Skip to main content

Table 2 Clinical and course characteristics by lifetime psychotic feature status

From: Psychotic features, particularly mood incongruence, as a hallmark of severity of bipolar I disorder

 

BD I all (n = 162)

BD I with psychotic features (n = 96)

 

Psychotic

(n = 96)

Non psychotic

(n = 66)

Test statistic

(95% C.I)a

p

Mood-incongruent

(n = 43)

Mood-congruent

(n = 53)

Test statistic

(95% C.I)a

p

Clinical characteristics

 

 Age of onset of first mood episode [mean (s.d.)]

24.4 (9.5)

27.6 (11.5)

β = − 1.3

(− 4.3; 1.7)

0.388

23.6 (10.0)

25.0 (9.1)

β = − 1.7

(− 5.3; 1.8)

0.328

 Maximum number of symptoms during a manic or mixed episode [mean (s.d.)]

5.5 (1.2)

5.0 (1.4)

β = 0.4

(0.0; 0.9)

0.041

5.3 (1.2)

5.7 (1.4)

β = − 0.5

(− 1.0; 0.0)

0.061

 Maximum number of symptoms during a depressive episode [mean (s.d.)] b

7.1 (1.1)

6.9 (1.2)

β = − 0.0

(− 0.4; 0.4)

0.963

7.1 (1.1)

7.0 (1.1)

β = 0.0

(− 0.4; 0.5)

0.847

 Hallucinations or delusions

93.8

–

–

–

97.7

90.6

OR = 4.5

(0.5; 40.2)

0.180

 Any Hallucination [%]

52.1

–

–

–

67.4

39.6

OR = 3.2

(1.4; 7.7)

0.007

 Auditory Hallucinations [%]

43.8

–

–

–

58.1

32.1

OR = 2.9

(1.3; 6.8)

0.012

 Somatic Hallucinations [%]

14.6

–

–

–

23.3

7.6

OR = 3.8

(1.1; 13.1)

0.037

 Olfactory Hallucinations [%]

9.4

–

–

–

16.3

3.8

OR = 5.2

(1.0; 27.3)

0.050

 Visual Hallucinations [%]

28.1

–

–

–

41.9

17.0

OR = 3.5

(1.4; 9.0)

0.009

 Gustative Hallucinations [%]

1.0

–

–

–

2.3

0

–c

–c

 Any Delusion [%]

90.6

–

–

–

93.0

88.7

OR = 1.7

(0.4; 7.4)

0.473

Course characteristics

 Number of episodes

        

  All [median (IQR)]

5.0 (4.0)

5.0 (2.0)

β = − 0.0

(− 0.2; 0.2)d

0.935

6.0 (5.0)

5.0 (3.0)

β = 0.2

(− 0.1; 0.4)d

0.218

  Manic [median (IQR)]

2.0 (2.0)

1.0 (3.0)

β = 0.1

(− 0.1; 0.3)d

0.447

2.0 (4.0)

2.0 (2.0)

β = 0.1

(− 0.2; 0.4)d

0.339

  Mixed [median (IQR)] b

0.0 (1.0)

0.0 (1.0)

β = 0.0

(− 0.2; 0.3)d

0.737

1.0 (1.0)

0.0 (1.0)

β = − 0.2

(− 0.5; 0.0)d

 < 0.100

  Depressive [median (IQR)] b

2.0 (3.0)

3.0 (2.0)

β = − 0.2

(− 0.4; 0.4)d

0.107

2.0 (3.0)

2.0 (2.0)

β = 0.1

(− 0.2; 0.4)d

0.380

 Duration of episodes (weeks)

        

  All [median (IQR)]

13.9 (32.2)

13.9 (21.4)

β = − 0.0

(− 0.4; 0.4)d

0.857

14.7 (35.6)

12.5 (26.3)

β = 0.1

(− 0.4; 0.7) d

0.574

  Manic [median (IQR)]

5.5 (6.5)

6.3 (6.3)

β = − 0.0

(− 0.3; 0.3)d

0.971

5.3 (6.3)

6.0 (5.7)

β = − 0.4(− 0.7; 0.0)d

0.073

  Mixed [median (IQR)]

10.5 (46.3)

12.5 (58.0)

β = 0.0

(− 0.8; 0.8)d

0.979

9.0 (72.0)

12.0 (35.0)

β = 0.3

(− 0.7; 1.3)d

0.505

  Depressive [median (IQR)] b

18.9 (33.5)

16.0 (22.1)

β = 0.2

(− 0.2; 0.6)d

0.271

18.9 (33.7)

19.0 (30.3)

β = 0.1

(− 0.5; 0.7)d

0.727

 Time spent in episodes (weeks)

        

  All [median (IQR)]

76.0 (135.0)

68.0 (107.0)

β = − 0.2

(− 0.4; 0.4)d

0.905

88.0 (156.0)

60.0 (105.0)

β = 0.3

(− 0.3; 0.8) d

0.344

  Manic all [median (IQR)]

11.0 (19.0)

14.0 (23.0)

β = − 0.1

(− 0.5; 0.4)d

0.801

8.5 (17.0)

13.0 (20.0)

β = − 0.3

(− 0.8; 0.2)d

0.289

  Mixed all [median (IQR)]

24.5 (89.0)

24.0 (85.0)

β = 0.0

(− 0.9; 0.9)d

0.993

24.5 (124.0)

24.0 (73.5)

β = 0.2

(− 0.9; 1.3)d

0.743

  Depressive all [median (IQR)]b

50.0 (92.0)

48.0 (70.0)

β = 0.1

(− 0.3; 0.5)d

0.721

52.0 (103.0)

42.5 (66.0)

β = 0.3

(− 0.3; 0.8)d

0.335

  Suicide attempts [%]

47.4

41.5

OR = 1.3

(0.7; 2.5)

0.460

62.8

34.6

OR = 3.3

(1.4; 7.8)

0.006

  Lifetime GAF [mean (s.d.)]

60.1 (11.7)

62.3 (11.5)

β = − 1.3

(− 5.0; 2.4)

0.492

55.8 (11.6)

63.6 (10.6)

β = − 7.9

(− 12.4; − 3.4)

0.001

  Current GAF [mean (s.d.)]

54.9 (15.6)

59.8 (14.5)

β = − 4.7

(− 9.6; 0.2)

0.059

50.3 (17.1)

58.6 (13.3)

β = − 8.4

(− 14.6; − 2.2)

0.009

  Worst GAF [mean (s.d.)]

28.3 (9.4)

32.4 (9.2)

β = − 3.9

(− 6.9; − 0.9)

0.011

24.2 (8.7)

31.7 (8.7)

β = − 7.5

(− 11.0; − 3.9)

 < 0.001

  1. Statistically significant differences are indicated in bold. Additional variables reaching the level of p < 0.1 are in italic
  2. BD I bipolar I disorder, p p-value, IQR Interquartile range, GAF Global Assessment of Functioning score
  3. amodels adjusted for sex and age (one model per line)
  4. bAmong patients with a major depressive episode
  5. cOdd’s ratio could not be calculated due to only one positive response
  6. dRobust regression analysis with log transformation of dependent variable, adjusted for age and sex