4.7 Review

Apples and pears are similar, but still different things. Bipolar disorder and schizophrenia- discrete disorders or just dimensions ?

Journal

JOURNAL OF AFFECTIVE DISORDERS
Volume 290, Issue -, Pages 178-187

Publisher

ELSEVIER
DOI: 10.1016/j.jad.2021.04.064

Keywords

Bipolar disorder; Schizophrenia; Dichotomy; Phenomenology; Neurobiology; Computational psychiatry

Ask authors/readers for more resources

This paper discusses the overlap and differences between schizophrenia and bipolar disorder, advocating for a move beyond traditional classification methods to find more refined clinical descriptions. The future of computational psychiatry may help us better understand the relationship between clinical descriptions and neurobiology.
Starting with the dichotomous view of Kraepelin, schizophrenia and bipolar disorder have traditionally been considered as separate entities. More recent, this taxonomic view of illnesses has been challenged and a continuum psychosis has been postulated based on genetic and neurobiological findings suggestive of a large overlap between disorders. In this paper we will review clinical and experimental data from genetics, morphology, phenomenology and illness progression demonstrating what makes schizophrenia and bipolar disorder different conditions, challenging the idea of the obsolescence of the categorical approach. However, perhaps it is also time to move beyond DSM and search for more refined clinical descriptions that could uncover clinical invariants matching better with molecular data. In the future, computational psychiatry employing artificial intelligence and machine learning might provide us a tool to overcome the gap between clinical descriptions (phenomenology) and neurobiology.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available