Other potential contributing factors are premorbid hyperthymic
temperament, a possible propensity to psychotic thinking under stress, the sudden death of his wife, acute grief, the potentiating role of Cannabis, dehydration, and general malnutrition.
When the scores of mothers and fathers were compared separately, mothers had higher scores in all temperaments except hyperthymic
temperament, and fathers had higher scores in all temperaments except anxious temperament in the ADHD group.
Those with a hyperthymic
temperament, a tendency to be excessively positive, was significantly higher among those born in the spring and summer.
a combination of emotive, disturbing, demonstrative, getting stuck, hyperthymic
types of accentuation to a high degree of severity;
At the same time, the differential diagnosis also ruled out: schizoaffective disorder, because the patient did not show any hyperthymic
symptom (negative or positive); bipolar affective disorder, with acute psychotic disorders and schizophrenia signs (given that the patient had a long history of the disease); organic delusional disorder (given the dramatic decrease of global functionality and the absence of any organic substrate), Cluster A personality disorders (it is worth noting that before being diagnosed with paranoid schizophrenia, the patient was diagnosed with schizoid personality disorder--premorbid personality).
and depressive temperaments as subaffective variants of mood disorders.
While lesser known, the author offers that hyperthymic
(high extroversion, sociability, and energy) personality disorder is also characteristic of successful crisis leaders.
However, that study allowed subjects with cyclothymic or hyperthymic
affective temperament to be labeled as BPDII, whereas we here used a narrower definition.
In one of the more elaborate models, Akiskal and Pinto (1999) described a bipolar spectrum that incorporates seven subtypes: bipolar I (classic mania); bipolar I 1/2 (depression with persistent hypomania); bipolar II (depression interspersed with hypomania); bipolar II 1/2 (depression with briefer periods of hypomania); bipolar III (antidepressant-induced hypomania); bipolar III 1/2 (bipolarity associated with substance misuse); and bipolar IV (depression superimposed on a hyperthymic
But MP and DP patients scored significantly higher on cyclothymic and hyperthymic
subscales than did UP patients.
In another lecture, IDRAAC researcher Mariana Salamoun explained various troubled temperaments - such as the hyperthymic
, depressed, agitated-irritable, worried, and moody types - and emphasized that most Lebanese are characterized by some combination of these types in varying degrees.
Other indicators are history of antidepressant induced mania or hypomania, hyperthymic
personality (traits such as optimism, increased energy, reduced need for sleep, extroversion, promiscuity and overconfidence) prior to the onset of depression, early age onset, and atypical symptoms of depression (e.