Indian Journal of Private Psychiatry

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VOLUME 15 , ISSUE 2 ( July-December, 2021 ) > List of Articles

Original Article

Psychotic Mania and Nonpsychotic Mania: A Comparative, Cross-sectional Study

Swarna Hemamalini Mohan Sundaram, Ganesh Kini Kota, Rohan D Mendonsa, Ravichandra Karkal, Anil Kakunje, Varikara Veetil Mohan Chandran

Keywords : Age of onset, Bipolar disorder, Nonpsychotic mania, Psychotic mania

Citation Information : Sundaram SH, Kota GK, Mendonsa RD, Karkal R, Kakunje A, Chandran VV. Psychotic Mania and Nonpsychotic Mania: A Comparative, Cross-sectional Study. Ind J Priv Psychiatry 2021; 15 (2):92-95.

DOI: 10.5005/jp-journals-10067-0084

License: CC BY-NC 4.0

Published Online: 31-12-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Aims and objectives: Though mania is considered a mood disorder and presents with elevated/irritable mood, increased goal-directed activity, pressure of speech, and flight of ideas, they can also manifest with psychotic symptoms including Schneiderian first-rank symptoms. The present study was undertaken to compare and study any differences between psychotic mania and nonpsychotic mania groups. Materials and methods: We compared the sociodemographic and clinical variables between 30 psychotic and 30 nonpsychotic mania patients, i.e., a total of 60 patients. After obtaining ethical clearance from the Institutional Ethics Committee, we used the Mini International Neuropsychiatric Interview to conduct structured diagnostic interview and the Young's Mania Rating Scale (YMRS) to assess the severity of mania. Results: Young's Mania Rating Scale scores (Mann–Whitney U = 785.5; p <0.05) and duration of hospital stay (Mann–Whitney U = 587.0; p = 0.04) were significantly different between the two groups. During correlation analysis, negative correlation between age of onset and number of episodes of psychotic mania (p = –0.477; p = 0.008) was seen. A moderate association between duration of hospitalization and YMRS scores (p = 0.331; p = 0.010) was also observed. Conclusion: Psychotic mania tends to be more severe and needs longer duration of stay in hospital compared to nonpsychotic mania. The negative correlation between age of onset and the number of episodes of psychotic mania highlights the need for specialized early interventions to treat such cases to alter the course of the disorder and improve the socio-occupational impairment.

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