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Review
. 2021 Feb 18:12:638440.
doi: 10.3389/fpsyt.2021.638440. eCollection 2021.

How Does Adding the DSM-5 Criterion Increased Energy/Activity for Mania Change the Bipolar Landscape?

Anna Grunze  1 , Christoph Born  2 , Mette U Fredskild  3 , Heinz Grunze  2
Affiliations
Review

How Does Adding the DSM-5 Criterion Increased Energy/Activity for Mania Change the Bipolar Landscape?

Anna Grunze et al. Front Psychiatry. .

Abstract

According to DSM-IV, the criterion (A) for diagnosing hypomanic/manic episodes is mood change (i.e., elevated, expansive or irritable mood). Criterion (A) was redefined in DSM-5 in 2013, adding increased energy/activity in addition to mood change. This paper examines a potential change of prevalence data for bipolar I or II when adding increased energy/activity to the criterion (A) for the diagnosis of hypomania/mania. Own research suggests that the prevalence of manic/hypomanic episodes drops by at least one third when using DSM-5 criteria. Whether this has positive or negative impact on clinical practice and research still needs further evaluation.

Keywords: DSM-5; activity; bipolar disorder; diagnosis; energy; hypomania; mania.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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