Université Catholique de Louvain, Cliniques de Mont-Godinne, Belgium.
Psychiatr Danub. 2010 Nov;22 Suppl 1:S139-42.
the double diagnosis of Attention Deficit Disorder with Hyperactivity, and of bipolar disorder in its depressive or manic phase in children and adolescents is quite common. The present paper examines the clinical descriptions of both disorders, and addresses the methodological and nosological questions they raise.
review of the literature from Medline, PsycArticles and PsycInfo data bases using the keywords "ADHD, BPD, Adolescence" as well as review of specialised reference works.
whereas the clinical and epidemiological communities posit the case for a bidirectional association between ADHD and BPD, more thorough analyses using both clinical and epidemiological perspectives suggest two distinct entities. Accordingly, we also discuss various theories accounting for the frequent co occurrence of these two diagnoses.
the double diagnosis of ADHD and BPD not only raises several hypotheses accounting for the emergence of both these syndromes in the clinical description of the same patient, but also reminds us of the limitations inherent in the nosology of mental disorders.
儿童和青少年注意缺陷多动障碍（ADHD）与双相情感障碍（BD）在抑郁或躁狂期的双重诊断较为常见。本文对两种疾病的临床描述进行了考察，并探讨了它们所引发的方法学和分类学问题。
使用“ADHD、BD、青春期”等关键词，检索 Medline、PsycArticles 和 PsycInfo 数据库中的文献，并查阅专业参考书籍。
尽管临床和流行病学领域提出了 ADHD 和 BD 之间存在双向关联的观点，但使用临床和流行病学视角进行更深入的分析表明，这是两种不同的实体。因此，我们还讨论了各种解释这两种诊断经常同时出现的理论。
ADHD 和 BPD 的双重诊断不仅提出了几种假设，用于解释这两种综合征在同一患者的临床描述中的同时出现，而且还提醒我们注意精神障碍分类学固有的局限性。
