Cyclothymia

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Classification according to ICD-10
F34.0 Cyclothymia
ICD-10 online (WHO version 2019)

As cyclothymia (to be distinguished from cyclothymia , see below) is a persistent affective disorder refers, which is characterized by a permanent instability of drive and mood. There is an alternation of hypomanic and depressive episodes .

The condition is that the criteria for bipolar disorder or recurring depression are not met. If not only hypomanic, but also manic phases or severe depressive episodes occur, cyclothymia is no longer diagnosed, but a bipolar disorder. The corresponding counterpart to the cyclothymia is the dysthymia .

course

These dynamic mood swings can occur both spontaneously and reactively (triggered by events). Cyclothymia usually develops in late adolescence or early adulthood and often lasts for a lifetime. However, drive and mood can remain inconspicuous for months.

Diagnosis

Cyclothymia is included in the ICD-10 as an ongoing affective disorder (F34). Older terms are affective personality (disorder), cycloid personality, and cyclothymic personality.

The symptoms are reminiscent of the appearance of bipolar affective disorder (F31), but in a much less pronounced form. Bipolar disorders in the physical relatives occur more frequently than average.

Cyclothymia vs cyclothymia

The term "Zyklothymia" is often used synonymously with the term "Zyklothymia" in German. It must be noted, however, that the term "cyclothymia" has historically experienced a change in meaning.

It was originally coined in 1880 by Karl Ludwig Kahlbaum (1828–1899) and at that time corresponded to today's bipolar affective disorder , whose “cyclical” nature it was supposed to capture. Only later was the term narrowed down and only used to describe the above clinical picture with its milder mood swings, which, however, are still well above the normal level.

literature

  • Andreas Marneros : Cyclothymia. Clinical picture (Chapter 14) In: The new handbook of bipolar and depressive diseases , Thieme, Stuttgart [u. a.] 2004, ISBN 3-13-109092-8 , pp. 139-141.

Individual evidence

  1. German Institute for Medical Documentation and Information (ICD-10 database): Information on cyclothymia (F34.1) ( Memento of the original from January 26, 2018 in the Internet Archive ) Info: The archive link has been inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / www.dimdi.de
  2. The ICD-10 Classification of Mental and Behavioral Disorders (WHO): Clinical descriptions and diagnostic guidelines (PDF), pp. 106-107
  3. Horst Dilling (Ed.): International Classification of Mental Disorders. ICD-10 V (F). Clinical diagnostic guidelines. 10th edition. Hogrefe, 2015, ISBN 978-3-456-85560-8 .
  4. Elze M (2015) cyclothymia (cyclothymia) .