双极性障碍 - - 专注于二极性障碍和混合抑郁症
1Hecker Psychiatry Research Center, Forli, Italy. francobenazzi@fbenazzi.it
Lancet (London, England)
|March 21, 2007
概括
双极性II障碍经常被研究不足,影响大约5%的社区. 增加的患病率与诊断变化有关,突显了研究混合抑郁症治疗的需要.
科学领域:
- 精神病学是一个精神病学.
- 情绪障碍 情绪障碍 情绪障碍
- 心理健康研究 心理健康研究
背景情况:
- 二极性二次障碍和相关的双极性谱系障碍经常被研究不足.
- 这些情况影响大约5%的普通人口和50%的抑郁症门诊患者.
- 显而易见的双极频谱患病率上升归因于经过修订的诊断标准,包括更好地评估躁狂症和包括双极特征的单极抑郁症.
研究的目的:
- 突出二极性障碍和更广泛的双极性障碍的研究不足的性质.
- 讨论导致双相情绪频谱患病率感知增加的因素.
- 强调双相情绪障碍中混合抑郁症的高发病率和治疗研究的需要.
主要方法:
- 对低躁狂和双极性谱系障碍的诊断标准变化的审查.
- 在社区和门诊环境中分析流行数据.
- 讨论关于混合抑郁症和治疗影响的临床观察.
主要成果:
- 二极性情绪障碍和相关疾病很常见,但研究不足.
- 诊断的转变,包括关注过度活跃和家族病史,增加了双极性情绪谱的识别.
- 混合抑郁症在双相情感障碍中很常见,这给治疗带来了独特的挑战.
结论:
- 进一步的受控研究对于理解和治疗混合抑郁症至关重要.
- 抗抑郁药可能会加剧躁狂/躁狂症状在双相情感患者.
- 情绪稳定剂可能对治疗双相情绪障碍中混合抑郁症至关重要.
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