An excess of interpersonal difficulties and psychiatric consultations distinguish people with cyclothymia in the community from controls; excessive use patterns of stimulants, caffeine, nicotine, and alcohol, have also been well documented.(9 ,94) Explosive traits, probably representing the irritable component of cyclothymia, have been reported to be prevalent in the community in a British study. (95> More recently, we found that 6.3 per cent of a national cohort of 1010 Italian students between the ages of 14 and 26 years of age(22) scored above two standard deviations for cyclothymia; this was more prevalent in females, with a ratio of 3:2. Overall, the foregoing data testify to the fact that a cyclothymic and/or labile disposition can be accurately measured, is prevalent, and represents a population at risk for affective disorders. T§.ble..,Z summarizes the rates in different populations.(2,Z,93,94,9 and 96)

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Table 7 Prevalence of cyclothymic and related mood-labile temperaments

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