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A factor analytical study report on mania from Nepal
Sanjeev Shah1, Tapas Kumar Aich2, Sandip Subedi1
1Department of Psychiatry, Universal College of Medical Sciences, Bhairahawa, Nepal.
Indian Journal of Psychiatry
|August 23, 2017
Summary
This study identified four distinct subtypes of mania in Nepalese patients: pure mania, dysphoric mania, hostile mania, and delirious mania, offering new insights into mood disorder presentations.
Area of Science:
- Psychiatry
- Psychology
- Mental Health Research
Background:
- Phenomenological studies on mood disorders are infrequent in Nepal.
- This study addresses the gap by investigating mania through a factor analytical approach.
Purpose of the Study:
- To conduct a factor analytical study of mania in Nepal.
- To identify and characterize subtypes of manic episodes.
Main Methods:
- A cross-sectional descriptive study involving 50 patients meeting ICD-10 criteria for manic episode or bipolar disorder.
- Utilized Young's Mania Rating Scale (YMRS) and Brief Psychiatric Rating Scale (BPRS) for symptom assessment.
- Applied principal component factor analysis to 35 symptoms.
Main Results:
- Factor analysis revealed four primary factors explaining 51.082% of the variance.
- These factors were characterized as 'pure mania' (11 symptoms), 'dysphoric mania' (5 symptoms), 'hostile mania' (6 symptoms), and 'delirious mania' (4 symptoms).
Conclusions:
- The identified factors provide a useful conceptual framework for understanding atypical features in acute mania.
- Further validation studies are needed to establish the clinical and theoretical significance of these subtypes.