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• W2150373900 abstract "High levels of sensation seeking (SS) have been traditionally reported for lifetime bipolar disorder (BD) and/or substance use disorder (SUD) rather than major depressive disorder (MDD). Nonetheless, a renewed clinical attention toward the burden of sub-threshold bipolarity in MDD, solicits for a better assessment of unipolar major depressive episodes (MDEs) via characterization of putative differential psychopathological patterns, including SS and predominant affective temperament.Two hundred and eighty currently depressed cases of MDD and 87 healthy controls were screened using the Zuckerman's sensation seeking scale-Form-V, the Hypomania Check List-32-item (HCL-32), the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto-questionnaire-110-item, the Barratt Impulsivity Scale-11-item, the State-Trait Anxiety Inventory modules and the Structured Clinical Interview for DSM-IV axis-I disorders. Cases were divided into HCL-32(+)(sub-threshold bipolar)/HCL-32(-)(true unipolar depressed) depending on the HCL-32 total score.Upon correlation and multivariate regression analyses, the HCL-32(+) patients showed the highest levels of SS, higher prevalence of cyclothymic temperament, and higher rates of multiple lifetime axis-I co-morbidities, including SUD.Recall bias on some diagnoses, including BD, grossly matched healthy control group, lack of ad-hoc validated measures for ADHD, SUD, or axis-II disorders.In our sample, the occurrence of higher levels of SS in sub-threshold bipolar cases outlined a differential psychopathological profile compared to DSM-defined true unipolar cases of MDE. If confirmed by replication studies, these findings may aid clinicians in delivering a more accurate diagnosis and a safer use of antidepressants in some MDD cases." @default.
• W2150373900 created "2016-06-24" @default.
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• W2150373900 date "2013-06-01" @default.
• W2150373900 modified "2023-10-16" @default.
• W2150373900 title "Sensation seeking in major depressive patients: Relationship to sub-threshold bipolarity and cyclothymic temperament" @default.
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• W2150373900 doi "https://doi.org/10.1016/j.jad.2013.01.002" @default.
• W2150373900 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23414573" @default.
• W2150373900 hasPublicationYear "2013" @default.
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