Hajda Miroslav, Prasko Jan, Latalova Klara, Hruby Radovan, Ociskova Marie, Holubova Michaela, Kamaradova Dana, Mainerova Barbora
Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
Outpatient Psychiatric Department, Martin, Slovak Republic.
Neuropsychiatr Dis Treat. 2016 Jun 24;12:1561-70. doi: 10.2147/NDT.S105728. eCollection 2016.
Bipolar disorder (BD) is a serious mental illness with adverse impact on the lives of the patients and their caregivers. BD is associated with many limitations in personal and interpersonal functioning and restricts the patients' ability to use their potential capabilities fully. Bipolar patients long to live meaningful lives, but this goal is hard to achieve for those with poor insight. With progress and humanization of society, the issue of patients' needs became an important topic. The objective of the paper is to provide the up-to-date data on the unmet needs of BD patients and their caregivers.
A systematic computerized examination of MEDLINE publications from 1970 to 2015, via the keywords "bipolar disorder", "mania", "bipolar depression", and "unmet needs", was performed.
Patients' needs may differ in various stages of the disorder and may have different origin and goals. Thus, we divided them into five groups relating to their nature: those connected with symptoms, treatment, quality of life, family, and pharmacotherapy. We suggested several implications of these needs for pharmacotherapy and psychotherapy.
Trying to follow patients' needs may be a crucial point in the treatment of BD patients. However, many needs remain unmet due to both medical and social factors.
双相情感障碍（BD）是一种严重的精神疾病，对患者及其照顾者的生活产生不利影响。BD与个人和人际功能方面的许多限制相关，限制了患者充分发挥其潜在能力的能力。双相情感障碍患者渴望过上有意义的生活，但对于那些自知力差的患者来说，这一目标很难实现。随着社会的进步和人性化，患者需求问题成为一个重要话题。本文的目的是提供关于双相情感障碍患者及其照顾者未满足需求的最新数据。
通过关键词“双相情感障碍”、“躁狂”、“双相抑郁”和“未满足需求”，对1970年至2015年MEDLINE出版物进行系统的计算机检索。
患者的需求在疾病的不同阶段可能有所不同，并且可能有不同的来源和目标。因此，我们根据其性质将它们分为五组：与症状、治疗、生活质量、家庭和药物治疗相关的需求。我们提出了这些需求对药物治疗和心理治疗的若干影响。
努力满足患者的需求可能是双相情感障碍患者治疗的关键点。然而，由于医学和社会因素，许多需求仍未得到满足。
