Mood-congruent versus mood-incongruent psychotic symptoms in first-admission patients with affective disorder

Shmuel Fennig, Evelyn J. Bromet, Marsha Tanenberg Karant, Rangathan Ram, Lina Jandorf

Research output: Contribution to journalArticlepeer-review

Abstract

The distribution of mood-congruent and mood-incongruent symptoms in 49 first-admission DSM-III-R psychotic bipolar and 35 psychotic depressed patients is presented. Most patients had mood-incongruent symptoms (77.4%). 73% of mood-incongruent bipolars and 32% of incongruent depressives had a combination of mood-congruent and mood-incongruent symptoms. Demographic and clinical variables were unrelated to incongruence. The only 24-month clinical outcome predicted by mood incongruence was poorer GAF rating. 15 of the 16 patients whose diagnosis was changed at follow-up from affective to noneffective psychosis had mood-incongruent features initially. The findings raise questions about the general prognostic utility of mood congruence.

Original languageEnglish
Pages (from-to)23-29
Number of pages7
JournalJournal of Affective Disorders
Volume37
Issue number1
DOIs
StatePublished - 12 Feb 1996
Externally publishedYes

Keywords

  • Affective psychosis
  • Diagnostic stability
  • First-admission
  • Mood incongruence
  • Outcome

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