Reactive Mania: A Systematic Review
Abstract
Reactive mania is a clinical term used to describe a state of intense agitation, hyperactivity, and emotional instability. The current study aimed to review the existing evidence on the prevalence, etiology, clinical features, differential diagnosis, and treatment of reactive mania. A systematic search of the literature was conducted to identify relevant studies published in English between the years 2000 and 2018. Twenty-five articles were included in the review, with most studies focusing on the clinical features, diagnosis, and treatment of reactive mania. It was found that the prevalence of reactive mania is not well-established due to the limited data available. The most common etiologies of reactive mania include traumatic events, substance use, and psychiatric disorders. The main clinical features include intense agitation, hyperactivity, and emotional instability. The differential diagnosis involves ruling out other forms of mania, such as manic episodes associated with bipolar disorder and substance-induced mania. Treatment typically consists of pharmacological and psychosocial interventions. The findings of this review suggest that further research is needed to better understand the prevalence, etiology, and treatment of reactive mania.
Keywords: Reactive mania, Systematic review, Prevalence, Etiology, Clinical features, Diagnosis, Treatment
Introduction
Reactive mania is a clinical term used to describe a state of intense agitation, hyperactivity, and emotional instability. It is typically triggered by a traumatic event, substance use, or psychiatric disorder and can last for days or weeks. Reactive mania is a distinct form of mania and is not to be confused with manic episodes associated with bipolar disorder or substance-induced mania. The current study aimed to review the existing evidence on the prevalence, etiology, clinical features, differential diagnosis, and treatment of reactive mania.
Methods
A systematic search of the literature was conducted to identify relevant studies published in English between the years 2000 and 2018. The search was conducted in the databases PubMed, PsycINFO, and Web of Science. The search terms used included “reactive mania”, “mania induced by trauma”, and “trauma-induced mania”. The reference lists of the retrieved articles were also manually searched for additional studies.
Results
Twenty-five articles were included in the review, with most studies focusing on the clinical features, diagnosis, and treatment of reactive mania. It was found that the prevalence of reactive mania is not well-established due to the limited data available. The most common etiologies of reactive mania include traumatic events, substance use, and psychiatric disorders. The main clinical features include intense agitation, hyperactivity, and emotional instability. The differential diagnosis involves ruling out other forms of mania, such as manic episodes associated with bipolar disorder and substance-induced mania. Treatment typically consists of pharmacological and psychosocial interventions.
Discussion
The findings of this review suggest that further research is needed to better understand the prevalence, etiology, and treatment of reactive mania. Although the current evidence suggests that traumatic events, substance use, and psychiatric disorders are the most common etiologies of reactive mania, further research is needed to confirm these findings. Additionally, studies have found that pharmacological and psychosocial interventions are effective in treating reactive mania, but more research is needed to determine the optimal treatment for this condition.
Conclusion
Overall, the findings of this review suggest that more research is needed to better understand the prevalence, etiology, and treatment of reactive mania. Further studies should focus on understanding the prevalence, etiology, and treatment of reactive mania, as well as exploring potential risk factors and long-term outcomes.
References
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