S. Fennig et al., MOOD-CONGRUENT VERSUS MOOD-INCONGRUENT PSYCHOTIC SYMPTOMS IN FIRST-ADMISSION PATIENTS WITH AFFECTIVE-DISORDER, Journal of affective disorders, 37(1), 1996, pp. 23-29
The distribution of mood-congruent and mood-incongruent symptoms in 49
first-admission DSM-III-R psychotic bipolar and 35 psychotic depresse
d patients is presented. Most patients had mood-incongruent symptoms (
77.4%). 73% of mood-incongruent bipolars and 32% of incongruent depres
sives had a combination of mood-congruent and mood-incongruent symptom
s. Demographic and clinical variables were unrelated to incongruence.
The only 24-month clinical outcome predicted by mood incongruence was
poorer GAF rating. 15 of the 16 patients whose diagnosis was changed a
t follow-up from affective to nonaffective psychosis had mood-incongru
ent features initially. The findings raise questions about the general
prognostic utility of mood congruence.