Singh Tanvir, Rajput Muhammad
Dr. Singh is Assistant Professor resident from the Department of Psychiatry, University of Toledo, Health Science Campus, Toledo, Ohio.
Psychiatry (Edgmont). 2006 Oct;3(10):57-63.
The objective of this article is to review the literature on one of the most complex topics in contemporary psychiatry-the diagnosis of bipolar disorder. Bipolar disorder is a disabling psychiatric illness that is often misdiagnosed, especially on initial presentation. Misdiagnosis results in ineffective treatment, which further worsens the outcome. Major contributors toward misdiagnosis include lapses in history-taking, presence of psychiatric and medical comorbidities, and limitations in diagnostic criteria. Careful screening for symptoms of hypomania/mania and clinical features suggestive of bipolarity as well as use of collateral history and screening instruments, such as mood questionnaires, might help in limiting the rate of misdiagnosis.
本文的目的是回顾当代精神病学中最复杂的主题之一——双相情感障碍的诊断的相关文献。双相情感障碍是一种致残性精神疾病，常常被误诊，尤其是在初次就诊时。误诊导致治疗无效，进而使病情进一步恶化。误诊的主要因素包括病史采集失误、精神和躯体共病的存在以及诊断标准的局限性。仔细筛查轻躁狂/躁狂症状和提示双相情感障碍的临床特征，以及使用旁证病史和筛查工具，如情绪问卷，可能有助于降低误诊率。
