To study the kind of disturbances of thought content (DTC) and perception (DP) observed in patients admitted at Centro Hospitalar Psiquiátrico de Lisboa – Affective Disorders' ward, with the diagnostic of Bipolar Disorder.
Retrospective analysis of all patients admitted between October 10th, 2013 and March 31st, 2014; measuring the presence and the type of DTC and DP.
A total of 149 patients were admitted, 52,3% had DTC (N=78). Overvalued ideas were present in 16.1% (N=24), and five of them showed more than one kind of them (10 with persecutory ideas, 7 grandiose, 5 of poverty, 4 of guilt, 1 nihilistic). Delusional ideas were present in 33.6% of the patients (N=50), 23 of them with multiple kinds of DTC,: 28 with persecutory ideas, 24 grandiose, 16 mystic, 6 of self-reference, 3 of guilt, 2 of poverty.
In 2.7% of the patients (N=4), both delusional (3 grandiose, 1 persecutory, 1 of jealousy) and overvalued ideas (3 persecutory, 1 of ruin) were present.
Hallucinations were observed in 11.2% of the patients (N=17), all of them auditory. From these patients, 5,8% presented overvalued ideas, and 70,6% delusional ideas (N=12): 7 patients with persecutory ideas, 6 grandiose, 5 mystic, 7 of guilt, 7 of poverty, 1 of self-reference (24% of the patients with delusional ideas had disturbances of perception).
More than half of the patients admitted with Bipolar Disorder presented DTC, mainly persecutory and grandiose. Less frequent, auditory DP are also present, the majority of them associated with DTC.