{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T16:40:20Z","timestamp":1736440820406,"version":"3.32.0"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,6,26]],"date-time":"2006-06-26T00:00:00Z","timestamp":1151280000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:p><jats:bold>Objective:\u2002<\/jats:bold>We tested whether factors other than episode severity contributed to psychosis in mania.<\/jats:p><jats:p><jats:bold>Method:\u2002<\/jats:bold>Psychiatrists collected systematic clinical data on 1090 hospitalized DSM\u2010IV manic patients in France, and completed the Mania Rating Scale (MRS) and the Scale for the Assessment of Positive Symptoms (SAPS).<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold>Using DSM\u2010IV specifiers, 21.9% were non\u2010severe, 28.2% severe without psychosis, and 49.9% severe with psychosis. On the MRS, patients with psychosis scored significantly higher (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.0001) than non\u2010severe, but did not differ from the severe without psychosis. We found significant correlations between both the Hallucination and the Delusion subscores of the SAPS and the MRS, as well as correlations between age, single marital status, comorbid social phobia and psychotic mania.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold>Apart from episode severity, social isolation \u2013 associated with younger age, single marital status and social phobia \u2013 seems to make a contribution to the origin of manic psychosis largely independent from such severity.<\/jats:p>","DOI":"10.1111\/j.1600-0447.2006.00841.x","type":"journal-article","created":{"date-parts":[[2006,6,26]],"date-time":"2006-06-26T12:08:10Z","timestamp":1151323690000},"page":"29-34","source":"Crossref","is-referenced-by-count":17,"title":["Is psychosis in DSM\u2010IV mania due to severity? The relevance of selected demographic and comorbid social\u2010phobic features"],"prefix":"10.1111","volume":"115","author":[{"given":"J.\u2010M.","family":"Azorin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Akiskal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Akiskal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Hantouche","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Ch\u00e2tenet\u2010Duch\u00eane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Gury","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Lancrenon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,6,26]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1973.01750320053009"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.146.9.1149"},{"key":"e_1_2_8_4_2","first-page":"14","article-title":"Mania, psychosis and antipsychotics","volume":"57","author":"Mc Elroy SL","year":"1996","journal-title":"J Clin Psychiatry"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-000-0069-4"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.133.5.429"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.133.12.1445"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v65n0614"},{"volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1994","author":"American Psychiatric Association","key":"e_1_2_8_9_2"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(98)00113-X"},{"key":"e_1_2_8_11_2","first-page":"279","article-title":"Structure factorielle du syndrome maniaque: Revue de la litt\u00e9rature et r\u00e9sultats de l'etude fran\u00e7aise \u2018\u2018EPIMAN\u2019\u2019","volume":"158","author":"Azorin JM","year":"2000","journal-title":"Annales M\u00e9dico-Psychologiques"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(02)00318-X"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(01)00441-4"},{"key":"e_1_2_8_14_2","first-page":"359","article-title":"la manie dans la cohorte nationale de 1090 patients de l\u2019\u00e9tude \u00abEPIMAN\u2010II Mille\u00bb: fr\u00e8quence des sous\u2010types cliniques, d\u00e9but et errances diagnostiques [Mania in a national cohort of 1090 patients from \u00ab EPIMAN\u2010II Mille\u00bb study: frequency of clinical sub\u2010types, onset, and diagnostic errors]","volume":"161","author":"Hantouche EG","year":"2003","journal-title":"Ann Med Psychol"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2004.08.012"},{"volume-title":"SCID. 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