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诊断困境:为何我们需要改变儿童双相情感障碍的诊断方式。

The diagnostic dilemma: why we need to change how we diagnose bipolar disorder in children.

作者信息

Dickstein Daniel

出版信息

Cerebrum. 2010 Nov;2010:23. Epub 2010 Nov 10.

Abstract

Bipolar disorder diagnosis has been rising dramatically in children for the past decade. In response to this increase, writes Daniel Dickstein, M.D., of Bradley Hospital and Brown University, researchers at the National Institute of Mental Health and elsewhere are reviewing the diagnostic criteria. In coming years, Dickstein argues, recognizing and diagnosing bipolar disorder in children should be based more on biological markers, such as brain structure and the use of neural circuits, than on the inconsistent diagnostic categories laid out in the Diagnostic and Statistical Manual of Mental Disorders.

摘要

在过去十年中,儿童双相情感障碍的诊断率急剧上升。布拉德利医院和布朗大学的医学博士丹尼尔·迪克斯坦写道,针对这一增长趋势,美国国立精神卫生研究所及其他机构的研究人员正在重新审视诊断标准。迪克斯坦认为,在未来几年,儿童双相情感障碍的识别和诊断应更多地基于生物学标志物,如大脑结构和神经回路的运用,而不是基于《精神疾病诊断与统计手册》中不一致的诊断类别。

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