Table 3.
Rank order of severity of manic symptoms by age group (symptoms are reported as mean score or %)
| McElroy et al. (1997)a | Birmaher et al. (2009)b,c | Safer et al. (2012)a | |||
|---|---|---|---|---|---|
| Mean ± SD | Mean ± SD | POMPd (%) | |||
| Adolescent | Adult | Child | Adolescent | Child/adolescent | Adult |
| Increased motor activity (2.5 ± 1.4) |
Bizarre/grandiose thought content (3.2 ± 1.4) | High energy (4.3 ± 1.4) | High energy (4.8 ± 1.0) | Irritability (17) | Grandiosity (16) |
| Delusions (2.1 ± 1.7) |
Delusions (2.7 ± 1.4) | Increased motor activity (4.3 ± 1.2) | Decreased need for sleep (4.5 ± 1.7) | Aggression (15) | Rapid speech (16) |
| Bizarre/grandiose thought content (2.1 ± 1.9) |
Thought disturbance (2.2 ± 1.6) | Irritability (4.1 ± 1.5) | Elation (4.4 ± 1.0) | Rapid speech (15) | Irritability (14) |
| Thought disturbance (1.4 ± 1.6) |
Sleep disturbance (1.9 ± 1.2) | Mood lability (4.1 ± 1.1) | Increased motor activity (4.3 ± 1.1) | Grandiosity (10) | Motor activity (10) |
| Sleep disturbance (1.3 ± 1.3) |
Increased motor activity (1.8 ± 1.4) | Elation (3.9 ± 1.2) | Accelerated speech (4.2 ± 1.1) | Motor activation (9) | Elevated mood (9) |
| Increased goal directed/aggressive behaviour (0.8 ± 1.1) |
Increased goal directed/aggressive behaviour (1.1 ± 1.2) | Accelerated speech (3.9 ± 1.2) | Poor judgement (4.0 ± 1.6); Racing thoughts (4.0 ± 1.3) |
Elevated mood (9) | Aggression (9) |
N.B. The range of possible scores for YMRS and K-MRS items differ, so mean scores are not directly comparable for similar symptoms
a Young Mania Rating Scale (YMRS); b K-SADS Mania Rating Scale (K-MRS)
c Most items are from the YMRS, but ‘delusions’ and ‘bizarre/grandiose thought content’ were from the Scale for Assessment of Positive Symptoms
d POMP = Percent of maximum possible score; All % are reported to the nearest integer