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 | Â | |||||||
 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 |