Spadone C, Gallarda T, Fischman J, Olié J P
Service hospitalo-universitaire de psychiatrie, Centre hospitalier Sainte-Anne, Paris.
Rev Prat. 1999 Apr 1;49(7):713-6.
The two major subtypes of manic-depressive illness are bipolar disorder and recurrent major depressive disorder. Biological data strongly indicate that a significant genetic factor is involved in the development of manic-depressive illness. But, stressful life events, environmental stress and premorbid personality factors may also be involved in other important etiologic factors. Some research data indicate that cyclothymic disorder and temperamental disorders may be considered as mild forms of bipolar disorders so called "subaffective disorders". The identification of clinical or biological features reflecting the severity of the major depressive episode is very important in regard of the high potential for suicide of the illness.
躁郁症的两种主要亚型是双相情感障碍和复发性重度抑郁症。生物学数据有力地表明,一个重要的遗传因素参与了躁郁症的发病过程。但是,生活应激事件、环境压力和病前人格因素也可能是其他重要的病因。一些研究数据表明,环性心境障碍和气质性障碍可被视为双相情感障碍的轻度形式,即所谓的“亚情感障碍”。鉴于该疾病具有较高的自杀风险,识别反映重度抑郁发作严重程度的临床或生物学特征非常重要。