Muzina David J
Cleveland Clinic Neurology Institute/Psychiatry, 9500 Euclid Avenue, P57, Cleveland, OH 44195, USA.
Prim Care. 2007 Sep;34(3):521-50, vi. doi: 10.1016/j.pop.2007.06.001.
Bipolar disorder commonly presents as a recurrent mood disorder characterized by frequent depressive episodes. Although manic or hypomanic phases are required for the diagnosis to be made based on current diagnostic criteria, a wider expression of mood instability and other historical features or family history may suggest the presence of a bipolar spectrum illness. This article covers the diagnostic issues related to bipolar disorder and the spectrum concept of the illness. A new definition of bipolar spectrum disorder is suggested, and treatment principles and options are discussed. Primary care providers often encounter patients who have depression and mood problems, placing them in a key position for the diagnosis and treatment of this psychiatric illness.
双相情感障碍通常表现为一种复发性情绪障碍，其特征为频繁出现抑郁发作。尽管根据当前的诊断标准，诊断需要有躁狂或轻躁狂发作阶段，但情绪不稳定以及其他病史特征或家族史的更广泛表现可能提示存在双相谱系障碍。本文涵盖了与双相情感障碍相关的诊断问题以及该疾病的谱系概念。提出了双相谱系障碍的新定义，并讨论了治疗原则和选择。初级保健提供者经常会遇到患有抑郁症和情绪问题的患者，这使他们处于诊断和治疗这种精神疾病的关键位置。
