Vantalon V, Cohen D M
Service de psychopathologie de l'enfant et de l'adolescent, hôpital Robert-Debré, assistance publique-hôpitaux de Paris, 48, boulevard Sérurier, 75019 Paris, France.
Arch Pediatr. 2004 Dec;11(12):1484-9. doi: 10.1016/j.arcped.2004.09.021.
In recent years, the relationship between juvenile mania and attention deficit hyperactivity disorder has been the focus of renewed clinical research and controversial debates. We have reviewed the recent literature about bipolar disorder and juvenile mania in children in order to clarify the knowledge in assessment, phenomenology and diagnosis of prepubertal bipolar disorder. Despite the fact that prepubertal mania has been recognized, there is no consensus on the diagnostic criteria. The symptomatic overlap and comorbidity of juvenile mania with attention deficit hyperactivity disorder has produced confusion. As prospective studies are not yet contributive because of the heterogeneity of samples and criteria, one cannot consider these manic children as truly cases of bipolar disorder.
近年来，青少年躁狂症与注意力缺陷多动障碍之间的关系一直是临床研究重新关注的焦点，引发了诸多争议性的讨论。我们回顾了近期有关儿童双相情感障碍和青少年躁狂症的文献，以厘清青春期前双相情感障碍在评估、症状学及诊断方面的认知。尽管青春期前躁狂症已得到认可，但在诊断标准上尚未达成共识。青少年躁狂症与注意力缺陷多动障碍在症状上的重叠及共病现象造成了混淆。由于样本和标准的异质性，前瞻性研究目前尚无定论，因此不能将这些躁狂儿童视为真正的双相情感障碍病例。
