双極性障害 - - 双極性II障害と混合うつ病に焦点を当てています
1Hecker Psychiatry Research Center, Forli, Italy. francobenazzi@fbenazzi.it
Lancet (London, England)
|March 21, 2007
まとめ
双極性II型障害は,しばしば十分に研究されていないが,コミュニティの約5%に影響する. 罹患率の増加は診断上の変化と関連しており,混合うつ病の治療法に関する研究の必要性を強調しています.
科学分野:
- 精神科医は精神病を患っている.
- 気分障害 気分障害
- メンタルヘルス研究 メンタルヘルス研究
背景:
- 双極性II型障害および関連する双極性スペクトル障害は,しばしば十分に研究されていない.
- これらの症状は,全人口の約5%と,うつ病のある外来患者の約50%に影響します.
- 双極性スペクトルの有病率の明らかな上昇は,よりよいヒポマニアの評価と双極性特有の単極性うつ病の含めを含む,改訂された診断基準に起因する.
研究 の 目的:
- 双極性II障害とより広い双極性スペクトルの研究不足の性質を強調するために.
- 双極性スペクトラムの有病率の認識された増加に寄与する要因について議論する.
- 双極性障害における混合うつ病の高い発生率と治療の研究の必要性を強調する.
主な方法:
- ヒポマニアと双極性スペクトル障害の診断基準の変更のレビュー.
- 地域社会や診療室での流行データ分析.
- 混合うつ病と治療への影響に関する臨床観察の議論.
主要な成果:
- 双極性II型障害および関連疾患は広く見られるが,十分に研究されていない.
- 過剰活動と家族歴に焦点を当てた診断のシフトは,双極性スペクトル識別を増加させた.
- 混合うつ病は双極性障害において一般的であり,独特の治療上の課題を提示する.
結論:
- 混合うつ病を理解し,治療するために,さらなる制御研究が不可欠です.
- 抗うつ薬は,躁うつ病患者の躁うつ病 / 躁うつ病の症状を悪化させる可能性があります.
- 気分安定剤は,双極性障害の混合うつ病の管理に不可欠である可能性があります.
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