Malhi G S, Adams D, Lampe L, Paton M, O'Connor N, Newton L A, Walter G, Taylor A, Porter R, Mulder R T, Berk M
CADE Clinic, Department of Psychiatry, Royal North Shore Hospital, St Leonards, NSW, Australia.
Acta Psychiatr Scand Suppl. 2009(439):27-46. doi: 10.1111/j.1600-0447.2009.01383.x.
To provide clinically relevant evidence-based recommendations for the management of bipolar disorder in adults that are informative, easy to assimilate and facilitate clinical decision-making.
A comprehensive literature review of over 500 articles was undertaken using electronic database search engines (e.g. MEDLINE, PsychINFO and Cochrane reviews). In addition articles, book chapters and other literature known to the authors were reviewed. The findings were then formulated into a set of recommendations that were developed by a multidisciplinary team of clinicians who routinely deal with mood disorders. These preliminary recommendations underwent extensive consultative review by a broader advisory panel that included experts in the field, clinical staff and patient representatives.
The clinical practice recommendations for bipolar disorder (bipolar CPR) summarise evidence-based treatments and provide a synopsis of recommendations relating to each phase of the illness. They are designed for clinical use and have therefore been presented succinctly in an innovative and engaging manner that is clear and informative.
These up-to-date recommendations provide an evidence-based framework that incorporates clinical wisdom and consideration of individual factors in the management of bipolar disorder. Further, the novel style and practical approach should promote their uptake and implementation.
为成人双相情感障碍的管理提供基于临床相关证据的建议,这些建议应内容丰富、易于理解并有助于临床决策。
使用电子数据库搜索引擎(如医学文献数据库、心理学文摘数据库和考科蓝系统评价)对500多篇文章进行全面的文献综述。此外,还对作者所知的文章、书籍章节及其他文献进行了审查。然后,研究结果被整理成一套由经常诊治情绪障碍的多学科临床医生团队制定的建议。这些初步建议经过了一个更广泛的咨询小组的广泛协商审查,该小组包括该领域的专家、临床工作人员和患者代表。
双相情感障碍临床实践建议(双相CPR)总结了基于证据的治疗方法,并提供了与疾病各阶段相关的建议概要。它们是为临床使用而设计的,因此以一种创新且引人入胜的方式简洁呈现,清晰且信息丰富。
这些最新建议提供了一个基于证据的框架,在双相情感障碍的管理中纳入了临床经验和对个体因素的考量。此外,新颖的风格和实用的方法应能促进其采用和实施。