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Pressured speech

MedGen UID:
535490
•Concept ID:
C0233718
•
Mental or Behavioral Dysfunction
Synonyms: Excessive speech output; Pressure of speech; Pressured Speech
SNOMED CT: Pressure of speech (53890003); Pressured speech (53890003)
 
HPO: HP:5200265

Definition

Speech pattern that is excessive and intense that often imparts a sense of urgency, the individual appears to be driven to communicate with many words that are spoken very quickly and may run into each other. The person is frequently difficult to interrupt and appears to not respond to social cues for the conversational partner(s) to take their turn in speaking. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPressured speech

Professional guidelines

PubMed

The clinical features of mania and their representation in modern diagnostic criteria.
Kendler KS
Psychol Med 2017 Apr;47(6):1013-1029. Epub 2016 Dec 19 doi: 10.1017/S0033291716003238. PMID: 27989245
An update on the diagnosis and treatment of mania in bipolar disorder.
Werder SF
Am Fam Physician 1995 Apr;51(5):1126-36. PMID: 7709890
Establishing diagnostic criteria for mania.
Young MA, Abrams R, Taylor MA, Meltzer HY
J Nerv Ment Dis 1983 Nov;171(11):676-82. doi: 10.1097/00005053-198311000-00006. PMID: 6631433

Recent clinical studies

Etiology

General practitioners' perceptions of dealing with patients with pressured speech: a qualitative study.
Lallier S, Hourantier C, Gilles de la Londe J, Billon G, Cadwallader JS, Piot MA
Fam Pract 2023 Nov 23;40(4):575-581. doi: 10.1093/fampra/cmad088. PMID: 37656918
Gender Differences in the Psychopathology of Mixed Depression in Adolescents with a Major Depressive Episode.
Apicella M, Serra G, Iannoni ME, Trasolini M, Maglio G, Andracchio E, Vicari S
Curr Neuropharmacol 2023;21(6):1343-1354. doi: 10.2174/1570159X20666221012113458. PMID: 36237159Free PMC Article
Maternal Duplication 15q11-13 Syndrome with Autism Spectrum Disorder: Mood Stabilization by Carbamazepine.
Viamontes CG, Castillo Gonzalez J, Najjar F, Cook EH
J Child Adolesc Psychopharmacol 2022 Mar;32(2):122-126. Epub 2021 Dec 14 doi: 10.1089/cap.2021.0046. PMID: 34905409
A Risk Calculator for Bipolar Disorder in Youth: Improving the Odds for Personalized Prevention and Early Intervention?
DelBello MP
J Am Acad Child Adolesc Psychiatry 2018 Oct;57(10):725-727. doi: 10.1016/j.jaac.2018.07.871. PMID: 30274645
Signs and symptoms of mania in pure and mixed episodes.
Cassidy F, Murry E, Forest K, Carroll BJ
J Affect Disord 1998 Sep;50(2-3):187-201. doi: 10.1016/s0165-0327(98)00016-0. PMID: 9858078

Diagnosis

Alogia and pressured speech do not fall on a continuum of speech production using objective speech technologies.
Granrud OE, Rodriguez Z, Cowan T, Masucci MD, Cohen AS
Schizophr Res 2023 Sep;259:121-126. Epub 2022 Jul 18 doi: 10.1016/j.schres.2022.07.004. PMID: 35864001
Self-report screening instruments differentiate bipolar disorder and borderline personality disorder.
Palmer BA, Pahwa M, Geske JR, Kung S, Nassan M, Schak KM, Alarcon RD, Frye MA, Singh B
Brain Behav 2021 Jul;11(7):e02201. Epub 2021 May 30 doi: 10.1002/brb3.2201. PMID: 34056864Free PMC Article
A Risk Calculator for Bipolar Disorder in Youth: Improving the Odds for Personalized Prevention and Early Intervention?
DelBello MP
J Am Acad Child Adolesc Psychiatry 2018 Oct;57(10):725-727. doi: 10.1016/j.jaac.2018.07.871. PMID: 30274645
The clinical features of mania and their representation in modern diagnostic criteria.
Kendler KS
Psychol Med 2017 Apr;47(6):1013-1029. Epub 2016 Dec 19 doi: 10.1017/S0033291716003238. PMID: 27989245
Review and meta-analysis of the phenomenology and clinical characteristics of mania in children and adolescents.
Kowatch RA, Youngstrom EA, Danielyan A, Findling RL
Bipolar Disord 2005 Dec;7(6):483-96. doi: 10.1111/j.1399-5618.2005.00261.x. PMID: 16403174

Therapy

Maternal Duplication 15q11-13 Syndrome with Autism Spectrum Disorder: Mood Stabilization by Carbamazepine.
Viamontes CG, Castillo Gonzalez J, Najjar F, Cook EH
J Child Adolesc Psychopharmacol 2022 Mar;32(2):122-126. Epub 2021 Dec 14 doi: 10.1089/cap.2021.0046. PMID: 34905409
Systemic toxicity from ocular homatropine.
Reilly KM, Chan L, Mehta NJ, Salluzzo RF
Acad Emerg Med 1996 Sep;3(9):868-71. doi: 10.1111/j.1553-2712.1996.tb03533.x. PMID: 8870760
Withdrawal phenomena associated with antidepressant and antipsychotic agents.
Dilsaver SC
Drug Saf 1994 Feb;10(2):103-14. doi: 10.2165/00002018-199410020-00002. PMID: 7912078
Heterocyclic antidepressant, monoamine oxidase inhibitor and neuroleptic withdrawal phenomena.
Dilsaver SC
Prog Neuropsychopharmacol Biol Psychiatry 1990;14(2):137-61. doi: 10.1016/0278-5846(90)90097-z. PMID: 1968671
Presentation of the steroid psychoses.
Hall RC, Popkin MK, Stickney SK, Gardner ER
J Nerv Ment Dis 1979 Apr;167(4):229-36. doi: 10.1097/00005053-197904000-00006. PMID: 438794

Prognosis

Associations of presenting symptoms and subsequent adverse clinical outcomes in people with unipolar depression: a prospective natural language processing (NLP), transdiagnostic, network analysis of electronic health record (EHR) data.
Patel R, Irving J, Brinn A, Taylor M, Shetty H, Pritchard M, Stewart R, Fusar-Poli P, McGuire P
BMJ Open 2022 Apr 29;12(4):e056541. doi: 10.1136/bmjopen-2021-056541. PMID: 35487729Free PMC Article
Self-report screening instruments differentiate bipolar disorder and borderline personality disorder.
Palmer BA, Pahwa M, Geske JR, Kung S, Nassan M, Schak KM, Alarcon RD, Frye MA, Singh B
Brain Behav 2021 Jul;11(7):e02201. Epub 2021 May 30 doi: 10.1002/brb3.2201. PMID: 34056864Free PMC Article
Major depressive disorder with mixed features and treatment response to lurasidone: A symptom network model.
Goldberg JF, Siu C, Mao Y, Tsai J, Pikalov A, Calabrese JR, Loebel A
J Affect Disord 2020 Dec 1;277:1045-1054. Epub 2020 Aug 26 doi: 10.1016/j.jad.2020.08.048. PMID: 33065813
Speech disturbances and quality of life in schizophrenia: differential impacts on functioning and life satisfaction.
Tan EJ, Thomas N, Rossell SL
Compr Psychiatry 2014 Apr;55(3):693-8. Epub 2013 Nov 7 doi: 10.1016/j.comppsych.2013.10.016. PMID: 24315617
Presentation of the steroid psychoses.
Hall RC, Popkin MK, Stickney SK, Gardner ER
J Nerv Ment Dis 1979 Apr;167(4):229-36. doi: 10.1097/00005053-197904000-00006. PMID: 438794

Clinical prediction guides

Gender Differences in the Psychopathology of Mixed Depression in Adolescents with a Major Depressive Episode.
Apicella M, Serra G, Iannoni ME, Trasolini M, Maglio G, Andracchio E, Vicari S
Curr Neuropharmacol 2023;21(6):1343-1354. doi: 10.2174/1570159X20666221012113458. PMID: 36237159Free PMC Article
Alogia and pressured speech do not fall on a continuum of speech production using objective speech technologies.
Granrud OE, Rodriguez Z, Cowan T, Masucci MD, Cohen AS
Schizophr Res 2023 Sep;259:121-126. Epub 2022 Jul 18 doi: 10.1016/j.schres.2022.07.004. PMID: 35864001
Associations of presenting symptoms and subsequent adverse clinical outcomes in people with unipolar depression: a prospective natural language processing (NLP), transdiagnostic, network analysis of electronic health record (EHR) data.
Patel R, Irving J, Brinn A, Taylor M, Shetty H, Pritchard M, Stewart R, Fusar-Poli P, McGuire P
BMJ Open 2022 Apr 29;12(4):e056541. doi: 10.1136/bmjopen-2021-056541. PMID: 35487729Free PMC Article
Self-report screening instruments differentiate bipolar disorder and borderline personality disorder.
Palmer BA, Pahwa M, Geske JR, Kung S, Nassan M, Schak KM, Alarcon RD, Frye MA, Singh B
Brain Behav 2021 Jul;11(7):e02201. Epub 2021 May 30 doi: 10.1002/brb3.2201. PMID: 34056864Free PMC Article
Speech disturbances and quality of life in schizophrenia: differential impacts on functioning and life satisfaction.
Tan EJ, Thomas N, Rossell SL
Compr Psychiatry 2014 Apr;55(3):693-8. Epub 2013 Nov 7 doi: 10.1016/j.comppsych.2013.10.016. PMID: 24315617

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