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双相情感障碍和单相情感障碍存在不同但数量众多的类型这一概念。二、单相情感障碍

The concept of distinct but voluminous groups of bipolar and unipolar diseases. II. Unipolar diseases.

作者信息

Marneros A, Rohde A, Deister A

机构信息

Psychiatric Department, University of Bonn, Federal Republic of Germany.

出版信息

Eur Arch Psychiatry Clin Neurosci. 1990;240(2):85-9. doi: 10.1007/BF02189976.

DOI:10.1007/BF02189976
PMID:2149653
Abstract

Seventy-six unipolar affective and 45 unipolar schizoaffective patients were compared using the same instruments as mentioned in part I of this study (this issue). In contrast to bipolar diseases significant differences regarding age at onset were found between the unipolar groups: schizoaffective unipolar patients became ill at a significantly lower age than affective unipolar patients (about 8 years). No other sociodemographic differences were found between the two groups. Patterns of course were found to be similar in both unipolar groups. Unipolar affective patients had a more favourable long-term outcome (GAS and WHO/DAS) than unipolar schizoaffective ones. Altogether, unipolar affective and unipolar schizoaffective disorders seems to have more similarities than differences.

摘要

使用本研究(本期)第一部分中提到的相同工具,对76例单相情感障碍患者和45例单相分裂情感性障碍患者进行了比较。与双相情感障碍不同,在单相情感障碍组之间发现了起病年龄的显著差异:单相分裂情感性障碍患者的起病年龄显著低于单相情感障碍患者(约8岁)。两组之间未发现其他社会人口统计学差异。发现两种单相情感障碍组的病程模式相似。单相情感障碍患者比单相分裂情感性障碍患者有更良好的长期预后(总体功能评估量表和世界卫生组织/残疾评定量表)。总之,单相情感障碍和单相分裂情感性障碍似乎更多的是相似而非不同。

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本文引用的文献

1
[Course of unipolar depressive, bipolar manic-depressive, and schizoaffective disorders. Results of a prospective longitudinal study (author's transl)].[单相抑郁障碍、双相躁狂抑郁障碍和分裂情感性障碍的病程。一项前瞻性纵向研究的结果(作者译)]
Fortschr Neurol Psychiatr Grenzgeb. 1980 Jan;48(1):3-30. doi: 10.1055/s-2007-1002365.
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The separation of biplor (manic-depressive) from unipolar recurrent depressive psychoses.双相(躁狂抑郁)与单相复发性抑郁性精神病的区分。
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Family history studies. I. Two types of affective disorders separated according to genetic and clinical factors.
家族史研究。I. 根据遗传和临床因素区分的两种情感障碍类型。
Recent Adv Biol Psychiatry. 1966;9:35-50.
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Unipolar and bipolar schizoaffective disorders: a comparative study. III. Long-term outcome.单相和双相分裂情感性障碍:一项比较研究。III. 长期转归。
Eur Arch Psychiatry Neurol Sci. 1989;239(3):171-6. doi: 10.1007/BF01739650.
5
Unipolar and bipolar schizoaffective disorders: a comparative study. II. Long-term course.单相和双相分裂情感性障碍:一项比较研究。II. 长期病程。
Eur Arch Psychiatry Neurol Sci. 1989;239(3):164-70. doi: 10.1007/BF01739649.
6
Unipolar and bipolar schizoaffective disorders: a comparative study. I. Premorbid and sociodemographic features.单相和双相分裂情感性障碍:一项对比研究。I. 病前及社会人口学特征。
Eur Arch Psychiatry Neurol Sci. 1989;239(3):158-63. doi: 10.1007/BF01739648.