Evidence map›Paper›PMID 27304255›Full record

ArticleRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)2016

Psychiatric and clinical correlates of rapid cycling bipolar disorder: a cross-sectional study.

Alexandre D Gigante, Ivan Y Barenboim, Rodrigo da S Dias, Ricardo A Toniolo, Tiago Mendonça, Ângela Miranda-Scippa, Flávio Kapczinski, Beny Lafer

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. The clinical characterization of the adult patient with bipolar disorder aimed at personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022
    Article
  5. Article
  6. Lurasidone in Therapy of Treatment-resistant Ultra-rapid Cycling Bipolar Disorder: Case Report.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Infectious and immunogenetic factors in bipolar disorder.Acta psychiatrica Scandinavica · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alexandre D GigantePrograma de Transtorno Bipolar (PROMAN), Departamento de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
Ivan Y BarenboimPrograma de Transtorno Bipolar (PROMAN), Departamento de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
Rodrigo da S DiasPrograma de Transtorno Bipolar (PROMAN), Departamento de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
Ricardo A TonioloPrograma de Transtorno Bipolar (PROMAN), Departamento de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
Tiago MendonçaInsper Instituto de Ensino e Pesquisa, São Paulo, SP, Brazil.
Ângela Miranda-ScippaCentro de Estudos de Transtornos de Humor e Ansiedade (CETHA), Departamento de Psiquiatria, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.
Flávio KapczinskiPrograma de Atendimento do Transtorno de Humor Bipolar (PROTAHBI), Departamento de Psiquiatria, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Beny LaferPrograma de Transtorno Bipolar (PROMAN), Departamento de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objective: Rapid cycling (RC) is a feature of bipolar disorder (BD) that has been associated with worse outcome and more severe disability. Our goal was to investigate the association of demographic and clinical factors with RC.

methods: We compared RC and non-rapid cycling (NRC) BD patients from the Brazilian Research Network in Bipolar Disorder (BRN-BD) regarding age at onset of BD; total number of episodes; previous number of manic, depressive, mixed, and hypomanic episodes; polarity of the first episode; gender; number of suicide attempts; number of lifetime hospitalizations and lifetime history of at least one hospitalization; family history of mood disorder; clinical comorbidities such as hypothyroidism, hyperthyroidism, seizures; and current use of medications such as lithium, anticonvulsants, antipsychotics, and antidepressants.

results: We studied 577 patients and found that 100 (17.3%) met the criteria for RC in the year before the investigation. RC patients had earlier age at onset, longer duration of disease, more lifetime depressive and manic episodes, higher number of suicide attempts, and higher rate antidepressant use.

conclusion: The presence of RC in the previous year was associated with specific clinical characteristics closely related to worse outcome in the course of BD.

Indexed as

AdultAge of OnsetAntidepressive AgentsBipolar DisorderBrazilComorbidityEpidemiologic MethodsFemaleHospitalizationHumansMaleMiddle AgedPsychiatric Status Rating ScalesSuicide, AttemptedAntidepressive Agents

Identifiers

PMID27304255
PMCPMC7111346

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.