Patterns of changes in bipolar depressive symptoms revealed by trajectory analysis among 482 patients with bipolar disorder.
Ida Behrendt-MøllerTrine MadsenHolger Jelling SørensenLouisa SylviaEdward S FriedmanRichard C SheltonCharles L BowdenJoseph R CalabreseSusan L McElroyTerence A KetterNoreen A Reilly-HarringtonKeming GaoMichael ThaseWilliam V BoboMauricio TohenMelvin McInnisMasoud KamaliJames H KocsisThilo DeckersbachAndrew A NierenbergPublished in: Bipolar disorders (2018)
Approximately 30% experienced a partial or fluctuating course, and almost 10% had a chronic course with moderate-severe depression during 6 months. Patients diagnosed with bipolar type 1 had higher risk of being categorized into a class with a worse outcome. While no differences in average overall outcomes occurred between the lithium and quetiapine groups, trajectory analysis revealed that the lithium group had more variable courses.