儿童及青少年双相情感障碍
Child and adolescent bipolar disorder.
作者信息
Katz L Y, Fleisher W P
机构信息
Section of Child and Adolescent Psychiatry, Department of Psychiatry, University of Manitoba.
出版信息
Paediatr Child Health. 2001 Sep;6(7):439-43. doi: 10.1093/pch/6.7.439.
The present paper provides an overview of child and adolescent bipolar disorder for paediatricians. Epidemiology, premorbid characteristics, clinical characteristics, differential diagnosis, comorbidity, course, prognosis and multimodal treatment are reviewed. The rate of child and adolescent bipolar disorder appears to be increasing. It manifests with symptoms consistent with the developmental level of the patient, which can make diagnosis difficult. Compounding the diagnostic difficulty is the frequent presence of comorbid conditions. Early recognition and treatment are critical given the severe morbidity associated with this condition. Thus, it is essential that paediatricians and other primary care physicians are familiar with this disorder to recognize its presence and activate appropriate multimodal treatment.
本文为儿科医生提供了儿童及青少年双相情感障碍的概述。文中回顾了其流行病学、病前特征、临床特征、鉴别诊断、共病情况、病程、预后及多模式治疗。儿童及青少年双相情感障碍的发病率似乎在上升。其症状表现与患者的发育水平相符，这可能导致诊断困难。使诊断更加困难的是共病情况频繁出现。鉴于该疾病相关的严重发病率，早期识别和治疗至关重要。因此，儿科医生和其他初级保健医生熟悉这种疾病以识别其存在并启动适当的多模式治疗是必不可少的。
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