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双相情感障碍在整个生命周期中的病因:与诊断、分类和评估的重要相互作用。

Etiology of Bipolar Disorder Across the Lifespan: Essential Interplay With Diagnosis, Classification, and Assessment.

作者信息

Hankin Benjamin L

机构信息

University of Denver.

出版信息

Clin Psychol (New York). 2009 Jun 10;16(2):227-230. doi: 10.1111/j.1468-2850.2009.01161.x.

DOI:10.1111/j.1468-2850.2009.01161.x
PMID:20657707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2908423/
Abstract

Bipolar disorder has garnered increasing attention as many argue that rates of bipolar disorder are skyrocketing and the definition of the classic bipolar disorder phenotype should be expanded, especially among children and adolescents. Understanding the psychosocial etiologies of bipolar disorder across the lifespan is critically important, and Alloy and colleagues' (2009) scholarly review makes an important contribution. Given the debate and controversy surrounding the description, diagnosis, and phenotype of bipolar disorder, having an accurate, reliable, and valid classification for definition, diagnosis, and assessment is critical for explicating potential etiology. Likewise, advanced understanding of etiology, especially when grounded in basic psychological science as Alloy and colleagues' review is, can importantly inform clinical phenomenology, course, assessment, and intervention. In summary, there is an essential interplay among description, classification, assessment, etiology, and intervention, such that a deeper understanding of all these areas is necessary for advancing an empirically based practice of assessment and intervention.

摘要

双相情感障碍已受到越来越多的关注,因为许多人认为双相情感障碍的发病率正在飙升,经典双相情感障碍表型的定义应该扩大,尤其是在儿童和青少年中。了解双相情感障碍在整个生命周期中的社会心理病因至关重要,阿洛伊及其同事(2009年)的学术综述做出了重要贡献。鉴于围绕双相情感障碍的描述、诊断和表型存在的争论和争议,拥有准确、可靠且有效的分类用于定义、诊断和评估对于阐明潜在病因至关重要。同样,对病因的深入理解,尤其是像阿洛伊及其同事的综述那样基于基础心理学的理解,能够为临床现象学、病程、评估和干预提供重要信息。总之,在描述、分类、评估、病因和干预之间存在着至关重要的相互作用,因此,深入了解所有这些领域对于推进基于实证的评估和干预实践是必要的。

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本文引用的文献

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Longitudinal Predictors of Bipolar Spectrum Disorders: A Behavioral Approach System (BAS) Perspective.双相谱系障碍的纵向预测因素:基于行为趋近系统(BAS)的视角。
Clin Psychol (New York). 2009 Jun 1;16(2):206-226. doi: 10.1111/j.1468-2850.2009.01160.x.
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Pediatric bipolar disorder: validity, phenomenology, and recommendations for diagnosis.儿童双相情感障碍:有效性、现象学及诊断建议
Bipolar Disord. 2008 Feb;10(1 Pt 2):194-214. doi: 10.1111/j.1399-5618.2007.00563.x.
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Does bipolar disorder exist in children? A selected review.双相情感障碍在儿童中存在吗?一篇精选综述。
Can J Psychiatry. 2007 Jul;52(7):409-17. doi: 10.1177/070674370705200702.
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Diagnostic and measurement issues in the assessment of pediatric bipolar disorder: implications for understanding mood disorder across the life cycle.小儿双相情感障碍评估中的诊断与测量问题:对理解全生命周期情绪障碍的启示
Dev Psychopathol. 2006 Fall;18(4):989-1021. doi: 10.1017/S0954579406060494.
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Defining and validating bipolar disorder in the preschool period.界定和验证学龄前儿童双相情感障碍
Dev Psychopathol. 2006 Fall;18(4):971-88. doi: 10.1017/S0954579406060482.
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Phenomenology and diagnosis of bipolar disorder in children, adolescents, and adults: complexities and developmental issues.儿童、青少年及成人双相情感障碍的现象学与诊断:复杂性及发育问题
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Biol Psychiatry. 2005 Oct 1;58(7):569-75. doi: 10.1016/j.biopsych.2005.04.004. Epub 2005 Jun 13.
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The genetics of pediatric-onset bipolar disorder.儿童期起病的双相情感障碍的遗传学
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Models of scientific progress and the role of theory in taxonomy development: a case study of the DSM.科学进步模型及理论在分类学发展中的作用:以《精神疾病诊断与统计手册》为例
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