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躁狂症和双相情感障碍发病率的上升:成因及潜在负面影响。

The increasing frequency of mania and bipolar disorder: causes and potential negative impacts.

作者信息

Yutzy Sean H, Woofter Chad R, Abbott Christopher C, Melhem Imad M, Parish Brooke S

机构信息

Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.

出版信息

J Nerv Ment Dis. 2012 May;200(5):380-7. doi: 10.1097/NMD.0b013e3182531f17.

Abstract

The frequency of mania has not changed during the last century even with the development of new diagnostic criteria sets. More specifically, from the mid-1970s to 2000, the rate of mania (variably labeled major affective disorder-bipolar disorder and bipolar I disorder) was consistently identified in US and international studies as ranging from 0.4% to 1.6%. By the late 1990s to the 2000s, the prevalence reported by some researchers for bipolar disorders (I and II and others) was in the 5% to 7% and higher ranges. The purpose of this paper was to review explanations for this change and the potentially negative impacts on the field.

摘要

即使有了新的诊断标准集,在上个世纪躁狂症的发病率并未改变。更具体地说,从20世纪70年代中期到2000年,在美国和国际研究中,躁狂症(不同地标记为重度情感障碍 - 双相情感障碍和双相I型障碍)的发病率一直被确定为0.4%至1.6%。到20世纪90年代末至21世纪初,一些研究人员报告的双相情感障碍(I型和II型及其他类型)的患病率在5%至7%及更高范围。本文的目的是回顾对这一变化的解释以及对该领域可能产生的负面影响。

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