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Table 1 DSM and study definitions

From: Impact of modification to DSM-5 criterion A for hypomania/mania in newly diagnosed bipolar patients: findings from the prospective BIO study

  DSM definition of criterion A for a hypomanic/manic episode Study defined criterion A for a hypomanic/manic visit based on YMRSa
DSM-IV “A distinct period of abnormally and persistently elevated, expansive or irritable mood” Item 1b \(\ge \) 2 and/or Item 5d \(\ge \) 4
DSM-5 “A distinct period of abnormally and persistently elevated, expansive or irritable mood AND persistently increased activity or energy” Item 1 \(\ge \) 2 and/or Item 5 \(\ge \) 4
AND
Item 2c \(\ge \) 2
  1. aYoung Mania Rating Scale (11-item)
  2. bItem 1: Mood elevation
  3. cItem 2: Energy/activity
  4. dItem 5: Irritability