[双相情感障碍作为儿童和青少年期的共病——诊断不足还是过度解读？一名患有多动品行障碍和轻躁狂的14岁男孩的治疗]
[Bipolar disorders as co-morbidity in childhood and adolescence--underdiagnosed or overinterpreted? Therapy of a 14-year-old boy with hyperkinetic conduct disorder and hypomania].
作者信息
Rothermel Boris, Poustka Luise, Banaschewski Tobias, Becker Katja
机构信息
Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters am Zentralinstitut für Seelische Gesundheit, Mannheim.
出版信息
Z Kinder Jugendpsychiatr Psychother. 2010 Mar;38(2):123-9; quiz 130. doi: 10.1024/1422-4917.a000019.
OBJECTIVE
Considerable debate exists regarding differing prevalence rates of co-morbid bipolar disorder in children and adolescents with ADHD in Germany as compared to the US.
METHODS
Described in this case report are the assessment of and treatment procedure for a 14-year old boy with hyperkinetic conduct disorder and co-morbid hypomanic episode, as well as different possible interpretations of symptoms.
CONCLUSIONS
Further studies of children and adolescents with ADHD and coexisting impulsive-aggressive behaviour are needed. Important in practice is a precise differentiation of symptoms with regard to co-morbid bipolar disorder.
目的
与美国相比，德国患有注意力缺陷多动障碍（ADHD）的儿童和青少年中，双相情感障碍共病的患病率有所不同，对此存在相当多的争论。
方法
本病例报告描述了一名患有多动性品行障碍和共病轻躁狂发作的14岁男孩的评估和治疗过程，以及对症状的不同可能解释。
结论
需要对患有ADHD且存在冲动攻击行为的儿童和青少年进行进一步研究。在实践中，重要的是要对双相情感障碍共病的症状进行精确区分。
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