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[Clinico-psychopathologic features of manic states in old age]

M P Andrusenko

    Zhurnal Nevropatologii I Psikhiatrii Imeni S.S. Korsakova (Moscow, Russia : 1952)
    |January 1, 1986
    PubMed

    Insights

    This study identified four distinct manic states in older adults with endogenic psychoses, revealing correlations between manic types and specific age-related clinical features.

    Area of Science:

    • Geriatric Psychiatry
    • Clinical Psychology
    • Psychopathology

    Context:

    • Manic states in older adults present unique clinical features.
    • Endogenic psychoses, including schizophrenia and manic-depressive psychosis, can manifest with manic episodes in advanced age.
    • Understanding these specific presentations is crucial for accurate diagnosis and treatment.

    Purpose:

    • To investigate the psychopathology and clinical typology of manic states in elderly patients.
    • To identify distinct subtypes of mania occurring in individuals over 50.
    • To explore potential correlations between manic state types and age-associated clinical characteristics.

    Summary:

    • The study analyzed 154 manic phases in 30 patients (aged >50) with endogenic psychoses (schizophrenia and manic-depressive psychosis).
    • Four types of manic states were identified: merry/simple mania, wrathful mania, mania with expansive fantastic delirium, and a senile type of mania.
    • A correlation was found between these manic types and specific clinical features related to aging.

    Impact:

    • Provides a nuanced classification of late-life mania, aiding in differential diagnosis.
    • Highlights the heterogeneity of manic presentations in geriatric populations.
    • Informs tailored therapeutic approaches for elderly patients experiencing manic episodes.

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