Bolos Alexandra
Department of Psychiatry, Gr. T. Popa University of Medicine and Pharmacy, Iasi, Romania.
Clujul Med. 2015;88(4):462-7. doi: 10.15386/cjmed-443. Epub 2015 Nov 15.
Morbidity, mortality and economic consequences of bipolar affective disorder are very important to be evaluated because many of the costs entailed by this psychiatric disorder come from indirect costs due to inadequate diagnosis and treatment and from the characteristics of the affective symptoms itself. Psychotherapy focuses on diagnosis and the newest pharmacotherapy determines a decreasing of the morbidity of the disorder and also of its social and economic burden. However, more studies are necessary, with more heterogeneous patients, to find more predictors regarding the psychosocial consequences and to find more information about the prognosis of the bipolar disorder. In this context, in this paper we discuss the role of assisted resilience and the individualization of the therapy of bipolar affective disorder, especially that the resilience must be seen as a continuum and can be used anytime and in any situation, according to the theory of Geanellos. This idea is reflected in a case presentation of a patient with the diagnosis of bipolar disorder.
双相情感障碍的发病率、死亡率及经济后果非常值得评估，因为这种精神疾病所带来的许多成本来自于诊断和治疗不足导致的间接成本，以及情感症状本身的特点。心理治疗着重于诊断，而最新的药物治疗则能降低该疾病的发病率及其社会和经济负担。然而，需要开展更多针对更具异质性患者的研究，以找到更多关于心理社会后果的预测因素，并获取更多有关双相情感障碍预后的信息。在此背景下，本文将探讨辅助心理韧性及双相情感障碍治疗个体化的作用，特别是根据吉亚内洛斯的理论，心理韧性应被视为一个连续体，可在任何时间、任何情况下加以运用。这一理念在一例双相情感障碍患者的病例报告中得以体现。
