OBJECTIVES: Differential diagnosis based on descriptive psychopathology between bipolar and unipolar depression in the clinical setting is a still huge challenge. Projective psychological tests might provide additional clues. This study aimed to find distinct Rorschach test characteristics of bipolar depression in comparison with unipolar depression. METHODS: Medical records and raw data of the Rorschach Inkblot test applied using standardized procedure for the Exner Comprehensive System were retrospectively reviewed for patients with bipolar disorder or unipolar depression. Individual variables of the Rorchach test were compared among three groups, i.e., (hypo) mania (n=59), bipolar depression (n=56) and unipolar depression (n=25). RESULTS: Bipolar depression group, in accordance with (hypo) manic group, showed more color reponses (WSumC), more extroverted and intuitive decision-making (EBright), and higher emotional expression (CF+C) and instability (ebright), compared to unipolar deperssion group. On the contrary, the (hypo) mania group displayed more cognitive errors (Sum6, WSum6) compared to both depression groups. CONCLUSION: This study suggests that Rorchach test might provide valuable markers for differential diagnosis between bipolar and unipolar depression, and that some of those markers could be regarded as trait markers of bipolar disorder.
Bipolar Disorder ; Depression ; Depressive Disorder ; Diagnosis, Differential ; Humans ; Medical Records ; Psychological Tests ; Psychopathology ; Retrospective Studies ; Rorschach Test

OBJECTIVES: This study was performed to identify posttraumatic stress disorder (PTSD) in survivors of Japanese military sexual slavery during World War II. METHODS : Twenty six survived victims were evaluated with Korean version of SCID-IV, MMSE, Geriatric Depression Scale and State and Trait Anger Inventory (STAXI) and Rorschach test, and compared with 24 healthy women elders. RESULTS : Results showed that, of 26 victims, 8 victims (30.8%) met criteria of PTSD and all 26 had suffered from symptoms of PTSD once in their lives. Their PTSD symptoms were characterized by the effort to avoid thoughts, feelings, or conversations associated with the trauma and recurrent distressing dreams of the events. Survivors with PTSD had more serious depression. Compared with the control group, victims had more difficulties in anger control. They still suffer from various physical sequelae of physical trauma. In Rorschach test, they showed distorted perceptions, difficulty in managing emotional reactions, invading thoughts, impulsivity, and internalized anger and aggression. CONCLUSION : All victims suffered from symptoms of PTSD one time or another. About one third of them were diagnosed as having PTSD. Their PTSD symptoms were complicated by the mixtures depression, anger and various physical sequelae of physical trauma.
Aggression ; Anger ; Asian Continental Ancestry Group* ; Depression ; Dreams ; Female ; Humans ; Impulsive Behavior ; Military Personnel ; Rorschach Test ; Sex Offenses ; Slavery ; Stress Disorders, Post-Traumatic* ; Survivors ; World War II*