Benito Menni Complex Assistencial en Salut Mental, Barcelona, Spain.
J Affect Disord. 2011 Nov;134(1-3):431-3. doi: 10.1016/j.jad.2011.05.035. Epub 2011 Jun 8.
Although it is accepted that patients with delusional disorder can show co-existing depression, comorbidity with bipolar disorder is not a recognised feature.
Case report of patients who showed both delusional disorder and mania or hypomania. The patients were examined using lifetime structured psychiatric interview where possible.
Four patients are described who met criteria for delusional disorder, with durations ranging from 2 to 15 years, and also experienced one or more episodes of mania or hypomania.
Case reports cannot quantify a clinical association.
These cases suggest that there is an association between delusional disorder and affective disorder which goes beyond the occurrence of depressive symptoms in the disorder.
尽管人们普遍认为妄想障碍患者可能同时存在抑郁，但双相障碍的共病并不是公认的特征。
报告了同时表现出妄想障碍和躁狂或轻躁狂的患者。尽可能使用终生结构化精神病学访谈对患者进行检查。
描述了 4 名符合妄想障碍标准的患者，病程从 2 年到 15 年不等，并且还经历了一次或多次躁狂或轻躁狂发作。
病例报告不能量化临床关联。
这些病例表明，妄想障碍与情感障碍之间存在关联，这种关联不仅仅是在该障碍中出现抑郁症状。
