Is the DSM-5 duration criterion valid for the definition of hypomania?

摘要: Abstract Background DSM-IV and DSM-5 impose a 4 day duration criterion for hypomanic episodes yet several studies have suggested that such an imposition may be invalid. We report study involving large sample pursuing the likely salience of DSM criterion. Methods analyzed data on symptoms provided by two bipolar screening measures – Mood Disorders Questionnaire (MDQ) Swings (MSQ) in 501 patients meeting other symptom criteria II disorder (BP II) contrasted 186 minimum days 315 experiencing lasting less than (i.e. ‘standard’ vs. ‘brief’ groups). Results The brief group reported slightly severe episodes, but groups did not differ number illness correlates including age onset depressive or rates conditions first-degree family members. Limitations possibility false positive BP diagnoses, especially with must conceded while our examination clinical was limited to measures. Conclusions This is consistent previous suggesting more diagnosis episode unnecessary definition disorder. Its preservation exclude substantive those true condition.