Pallanti S, Quercioli L, Pazzagli A, Rossi A, Dell'Osso L, Pini S, Cassano G B
Neurosciences Institute, Florence, Italy.
Am J Psychiatry. 1999 Jul;156(7):1094-6. doi: 10.1176/ajp.156.7.1094.
The authors' goal was to investigate the awareness of illness and subjective cognitive complaints of patients with either bipolar I disorder or bipolar II disorder during a phase of clinical stabilization.
They used a structured clinical interview, the Frankfurt Complaints Questionnaire, to determine subjective cognitive complaints, and the Scale of Unawareness of Mental Disorder to assess 57 consecutively enrolled patients with bipolar I or bipolar II disorder.
Patients with bipolar II disorder had significantly less insight and a higher level of subjective complaints of stimulus overload than patients with bipolar I disorder.
These results suggest that a severe deficit in self-awareness may constitute a distinguishing psychopathological characteristic of patients with bipolar II disorder. Further studies are required to determine if there are associated neuropsychological dysfunctions.
作者的目标是调查双相I型障碍或双相II型障碍患者在临床稳定期的疾病认知和主观认知主诉。
他们使用结构化临床访谈、法兰克福主诉问卷来确定主观认知主诉，并使用精神障碍无自知力量表对57例连续入组的双相I型或双相II型障碍患者进行评估。
与双相I型障碍患者相比，双相II型障碍患者的自知力明显较差，且主观上对刺激过载的抱怨水平更高。
这些结果表明，自知力严重缺陷可能是双相II型障碍患者的一个显著精神病理特征。需要进一步研究以确定是否存在相关的神经心理功能障碍。
