在患有并发性双相情感障碍的患者中,怀疑注意力缺陷/多动性障碍的老年发作
Joshua Woods1, Nakisa Kiai2, Ranjit Padhy2
1Ross University School of Medicine, Miramar, Florida, USA.
BMC geriatrics
|March 5, 2024
概括
注意缺陷/多动障碍 (ADHD) 和双相情感障碍在老年人中往往被忽视. 这份病例报告强调了老年患者使用精神兴奋剂成功治疗并发性ADHD和双相情感障碍的成功管理.
科学领域:
- 老年精神病学是一门精神病学专业.
- 神经发育障碍 神经发育障碍
- 情绪障碍 情绪障碍 情绪障碍
背景情况:
- 60岁以上的成年人越来越多地要求成人注意力缺陷/多动症 (ADHD) 治疗.
- 老年人群中ADHD的患病率及其与双相情感障碍的并发性仍然在很大程度上是未知的.
- 伴随性ADHD和双相情感障碍往往被忽视,导致治疗不足.
研究的目的:
- 报告一个老年发病的ADHD病例,与双相I型情绪障碍并发.
- 为了证明在老年人中安全有效地管理这种并发症.
- 强调在所有年龄组中识别和治疗伴随性ADHD和双相情感障碍的重要性.
主要方法:
- 一个64岁的西班牙裔妇女的案例介绍,她有双相I型精神障碍史.
- 对ADHD的诊断,怀疑是老年发病.
- 同时使用情绪稳定剂和精神刺激药物的成功管理.
主要成果:
- 这位患有双相I型精神障碍的老年患者成功地用精神兴奋剂治疗了ADHD.
- 在精神兴奋剂治疗期间没有观察到躁狂发作或重大不良反应.
- 同时使用情绪稳定剂和精神刺激剂的治疗被证明是有效的.
结论:
- 适当的识别和治疗并发性ADHD和双相情感障碍对于所有年龄组至关重要,包括老年人.
- 精神兴奋剂药物可以安全地用于患有双相情感障碍的老年患者.
- 这一案例突出了罕见的双相情感障碍与老年发作ADHD的发生,强调了诊断和治疗方面的考虑.
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