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Table 2 Rank order of frequency of manic symptoms by age group (symptom frequencies are reported as  %)

From: A systematic review of the frequency and severity of manic symptoms reported in studies that compare phenomenology across children, adolescents and adults with bipolar disorders

Ballenger et al.
(1982)
Findling et al.
(2001)a
Jerrell and Shugart
(2004)
Lazaro et al.
(2007)b
Song et al.
(2010)c
Chan et al.
(2011)
Adolescent Adult Child Adolescent Child/
Adolescent
Adult Child Adolescent Child Adolescent Child Adolescent
Grandiosity (78) Pressured Speech (100) Poor judgement (91) Increased goal directed/
aggressive behaviour (88)
Irritable (83) Irritable (74) Irritability, aggression, anger outbursts (64) Euphoria (35) Irritability, aggressive behaviour (63) Depression (49) Elevated mood (89) Elevated mood (73)
Decreased sleep (67) Decreased sleep (100) Racing thoughts (88) Racing thoughts (88) Easily distracted (49) Racing thoughts (55) Psychotic episode (7) Psychotic episode (7) Depression (19) Irritability, aggressive behaviour (24) Decreased concentration
(44)
Decreased sleep (62)
Pressured Speech (67) Hyperactivity (92) Bizarre/
grandiose thought content (86)
Distractibility (88) Euphoric (42) Easily distracted (46) Euphoria (0) Irritability, aggression, anger outbursts (3) Elated mood, euphoria (13) Elated mood, euphoria (16) Restlessness (33) Decreased concentration (46)
Belligerence (67) Euphoria (75) More talkative (84) Bizarre/
grandiose thought content (79)
Hardly slept, not tired (31) Talked fast (45)    Mood swings, fluctuation (6) Mood swings, fluctuation (11) Decreased sleep (33) Impulsivity (39)
Flight of ideas (44);
Hyper-sexuality (44);
Reckless spending (44)
Belligerence (75) Distractibility (82) More talkative (77) Grandiose (27) Hardly slept, not tired (38)      Impulsivity (22);
Gross overactivity (22)
Restlessness (39)
Flight of ideas
(67)
   Hyperactive (26) Grandiose (27)      Gross overactivity (23)
  1. All  % are reported to the nearest integer
  2. a K-SADS symptom ratings
  3. b Study reported only 3 key symptoms of mania; euphoria was not reported by any child participant
  4. c Study reviewed most common symptoms of BD, which also included ratings of some depressive features