1 Brandie M. Stiles, PhD, MSN, PMHNP-BC, University of Missouri-St. Louis, St. Louis, MO, USA; Centerpointe Hospital, St. Louis, MO, USA.
2 Anne F. Fish, PhD, RN, FAHA, University of Missouri-St. Louis, St. Louis, MO, USA.
J Am Psychiatr Nurses Assoc. 2018 Sep/Oct;24(5):415-425. doi: 10.1177/1078390318784360. Epub 2018 Jun 28.
Up to 40% of patients with bipolar disorder are misdiagnosed, usually with major depression disorder.
The purpose was to describe the current state of the science of the misdiagnosis of bipolar disorder, with the ultimate goal of improving psychiatric diagnostic workups including screening.
An integrative review was conducted using standard criteria for evaluating research articles.
Forty-nine articles met the eligibility criteria. Articles explored patient-related and health care provider-related factors contributing to the misdiagnosis of bipolar disorder as well as consequences of misdiagnosis. Clinically oriented, reliable, and valid screening tools for bipolar disorder also were reviewed.
Awareness of multiple, challenging patient-related factors and more comprehensive assessment and screening by health care providers may reduce misdiagnosis.
多达 40%的双相情感障碍患者被误诊，通常被误诊为重度抑郁症。
描述双相情感障碍误诊的当前科学现状，最终目标是改善精神科诊断工作，包括筛查。
使用评估研究文章的标准准则进行综合审查。
有 49 篇文章符合入选标准。这些文章探讨了导致双相情感障碍误诊的患者相关和医疗保健提供者相关因素，以及误诊的后果。还审查了针对双相情感障碍的临床导向、可靠且有效的筛查工具。
提高对多种具有挑战性的患者相关因素的认识，以及医疗保健提供者更全面的评估和筛查，可能会减少误诊。
