Dickstein Daniel P, Leibenluft Ellen
Pediatric Mood, Imaging, & NeuroDevelopment Program, Bradley Hospital, Alpert Medical School of Brown University, East Providence, Rhode Island, U.S.A.
Isr J Psychiatry Relat Sci. 2012;49(1):52-61.
From the mid-1990s through the present, studies have demonstrated a significant rise in the numbers of children and adolescents diagnosed with bipolar disorder (BD). Why is this? The present manuscript reviews several possibilities, most notably ambiguity in the diagnostic criteria for mania and how they may apply to children with functionally-impairing irritability. Furthermore, we discuss ongoing phenomenological and affective neuroscience research approaches to address those children most on the fringes of our current psychiatric nosology. In summary, these studies suggest that BD youths may be distinguished on some measures from those with chronic irritability and severe mood dysregulation, although the two groups also have some shared deficits.
从20世纪90年代中期至今，研究表明被诊断为双相情感障碍（BD）的儿童和青少年数量显著增加。原因何在？本手稿回顾了几种可能性，最值得注意的是躁狂诊断标准的模糊性以及这些标准如何适用于有功能损害性易激惹症状的儿童。此外，我们还讨论了正在进行的现象学和情感神经科学研究方法，以解决那些在我们当前精神疾病分类学边缘的儿童问题。总之，这些研究表明，双相情感障碍青少年在某些指标上可能与慢性易激惹和严重情绪失调的青少年有所不同，尽管这两组也有一些共同的缺陷。
