Bowring M A, Kovacs M
Department of Psychiatry, University of Pittsburgh School of Medicine, PA.
J Am Acad Child Adolesc Psychiatry. 1992 Jul;31(4):611-4. doi: 10.1097/00004583-199207000-00006.
Four factors are delineated that account for the difficulties in identifying and diagnosing manic disorders among children and adolescents. These factors are the low base rate of the disorder, its variable clinical presentation within and across episodes, its symptomatic overlap with more common disorders of childhood, and the constraints placed on symptom expression by the developmental stage of a child. Each of these factors is discussed in terms of its impact on the likelihood of recognizing mania, and strategies are proposed to improve diagnostic accuracy.
文中阐述了四个导致在儿童和青少年中识别与诊断躁狂症存在困难的因素。这些因素包括该疾病的低发病率、发作期间及不同发作之间临床表现的多变性、与儿童更常见疾病的症状重叠，以及儿童发育阶段对症状表现的限制。针对每个因素，都讨论了其对识别躁狂症可能性的影响，并提出了提高诊断准确性的策略。
