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青春期轻躁狂阶段的增加是否与性别和发展任务有关?

Is the increase of hypomanic stages during adolescence related to gender and developmental tasks?

机构信息

Psychiatric Hospital of the University of Basel, Depression Research Unit, Wilhelm Klein-Strasse 27, Basel, Switzerland.

出版信息

World J Biol Psychiatry. 2010 Apr;11(3):594-602. doi: 10.3109/15622970903522501.

Abstract

OBJECTIVES

To detach themselves from their family of origin, adolescents need to develop proactive behaviour which includes increased risk-taking and novelty seeking. These behaviours may be attributable both to developmental issues and to hypomanic-like stages. Since there is a lack of research focusing on hypomania in adolescents, the aim of the study was to compare hypomania scores of adolescents with those of adult outpatients suffering from bipolar II disorders, and to investigate possible gender-related differences.

METHODS

One hundred and seven adolescents (mean age: 18 years) took part in the study; 60 of them indicated that they experienced intense romantic love; 47 were controls. Participants completed the Hypomania Check List, and data were compared with those of adult outpatients suffering from bipolar II disorders.

RESULTS

Scores of adolescents in early-stage intense romantic love differed from those of adolescent controls, but not from those of outpatients suffering from a bipolar II disorder. Factor analyses revealed that both groups of adolescents displayed higher scores for the factor "irritable/risk-taking" hypomania. A gender-related pattern was found, with increased scores for female adolescents.

CONCLUSION

Adolescents' developmental tasks surrounding experiences in social, psychosexual and substance use-related engagement may lead to temporary and gender-related hypomanic-like stages.

摘要

目的

青少年需要发展积极主动的行为才能脱离原生家庭,其中包括增加冒险和寻求新奇。这些行为可能归因于发展问题和轻躁狂样阶段。由于缺乏针对青少年轻躁狂的研究,本研究旨在比较青少年的轻躁狂评分与双相情感障碍 II 型成年门诊患者的评分,并探讨可能存在的性别差异。

方法

107 名青少年(平均年龄:18 岁)参与了研究;其中 60 名表示他们经历过强烈的浪漫爱情;47 名为对照组。参与者完成了轻躁狂检查表,并将数据与双相情感障碍 II 型成年门诊患者的数据进行比较。

结果

处于早期强烈浪漫爱情阶段的青少年的得分与青少年对照组不同,但与双相情感障碍 II 型门诊患者的得分不同。因子分析显示,两组青少年在“易怒/冒险”轻躁狂因子上的得分都较高。发现存在性别相关模式,女性青少年的得分增加。

结论

青少年在社会、性心理和物质使用相关参与方面的发展任务可能导致暂时的、与性别相关的轻躁狂样阶段。

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