Pope Carley J, Sharma Verinder, Mazmanian Dwight
Lakehead University, Department of Psychology, 955 Oliver Road, Thunder Bay, ON, P7B 5E1, Canada.
Womens Health (Lond). 2014 Jul;10(4):359-71. doi: 10.2217/whe.14.33.
Bipolar I and II disorder are chronic and severe psychiatric illnesses that affect many women. Furthermore, women are at increased risk for mood episodes during the postpartum period compared with non-postpartum periods. Unfortunately, identification of clinically significant depressive or (hypo)manic episodes can be challenging. Delays in detection, as well as misdiagnosis, put women at risk of many negative consequences, such as symptom exacerbation and treatment refractoriness. Early and accurate detection of bipolar I or II disorder in the postpartum period is critical to improve prognosis. At this time, limited recommendations can be made due to a paucity of research. Further research on postpartum bipolar I or II disorder focusing on its identification, consequences and treatment is urgently needed to allow for empirically informed clinical decision-making.
双相I型和II型障碍是影响众多女性的慢性重症精神疾病。此外，与非产后时期相比，女性在产后时期出现情绪发作的风险更高。不幸的是，识别具有临床意义的抑郁或（轻）躁狂发作可能具有挑战性。检测延迟以及误诊会使女性面临许多负面后果的风险，如症状加重和治疗抵抗。产后时期早期准确检测双相I型或II型障碍对于改善预后至关重要。目前，由于研究匮乏，能够给出的建议有限。迫切需要针对产后双相I型或II型障碍在识别、后果及治疗方面开展进一步研究，以便做出基于实证的临床决策。
