"Cavanagh","year":"2009","journal-title":"Clin. Psychol. Psychother."},{"key":"10.1016\/j.jad.2020.08.080_bib0015","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.comppsych.2016.07.013","article-title":"Screening mixed depression and bipolarity in the postpartum period at a primary health care center","volume":"71","author":"\u00c7elik","year":"2016","journal-title":"Compr. Psychiatry"},{"issue":"5","key":"10.1016\/j.jad.2020.08.080_bib0016","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1002\/hup.700","article-title":"Antipsychotic drug use: mcLean Hospital, 2002. Hum","volume":"20","author":"Centorrino","year":"2005","journal-title":"Psychopharmacol"},{"issue":"6","key":"10.1016\/j.jad.2020.08.080_bib0017","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1192\/bjp.150.6.782","article-title":"Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale","volume":"150","author":"Cox","year":"1987","journal-title":"Br. J. Psychiatry"},{"issue":"6","key":"10.1016\/j.jad.2020.08.080_bib0018","first-page":"766","article-title":"The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Arch. Gen","volume":"33","author":"Endicott","year":"1976","journal-title":"Psychiatry"},{"key":"10.1016\/j.jad.2020.08.080_bib0019","series-title":"Structured Clinical Interview for DSM-IV-TR Axis I Disorders","author":"First","year":"2002"},{"key":"10.1016\/j.jad.2020.08.080_bib0020","series-title":"Structured Clinical Interview for DSM-5\u24c7-Clinician Version (SCID-5-CV)","author":"First","year":"2016"},{"issue":"3","key":"10.1016\/j.jad.2020.08.080_bib0021","doi-asserted-by":"crossref","first-page":"e378","DOI":"10.4088\/JCP.14com09578","article-title":"Mixed depression: a farewell to differential diagnosis?","volume":"76","author":"Goldberg","year":"2015","journal-title":"J. Clin. Psychiatry"},{"issue":"10","key":"10.1016\/j.jad.2020.08.080_bib0022","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.4088\/JCP.v66n1001","article-title":"Prevalence, correlates, and comorbidity of bipolar I disorder and axis I and II disorders: results from the National Epidemiologic Survey on alcohol and related conditions","volume":"66","author":"Grant","year":"2005","journal-title":"J. Clin. Psychiatry"},{"key":"10.1016\/j.jad.2020.08.080_bib0023","first-page":"217","author":"Guy","year":"1976","journal-title":"Div. Extramural Res. Progr."},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0024","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1111\/j.2044-8341.1959.tb00467.x","article-title":"The assessment of anxiety states by rating","volume":"32","author":"Hamilton","year":"1959","journal-title":"Br. J. Med. Psychol."},{"issue":"Feb","key":"10.1016\/j.jad.2020.08.080_bib0025","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1136\/jnnp.23.1.56","article-title":"A rating scale for depression","volume":"23","author":"Hamilton","year":"1960","journal-title":"J. Neurol. Neurosurg. Psychiatry"},{"issue":"7","key":"10.1016\/j.jad.2020.08.080_bib0026","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1176\/appi.ajp.2010.09091379","article-title":"Research domain criteria (RDoC): toward a new classification framework for research on mental disorders","volume":"167","author":"Insel","year":"2010","journal-title":"Am. J. Psychiatry"},{"issue":"5","key":"10.1016\/j.jad.2020.08.080_bib0027","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1111\/j.1399-5618.2004.00135.x","article-title":"Gender differences in the phenomenology of bipolar disorder","volume":"6","author":"Kessing","year":"2004","journal-title":"Bipolar Disord"},{"issue":"3","key":"10.1016\/j.jad.2020.08.080_bib0028","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1111\/j.1600-0447.2007.01131.x","article-title":"The prevalence of mixed episodes during the course of illness in bipolar disorder","volume":"117","author":"Kessing","year":"2008","journal-title":"Acta Psychiatr. Scand."},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0029","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/acps.12140","article-title":"DSM-5 criteria for depression with mixed features: a farewell to mixed depression","volume":"129","author":"Koukopoulos","year":"2014","journal-title":"Acta Psychiatr. Scand."},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0030","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1080\/09540260500064744","article-title":"Mixed depressive states: nosologic and therapeutic issues","volume":"17","author":"Koukopoulos","year":"2005","journal-title":"Int. Rev. Psychiatry"},{"issue":"Suppl. 433","key":"10.1016\/j.jad.2020.08.080_bib0031","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1111\/j.1600-0447.2007.00963.x","article-title":"Melancholia agitata and mixed depression","volume":"115","author":"Koukopoulos","year":"2007","journal-title":"Acta Psychiatr. Scand."},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0032","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1192\/bjp.bp.112.124404","article-title":"Mixed features of depression: why DSM-5 is wrong (and so was DSM-IV)","volume":"203","author":"Koukopoulos","year":"2013","journal-title":"Br. J. Psychiatry"},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0033","first-page":"113","article-title":"Perinatal mixed affective state: wherefore art thou? Psychiatr. Clin","volume":"43","author":"Koukopoulos","year":"2020","journal-title":"North Am"},{"key":"10.1016\/j.jad.2020.08.080_bib0034","unstructured":"Kraepelin, E., 1899. Psychiatrie. Ein Lehrbuch f\u00fcr Studierende und \u00c4rzte, 6. Auflage, I. Band, Allgemeine Psychiatrie. II-Die Erscheinungen des Irreseins, Ss 101\u2013239; II. Band, Klinische Psychiatrie. IX. Das manisch-depressive Irresein, Ss. 359\u2013425(Mischzust\u00e4nde, Ss. 394\u2013398). Verlag von Johann Ambrosius Barth, Leipzig."},{"key":"10.1016\/j.jad.2020.08.080_bib0035","doi-asserted-by":"crossref","DOI":"10.1016\/j.psychres.2019.112530","article-title":"Maternal suicide during pregnancy and the first postpartum year in Austria: findings from 2004 to 2017","volume":"281","author":"Knasm\u00fcller","year":"2019","journal-title":"Psychiatry Res."},{"issue":"3","key":"10.1016\/j.jad.2020.08.080_bib0036","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/0010-440X(83)90076-7","article-title":"Rapid cyclers, temperament, and antidepressants","volume":"24","author":"Kukopulos","year":"1983","journal-title":"Compr. Psychiatry"},{"issue":"5","key":"10.1016\/j.jad.2020.08.080_bib0037","doi-asserted-by":"crossref","first-page":"367\u2010372","DOI":"10.1007\/s00737-013-0405-4","article-title":"Recurrence rates of bipolar disorder during the postpartum period: a study on 276 medication-free Italian women","volume":"17","author":"Maina","year":"2014","journal-title":"Arch. Womens Ment. Health"},{"issue":"3","key":"10.1016\/j.jad.2020.08.080_bib0038","doi-asserted-by":"crossref","first-page":"e381","DOI":"10.4088\/JCP.14com09487","article-title":"\u201cMixed\u201d depression: drawbacks of DSM-5 (and other) polythetic diagnostic criteria","volume":"76","author":"Maj","year":"2015","journal-title":"J. Clin. Psychiatry"},{"issue":"12","key":"10.1016\/j.jad.2020.08.080_bib0039","doi-asserted-by":"crossref","first-page":"2134","DOI":"10.1176\/appi.ajp.160.12.2134","article-title":"Agitated depression in bipolar I disorder: prevalence, phenomenology, and outcome","volume":"160","author":"Maj","year":"2003","journal-title":"Am. J. Psychiatry"},{"issue":"5","key":"10.1016\/j.jad.2020.08.080_bib0040","doi-asserted-by":"crossref","first-page":"712","DOI":"10.4088\/JCP.v67n0504","article-title":"Agitated \"unipolar\" major depression: prevalence, phenomenology, and outcome","volume":"67","author":"Maj","year":"2006","journal-title":"J. Clin. Psychiatry"},{"key":"10.1016\/j.jad.2020.08.080_bib0041","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.jad.2017.12.062","article-title":"Is recurrence in major depressive disorder related to bipolarity and mixed features? Results from the BRIDGE-II-Mix study","volume":"229","author":"Mazzarini","year":"2018","journal-title":"J. Affect. Disord"},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0042","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.bpobgyn.2013.08.009","article-title":"The long-term psychiatric and medical prognosis of perinatal mental illness","volume":"28","author":"Meltzer-Brody","year":"2014","journal-title":"Best Pract. Res. Clin. Obstet. Gynaecol."},{"issue":"2","key":"10.1016\/j.jad.2020.08.080_bib0043","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/S0165-0327(03)00156-3","article-title":"Sensitivity and specificity of the Mood Disorder Questionnaire for detecting bipolar disorder","volume":"81","author":"Miller","year":"2004","journal-title":"J. Affect. Disord."},{"issue":"7","key":"10.1016\/j.jad.2020.08.080_bib0044","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1177\/0706743719838784","article-title":"Mental disorders and suicide attempts in the pregnancy and postpartum periods compared with non-pregnancy: a population-based study","volume":"64","author":"Mota","year":"2019","journal-title":"Can. J. Psychiatry"},{"issue":"4","key":"10.1016\/j.jad.2020.08.080_bib0045","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1001\/archgenpsychiatry.2011.157","article-title":"Psychiatric disorders with postpartum onset: possible early manifestations of bipolar affective disorders","volume":"69","author":"Munk-Olsen","year":"2012","journal-title":"Arch. Gen. Psychiatry"},{"issue":"2","key":"10.1016\/j.jad.2020.08.080_bib0046","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1080\/02646839008403615","article-title":"Screening for depression during pregnancy with the Edinburgh depression scale (EPDS)","volume":"8","author":"Murray","year":"1990","journal-title":"J. Reprod. Infant Psychol."},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0047","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.bpobgyn.2013.09.002","article-title":"Perinatal mental illness: definition, description and aetiology","volume":"28","author":"O'Hara","year":"2014","journal-title":"Best Pract. Res. Clin. Obstet. Gynaecol."},{"key":"10.1016\/j.jad.2020.08.080_bib0048","first-page":"67","article-title":"The brief psychiatric rating scale in psychopharmacology research","volume":"7","author":"Overall","year":"1974"},{"issue":"June","key":"10.1016\/j.jad.2020.08.080_bib0049","doi-asserted-by":"crossref","first-page":"799","DOI":"10.2466\/pr0.1962.10.3.799","article-title":"The brief psychiatric rating scale","volume":"10","author":"Overall","year":"1962","journal-title":"Psychol. Rep."},{"issue":"3","key":"10.1016\/j.jad.2020.08.080_bib0050","doi-asserted-by":"crossref","first-page":"e351","DOI":"10.4088\/JCP.14m09092","article-title":"Mixed features in patients with a major depressive episode: the BRIDGE-II-MIX study","volume":"76","author":"Perugi","year":"2015","journal-title":"J. Clin. Psychiatry"},{"issue":"4","key":"10.1016\/j.jad.2020.08.080_bib0051","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/YIC.0000000000000260","article-title":"Personalized and precision medicine as informants for treatment management of bipolar disorder","volume":"34","author":"Perugi","year":"2019","journal-title":"Int. Clin. Psychopharmacol."},{"issue":"1\u20133","key":"10.1016\/j.jad.2020.08.080_bib0052","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.jad.2007.07.031","article-title":"TEMPS-A (Rome): psychometric validation of affective temperaments in clinically well subjects in mid- and south Italy","volume":"107","author":"Pompili","year":"2008","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2020.08.080_bib0053","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1192\/bjp.bp.106.032789","article-title":"Effects of treating postnatal depression on mother-infant interaction and child development: systematic review","volume":"191","author":"Poobalan","year":"2007","journal-title":"Br. J. Psychiatry"},{"key":"10.1016\/j.jad.2020.08.080_bib0054","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/j.jad.2014.09.047","article-title":"Different patterns of manic\/hypomanic symptoms in depression: a pilot modification of the hypomania checklist-32 to assess mixed depression","volume":"172","author":"Prieto","year":"2015","journal-title":"J. Affect. Disord."},{"issue":"6","key":"10.1016\/j.jad.2020.08.080_bib0055","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/S2215-0366(17)30136-0","article-title":"Clinical phenotypes of perinatal depression and time of symptom onset: analysis of data from an international consortium","volume":"4","author":"Putnam","year":"2017","journal-title":"Lancet Psychiatry"},{"issue":"2","key":"10.1016\/j.jad.2020.08.080_bib0056","first-page":"157","article-title":"Antidepressz\u00edvum-rezisztens depresszi\u00f3 \u00e9s a bipol\u00e1ris spektrum kapcsolata - diagnosztikai \u00e9s ter\u00e1pi\u00e1s szempontok [Antidepressant-resistant depression and the bipolar spectrum \u2013 diagnostic and therapeutic considerations\u2013Hungarian]","volume":"31","author":"Rihmer","year":"2016","journal-title":"Psychiatr. Hung."},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0057","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1186\/s12884-016-1127-1","article-title":"Bipolar disorder in pregnancy and childbirth: a systematic review of outcomes","volume":"16","author":"Rusner","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.jad.2020.08.080_bib0058","first-page":"1","article-title":"The affective temperament traits and pregnancy-related depression in mothers may constitute risk factors for their children with attention deficit and hyperactivity disorder","author":"\u015eair","year":"2019","journal-title":"J. Obstet. Gynaecol."},{"key":"10.1016\/j.jad.2020.08.080_bib0059","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1159\/000358808","article-title":"Mixed depression: clinical features and predictors of its onset associated with antidepressant use","volume":"83","author":"Sani","year":"2014","journal-title":"Psychother. Psychosom."},{"key":"10.1016\/j.jad.2020.08.080_bib0060","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jad.2014.03.054","article-title":"Koukopoulos diagnostic criteria for mixed depression: a validation study","volume":"164","author":"Sani","year":"2014","journal-title":"J. Affect. Disord."},{"issue":"8","key":"10.1016\/j.jad.2020.08.080_bib0061","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1007\/s40261-017-0531-2","article-title":"Treatment of bipolar disorder in a lifetime perspective: is lithium still the best choice?","volume":"37","author":"Sani","year":"2017","journal-title":"Clin. Drug Investig"},{"key":"10.1016\/j.jad.2020.08.080_bib0062","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jad.2018.01.025","article-title":"The Koukopoulos Mixed Depression Rating Scale (KMDRS): an International Mood Network (IMN) validation study of a new mixed mood rating scale","volume":"232","author":"Sani","year":"2018","journal-title":"J. Affect. Disord."},{"issue":"4","key":"10.1016\/j.jad.2020.08.080_bib0063","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1034\/j.1600-0447.2003.00051.x","article-title":"Frequency of manic symptoms during a depressive episode and unipolar \u2019depressive mixed state\u2019 as bipolar spectrum","volume":"107","author":"Sato","year":"2003","journal-title":"Acta Psychiatr. Scand."},{"key":"10.1016\/j.jad.2020.08.080_bib0064","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jad.2016.02.064","article-title":"Evaluating response to mood stabilizers in patients with mixed depression: a study of agreement between three different mania rating scales and a depression rating scale","volume":"197","author":"Shansis","year":"2016","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2020.08.080_bib0065","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1093\/biomet\/52.3-4.591","article-title":"Analysis of variance test for normality (complete samples)","volume":"52","author":"Shapiro","year":"1965","journal-title":"Biometrika"},{"issue":"3","key":"10.1016\/j.jad.2020.08.080_bib0066","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1111\/j.1399-5618.2010.00809.x","article-title":"Identification of bipolar disorder in women with postpartum depression","volume":"12","author":"Sharma","year":"2010","journal-title":"Bipolar Disord."},{"issue":"2","key":"10.1016\/j.jad.2020.08.080_bib0067","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/s00737-013-0406-3","article-title":"The DSM-5 peripartum specifier: prospects and pitfalls","volume":"17","author":"Sharma","year":"2014","journal-title":"Arch. Womens Ment. Health"},{"issue":"6","key":"10.1016\/j.jad.2020.08.080_bib0068","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1111\/j.1399-5618.2008.00606.x","article-title":"Missed bipolarity and psychiatric comorbidity in women with postpartum depression","volume":"10","author":"Sharma","year":"2008","journal-title":"Bipolar Disord"},{"issue":"1","key":"10.1016\/j.jad.2020.08.080_bib0069","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1111\/bdi.12140","article-title":"A prospective study of diagnostic conversion of major depressive disorder to bipolar disorder in pregnancy and postpartum","volume":"16","author":"Sharma","year":"2014","journal-title":"Bipolar Disord."},{"issue":"3","key":"10.1016\/j.jad.2020.08.080_bib0070","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S0165-1781(97)00123-6","article-title":"Modification of the clinical global impressions (CGI) Scale for use in bipolar illness (BP): the CGI-BP","volume":"73","author":"Spearing","year":"1997","journal-title":"Psychiatry Res."},{"issue":"10","key":"10.1016\/j.jad.2020.08.080_bib0071","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1001\/archpsyc.62.10.1089","article-title":"Mixed hypomania in 908 patients with bipolar disorder evaluated prospectively in the Stanley Foundation Bipolar Treatment Network: a sex-specific phenomenon","volume":"62","author":"Suppes","year":"2005","journal-title":"Arch. Gen. Psychiatry"},{"issue":"9","key":"10.1016\/j.jad.2020.08.080_bib0072","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1001\/archpsyc.57.9.841","article-title":"Efficacy of olanzapine in acute bipolar mania: a double-blind, placebo-controlled study","volume":"57","author":"Tohen","year":"2000","journal-title":"Olanzapine HGGW Study Group. Arch. Gen. Psychiatry"},{"key":"10.1016\/j.jad.2020.08.080_bib0073","first-page":"1154","article-title":"Suicide attempts during pregnancy in South Africa","volume":"24","author":"Vawda","year":"2018","journal-title":"S. Afr. J. Psychiatr."},{"key":"10.1016\/j.jad.2020.08.080_bib0074","first-page":"227","article-title":"Appendix 1: brief Psychiatric Rating Scale (BPRS) Expanded version (4.0) scales, anchor points and administration manual","volume":"3","author":"Ventura","year":"1993","journal-title":"Int. J. Meth. Psychiatr. Res."},{"key":"10.1016\/j.jad.2020.08.080_bib0075","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.jad.2013.12.031","article-title":"Phenomenology of manic episodes according to the presence or absence of depressive features as defined in DSM-5: results from the IMPACT self-reported online survey","volume":"156","author":"Vieta","year":"2014","journal-title":"J. Affect. Disord."},{"issue":"12","key":"10.1016\/j.jad.2020.08.080_bib0076","doi-asserted-by":"crossref","first-page":"1817","DOI":"10.1176\/appi.ajp.2007.06101639","article-title":"Risk of recurrence in women with bipolar disorder during pregnancy: prospective study of mood stabilizer discontinuation","volume":"164","author":"Viguera","year":"2007","journal-title":"Am. J. Psychiatry"},{"issue":"11","key":"10.1016\/j.jad.2020.08.080_bib0077","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1176\/appi.ajp.2011.11010148","article-title":"Episodes of mood disorders in 2,252 pregnancies and postpartum periods","volume":"168","author":"Viguera","year":"2011","journal-title":"Am. J. Psychiatry"},{"issue":"1\u20132","key":"10.1016\/j.jad.2020.08.080_bib0078","first-page":"28","article-title":"The generalization of \"Student's\" problem when several different population variances are involved","volume":"34","author":"Welch","year":"1947","journal-title":"Biometrika"},{"key":"10.1016\/j.jad.2020.08.080_bib0079","article-title":"\u00dcber die Mischzust\u00e4nde des manischdepressiven Irreseins","author":"Weygandt","year":"1899","journal-title":"J.F. Lehmann, M\u00fcnchen"},{"issue":"3","key":"10.1016\/j.jad.2020.08.080_bib0080","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1177\/1073191114544357","article-title":"Assessment of postpartum depressive symptoms: the importance of somatic symptoms and irritability","volume":"22","author":"Williamson","year":"2015","journal-title":"Assessment"},{"issue":"5","key":"10.1016\/j.jad.2020.08.080_bib0081","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1192\/bjp.133.5.429","article-title":"A rating scale for mania: reliability, validity and sensitivity","volume":"133","author":"Young","year":"1978","journal-title":"Br. J. Psychiatry"}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032720326860?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032720326860?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T01:54:55Z","timestamp":1759024495000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032720326860"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":81,"alternative-id":["S0165032720326860"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2020.08.080","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2021,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Koukopoulos mixed depression rating scale (KMDRS) and the assessment of mixed symptoms during the perinatal period","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2020.08.080","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}