| Title |
Impulsivity in mania
|
|---|---|
| Published in |
Current Psychiatry Reports, November 2009
|
| DOI | 10.1007/s11920-009-0073-2 |
| Pubmed ID | |
| Authors |
Alan C. Swann |
| Abstract |
Impulsivity, a breakdown in the balance between initiation and screening of action that leads to reactions to stimuli without adequate reflection or regard for consequences, is a core feature of bipolar disorder and is prominent in manic episodes. Catecholaminergic function is related to impulsivity and mania. Manic individuals have abnormal dopaminergic reactions to reward and abnormal responses in the ventral prefrontal cortex that are consistent with impulsive behavior. Impulsivity in mania is pervasive, encompassing deficits in attention and behavioral inhibition. Impulsivity is increased with severe course of illness (eg, frequent episodes, substance use disorders, and suicide attempts). In mixed states, mania-associated impulsivity combines with depressive symptoms to increase the risk of suicide. Clinical management of impulsivity in mania involves addressing interpersonal distortions inherent in mania; reducing overstimulation; alertness to medical-, trauma-, or substance-related problems; and prompt pharmacologic treatment. Manic episodes must be viewed in the context of the life course of bipolar disorder. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 123 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 2% |
| Netherlands | 1 | <1% |
| Italy | 1 | <1% |
| Unknown | 118 | 96% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 16 | 13% |
| Student > Bachelor | 14 | 11% |
| Student > Master | 13 | 11% |
| Researcher | 12 | 10% |
| Student > Doctoral Student | 11 | 9% |
| Other | 29 | 24% |
| Unknown | 28 | 23% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 35 | 28% |
| Medicine and Dentistry | 24 | 20% |
| Neuroscience | 11 | 9% |
| Agricultural and Biological Sciences | 5 | 4% |
| Nursing and Health Professions | 3 | 2% |
| Other | 12 | 10% |
| Unknown | 33 | 27% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 September 2012.
All research outputs
#20,656,039
of 25,381,864 outputs
Outputs from Current Psychiatry Reports
#1,132
of 1,277 outputs
Outputs of similar age
#165,401
of 179,209 outputs
Outputs of similar age from Current Psychiatry Reports
#7
of 8 outputs
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