School of Psychiatry, University of New South Wales, and Black Dog Institute, Sydney, Australia.
J Affect Disord. 2011 Sep;133(1-2):16-21. doi: 10.1016/j.jad.2010.10.015. Epub 2010 Nov 4.
The non-psychotic mood swings experienced by those with a bipolar II disorder can lead to diagnostic dilemmas, especially in differentiating this condition from personality styles marked by emotional dysregulation. This paper provides a clinical vignette and then offers some indicative parameters that might assist differentiation.
A clinical vignette is provided of a patient who had longitudinal features consistent with either a bipolar II disorder or of distinct personality-based dysregulation and the reader is invited to consider the likely diagnosis. A relevant literature is overviewed and, in conjunction with clinical observations, diagnostic parameters for differentiating the two diagnostic groupings are derived.
It is suggested that the derived parameters assist diagnostic clarification in most instances but reference back to the clinical vignette tempers that level of confidence.
Many of the identified differentiating features are clinically derived and are subject to limitations of clinical observation and biases.
The importance of differentiating a primary bipolar II disorder from a personality-based condition is of high clinical importance. This overview seeks to advance the objective.
双相情感障碍患者的非精神病性情绪波动可能导致诊断上的困境，尤其是在将这种情况与以情绪失调为特征的人格类型区分开来时。本文提供了一个临床病例，并提出了一些可能有助于区分的指示性参数。
提供了一个具有纵向特征的患者的临床病例，这些特征与双相情感障碍 II 型或明显基于人格的失调一致，并邀请读者考虑可能的诊断。综述了相关文献，并结合临床观察，得出了区分这两种诊断分组的诊断参数。
建议所得到的参数在大多数情况下有助于明确诊断，但参考临床病例会降低这种信心水平。
许多确定的区分特征是临床得出的，受到临床观察和偏见的限制。
区分原发性双相情感障碍 II 型和基于人格的疾病的重要性具有高度的临床重要性。本综述旨在推进这一目标。
