Bouchra Oneib, Maria Sabir, Abderazak Ouanass
Department of Psychiatry, Faculty of Medicine, University Mohammed I, Oujda, Morocco.
Department of Psychiatry, Faculty of Medicine, University Mohammed V, Rabat, Morocco.
Pan Afr Med J. 2017 Aug 3;27:247. doi: 10.11604/pamj.2017.27.247.8792. eCollection 2017.
The bipolar disorder is often misdiagnosed in particular among outpatients with recurrent depression. Indeed, this work confirmed that the unrecognised bipolar disorder is common among depressed outpatients, which were younger, unemployed, single or divorced with a low socio-economic level. These socio-demographics data gives us an idea about the disability experienced by the unknown bipolar patients. Also, we demonstrate that the under-diagnosis bipolar disorder was associated with the earliest onset age of a depressive episode and it was more prevalent in depressed patients with suicidal ideation and suicide attempts. These factors should be taken into account when we screen for the unknowm bipolar disorder, especially type II to improve the early diagnosis and the quality of life of these patients.
双相情感障碍常常被误诊，尤其是在复发性抑郁症门诊患者中。事实上，这项研究证实，未被识别的双相情感障碍在抑郁门诊患者中很常见，这些患者更年轻、失业、单身或离异，社会经济水平较低。这些社会人口统计学数据让我们了解了未被识别的双相情感障碍患者所经历的残疾情况。此外，我们证明，双相情感障碍的漏诊与抑郁发作的最早发病年龄有关，并且在有自杀观念和自杀未遂的抑郁患者中更为普遍。在筛查未被识别的双相情感障碍，尤其是II型时，应考虑这些因素，以改善这些患者的早期诊断和生活质量。
