Affective instability as rapid cycling: theoretical and clinical implications for borderline personality and bipolar spectrum disorders
Data up to Jan 2025
Total Citations Per Year
Abstract
References (89)
Research Diagnostic Criteria
1978 • 6,988 citations
On Being Sane in Insane Places
1973 • 2,049 citations
Pituitary-Adrenal and Autonomic Responses to Stress in Women After Sexual and Physical Abuse in Childhood
2000 • 1,925 citations
Manic-Depressive Insanity and Paranoia.
1921 • 1,607 citations
The role of corticotropin-releasing factor in depression and anxiety disorders
1999 • 1,371 citations
Manic Depressive Insanity and Paranoia
1921 • 1,183 citations
Mood disorders and allostatic load
2003 • 1,091 citations
Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders
2000 • 880 citations
The emerging epidemiology of hypomania and bipolar II disorder
1998 • 767 citations
Does stress damage the brain?
1999 • 694 citations
Neuronal plasticity and survival in mood disorders
2000 • 658 citations
Magnetic Resonance Imaging Volumes of the Hippocampus and the Amygdala in Women With Borderline Personality Disorder and Early Traumatization
2000 • 554 citations
The Prevalent Clinical Spectrum of Bipolar Disorders: Beyond DSM-IV
1996 • 546 citations
Subaffective Disorders: Dysthymic, Cyclothymic and Bipolar II Disorders in the “;Borderline” Realm
1981 • 509 citations
Evidence of abnormal amygdala functioning in borderline personality disorder: a functional MRI study
2001 • 506 citations
A Double-Blind, Placebo-Controlled, Prophylaxis Study of Lamotrigine in Rapid-Cycling Bipolar Disorder
2000 • 492 citations
Dose-Response Changes in Plasma Cortisol and Lymphocyte Glucocorticoid Receptors Following Dexamethasone Administration in Combat Veterans With and Without Posttraumatic Stress Disorder
1995 • 452 citations
Pharmacotherapy of Borderline Personality Disorder
1988 • 442 citations
Can antidepressants cause mania and worsen the course of affective illness?
1987 • 408 citations
Affective instability and impulsivity in borderline personality and bipolar II disorders: similarities and differences
2001 • 396 citations
Amygdala and Hippocampal Volumes in Adolescents and Adults With Bipolar Disorder
2003 • 390 citations
Characterizing Affective Instability in Borderline Personality Disorder
2002 • 370 citations
Clinical and preclinical evidence for the neurotrophic effects of mood stabilizers: implications for the pathophysiology and treatment of manic–depressive illness
2000 • 352 citations
Meta-analysis of magnetic resonance imaging brain morphometry studies in bipolar disorder
2004 • 294 citations
Complex and rapid-cycling in bipolar children and adolescents: a preliminary study
1995 • 287 citations
Endophenotypes in bipolar disorder†
2002 • 267 citations
The Long-term Course of Rapid-Cycling Bipolar Disorder
2003 • 245 citations
A 20-Month, Double-Blind, Maintenance Trial of Lithium Versus Divalproex in Rapid-Cycling Bipolar Disorder
2005 • 244 citations
Clinical subtypes of bipolar mixed states:
1997 • 243 citations
A Genomewide Screen for Autism-Spectrum Disorders: Evidence for a Major Susceptibility Locus on Chromosome 3q25-27
2002 • 230 citations
Divalproex Sodium Treatment of Women With Borderline Personality Disorder and Bipolar II Disorder
2002 • 223 citations
Bipolar II
1985 • 221 citations
Bipolar II with and without cyclothymic temperament: “dark” and “sunny” expressions of soft bipolarity
2002 • 220 citations
Familial Rates of Affective Disorder
1987 • 215 citations
Schizophrenia and Schizophrenia-Spectrum Personality Disorders in the First-Degree Relatives of Children With Schizophrenia
2001 • 205 citations
A Preliminary Double-Blind, Placebo-Controlled Trial of Divalproex Sodium in Borderline Personality Disorder
2001 • 201 citations
Posttraumatic stress disorder and fMRI activation patterns of traumatic memory in patients with borderline personality disorder
2003 • 189 citations
Ultra-Rapid and Ultradian Cycling in Bipolar Affective Illness
1996 • 187 citations
Anxious and non-anxious bipolar disorder
1993 • 180 citations
Are the Interpersonal and Identity Disturbances in the Borderline Personality Disorder Criteria Linked to the Traits of Affective Instability and Impulsivity?
2001 • 169 citations
Anatomical MRI study of borderline personality disorder patients
2004 • 168 citations
Critical Issues in the Evaluation of Comorbidity of Psychiatric Disorders
1996 • 164 citations
A plea for integrity of the bipolar disorder concept
2000 • 164 citations
Rapid cycling manic depressive patients
1977 • 160 citations
Psychotherapy of the Borderline Adult
1978 • 157 citations
The spectrum of mania
1981 • 154 citations
Diagnostic Reliability of Bipolar II Disorder
2002 • 153 citations
Family Studies of Borderline Personality Disorder: A Review
2003 • 151 citations
RAPID-CYCLING BIPOLAR DISORDER
1999 • 144 citations
Paradoxical effects of amitriptyline on borderline patients
1986 • 144 citations
Contested boundaries of bipolar disorder and the limits of categorical diagnosis in psychiatry
1992 • 143 citations
Psychiatric Disorders in the Families of Borderline Patients
1983 • 131 citations
Kindling and Carbamazepine in Affective Illness
1982 • 129 citations
Lamotrigine as a promising approach to borderline personality: an open case series without concurrent DSM-IV major mood disorder
1998 • 127 citations
Bipolar II disorder and comorbidity
2000 • 125 citations
A trial of carbamazepine in borderline personality disorder
1994 • 125 citations
Frequency of comorbid personality disorders in bipolar and unipolar affective disorders
2003 • 125 citations
Divalproex Sodium for Impulsive Aggressive Behavior in Patients With Personality Disorder
1998 • 121 citations
Rapid‐cycling bipolar disorder: effects of long‐term treatments
2003 • 112 citations
The bipolar spectrum: a clinical perspective
2003 • 100 citations
Borderline or Bipolar? Distinguishing Borderline Personality Disorder from Bipolar Spectrum Disorders
2004 • 98 citations
ANXIOUS–BIPOLAR COMORBIDITY
1999 • 96 citations
Rapid Switching of Mood in Families With Multiple Cases of Bipolar Disorder
2003 • 95 citations
Age of onset in affective disorder: its correlation with hereditary and psychosocial factors
2000 • 91 citations
An open trial of valproate in borderline personality disorder.
1995 • 88 citations
Borderline personality disorder in patients with bipolar disorder and response to lamotrigine
2002 • 86 citations
Playing the Manic Game
1970 • 80 citations
Diagnosis of bipolar II disorder: a comparison of structured versus semistructured interviews
2003 • 75 citations
Rapid cycling affective disorders: A clinical review
1985 • 68 citations
Reliability and Validity of Four Alternative Definitions of Rapid-Cycling Bipolar Disorder
1999 • 67 citations
The Borderline Syndrome
1983 • 66 citations
The Current Understanding of Lamotrigine as a Mood Stabilizer
2004 • 62 citations
A Family Study of Outpatients With Borderline Personality Disorder and No History of Mood Disorder
2000 • 51 citations
PDQ-R personality disorders in bipolar patients
1991 • 51 citations
Lithium alone or in combination with carbamazepine for the treatment of rapid‐cycling bipolar affective disorder
1991 • 50 citations
Emerging trends in the treatment of rapid cycling bipolar disorder: a selected review
2000 • 49 citations
Divalproex Sodium in the Treatment of Aggressive Behavior
1994 • 48 citations
Rapid cycling in unipolar and bipolar affective disorders
1990 • 47 citations
Rapid cycling bipolar disorder after left temporal polar damage
2003 • 44 citations
An open longitudinal study of patients with bipolar rapid cycling treated with lithium or lamotrigine for mood stabilization
2000 • 40 citations
Morbidity risk for mood disorders in the families of borderline patients
1991 • 30 citations
Personality disorders in first- and multiple-episode mania
1996 • 28 citations
Ultra-rapid cycling bipolar affective disorder following a closed-head injury
1993 • 27 citations
The Role of Childhood Trauma in Differences in Affective Instability in Those With Personality Disorders
2003 • 25 citations
The Difficult-to-Treat Psychiatric Patient
2002 • 25 citations
Suicide attempts in rapid cycling bipolar disorder patients
1993 • 25 citations
Bipolar Disorders in DSM-IV: Impact of Inclusion of Rapid Cycling as a Course Modifier
1998 • 18 citations
Recurrent Brief Depression: Clinical and Epidemiological Issues
1995 • 10 citations
Affective disorder: The new imperium
1991 • 10 citations