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The Study of Impulsivity in Bipolar Mania


Affiliations
1 Department of Psychiatry All India Institute of Medical Sciences New Delhi, India
2 Department of Psychiatry Central Institute of Psychiatry Ranchi, Jharkhand, India
3 Department of Clinical Psychology Institute of Mental Health Govt. Mental Hospital, Amritsar, Punjab, India
4 Division of Trauma Surgery & Critical Care, JPNATC, All India Institute of Medical Sciences, New Delhi, India
5 Department of Clinical Psychology PGIMER- Dr. Ram Manohar Lohia Hospital, New Delhi, India
     

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It is largely accepted that impulsivity is part of bipolar disorder. However, presence of various sub-facets of impulsivity in bipolar disorder remains largely unknown. The present study aims to see various sub-components of impulsivity in patients diagnosed with BPAD current episode manic type. Purposive sampling was used to select 20 patients with diagnosis of BPAD current episode manic type (based on ICD-10 DCR) (group 1) from a tertiary care hospital. Another 20 normal healthy subjects (group 2) were taken from accompanying person on the score of less than 3 in GHQ-12. Both the groups were matched on age, sex and education level obtained through initial assessment on socio-demographic clinical data sheet. All the subjects (n=40) were assessed using Barratt Impulsivity Scale and Stocking of Cambridge test, (a sub test of CANTAB). There was a statistically significant difference between group 1 and group 2 on measures of BIS. On SOC, significant differences were obtained on subcomponents of Mean Subsequent Thinking Time and Problems Solved in Minimum Moves. The findings of this study suggest that impulsivity more present in patients with BPAD thannormal subjects.

Keywords

Impulsivity, Bipolar Affective Disorder, Mania.
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  • Allen, T.J., Moeller, EG., Rhoades, H.M., & Cherek, D.R. (1998) Impulsivity and history of drug dependence. Drug Alcohol Dependence, 50, 137-145.

  • American Psychiatric Association (1995). American psychiatric association diagnostic andstatisticalmanualof'mentaldisorders (4th ed.). Washington, DCAPA.

  • Cloninger, C.R., Svrakic, D., & Przybeck, T (1993). A psychobiological model of temperament and character. Archives of General Psychiatry, 50, 975-990.

  • Corruble, E., Damy, C, & Guelfi, J.D. (1999). Impulsivity: A relevant dimension in depressionregarding suicide attempts? Journal of Affective Disorder, 53, 211-215.

  • Costa, P.T., & McCrae, R.R. (1992). RevisedNEOpersonality inventory: Professional manual. Odessa, FL: PsychologicalAssessmentResources.

  • Dickman, SJ. (1990). Functional and dysfunctional impulsivity: Personality and cognitive correlates. Journal of Personality and Social Psychology, 58(1), 95-102.

  • Eysenck, S.B., & Eysenck, HJ. (1970). The place of impulsiveness in a dimensional system of personality description. British Journal of Social and Clinical Psychology, 76,57-68.

  • Fawcett, J., Busch, K.A.Jacobs, D., Kravitz, H.M., & Fogg, L. (1997). Suicide: Afourpathway clinical biochemical model. Annals of the New York Academy of Sciences, 836, 288-301.

  • Goodwin, F.K., & Jamison, K.R. (1990). Manic-depressive illness. New York: Oxford University Press, pp. 15-55.

  • Henry, C., Mitropoulou, V, New,A.S., Koenigsberg, H.W., Silverman, J., & Siever, LJ. (2001). Affective instability and impulsivity in borderline personality and bipolar II disorders: Similarities and differences. Journal of Psychiatry Research, 35, 307- 312.

  • Hinslie, L, & Shatzky, J. (1940). Psychiatric dictionary. New York: Oxford University Press.

  • Hollander, E., & Evers, M. (2001) New developments in impulsivity. Lancet, 355(9286). 949-950.

  • Hudson, J.I., McElroy, S.L., Raymond, N.C., Crow, S., Keck, P.E., Carter, W.P, Mitchell, J.E., Strakowski, S.M., Pope, H.G., Coleman, B.S., & Jonas, J.M. (1998). Fluvoxamine in the treatment of binge-eating disorder: A multicentre placebo-controlled, double blind trial. American Journal of Psychiatry, 155, 1756-1762.

  • McElroy, S.L, Pope, H.G, Keck, P.E, Hudson, J.I, Phillips, K.A, & Strakowski, S.M. (1996) Are impulse control disorders related to bipolar disorder? Comprehensive Psychiatry, 37, 229-240.

  • Mclntosh, A.M., Harrison, L.K, Forrester, K, Lawrie, S.M, & Johnstone, E.C. (2005) Neuropsychological impairments in people with schizophrenia or bipolar disorder midtheir unaffectedreiatives. British Journal of Psychiatry, 186, 378-385.

  • Moeller, KG, Barratt, E.S, Dougherty, D.M, Schmitz, J.M, & Alan, C. (2001) Psychiatric aspects of impulsivity. American Journal of Psychiatry, 158,1783-1793.

  • Nigg, J.T. (2000). On inhibition/disinhibition in developmental psychopathology: Views from cognitive and personal psychology and a working inhibition taxonomy Psychological Bulletin, 126,127.

  • Patton, J.H, Stanford, M.S., & Barratt, E.S. (1995). Factor structure of the Barratt Impulsiveness Scale. Journal of Clinical Psychology, 51, 768-774.

  • Peluso, M.A.M, Hatch, J.P, Glahn, D.C, Monkul, E.S, Sanches, M, Najt, P, Bowden, C.L, Barratt, E.S, & Soares, J.C. (2007). Trait impulsivity in patients with mood disorders. JournalofAffective Disorders, 100, 227-231.

  • Smith, L. (1952). A dictionary of psychiatry for the layman. London: Maxwell.

  • Solanto, M.V, Abikoff, H, Sonuga-Barke, E, Schachar, R, Logan, G.D, & Wigal, T. (2001). The ecological validity of delay aversion and response inhibition as measures of impulsivity in ADHD: A supplement to the NIMH multi modal treatment study of ADHD. Journal of Abnormal Child Psychology, 29(3), 115-228.

  • Sunohara, G.A, Malone, M.A, Rovet, J, Humphries, T, Roberts, W, & Taylor, M.J. (1999). Effect of methylphenidate on attention in children with attention deficit hyperactivity disorder (ADHD): ERP evidence. Neuro-psychopharmacology, 21, 218-228.

  • Swann, A.C, Anderson, J.C, Dougherty, D.M, & Moeller, FG. (2001). Measurement of inter-episode impulsivity in bipolar disorder. Psychiatry Research, 101,195-197.

  • Swann, A.C, Pazzaaglia, P, Nicholls, A, Dougherty, D.M, & Moeller, F.G. (2003) Impulsivity and phase of illness in bipolar disorder. Journal of Affective Disorder, 73, 105-111.

  • Whiteside, S.P, & Lynam, D.R (2001). The five factor model and impulsivity using a structural model of personality to understand impulsiveness. Individual Difference, 30, 669-689.

  • World Health Organization (1993). International classification of disease, chapter V. Mental and behavioural disorders. Geneva WHO.


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  • The Study of Impulsivity in Bipolar Mania

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Authors

Mohit Kumar
Department of Psychiatry All India Institute of Medical Sciences New Delhi, India
Basudeb Das
Department of Psychiatry Central Institute of Psychiatry Ranchi, Jharkhand, India
Sanjay Kumar
Department of Clinical Psychology Institute of Mental Health Govt. Mental Hospital, Amritsar, Punjab, India
Masood Maqbool
Division of Trauma Surgery & Critical Care, JPNATC, All India Institute of Medical Sciences, New Delhi, India
Satyam Sharma
Department of Clinical Psychology PGIMER- Dr. Ram Manohar Lohia Hospital, New Delhi, India

Abstract


It is largely accepted that impulsivity is part of bipolar disorder. However, presence of various sub-facets of impulsivity in bipolar disorder remains largely unknown. The present study aims to see various sub-components of impulsivity in patients diagnosed with BPAD current episode manic type. Purposive sampling was used to select 20 patients with diagnosis of BPAD current episode manic type (based on ICD-10 DCR) (group 1) from a tertiary care hospital. Another 20 normal healthy subjects (group 2) were taken from accompanying person on the score of less than 3 in GHQ-12. Both the groups were matched on age, sex and education level obtained through initial assessment on socio-demographic clinical data sheet. All the subjects (n=40) were assessed using Barratt Impulsivity Scale and Stocking of Cambridge test, (a sub test of CANTAB). There was a statistically significant difference between group 1 and group 2 on measures of BIS. On SOC, significant differences were obtained on subcomponents of Mean Subsequent Thinking Time and Problems Solved in Minimum Moves. The findings of this study suggest that impulsivity more present in patients with BPAD thannormal subjects.

Keywords


Impulsivity, Bipolar Affective Disorder, Mania.

References