School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.
Aust N Z J Psychiatry. 2021 Jun;55(6):548-552. doi: 10.1177/00048674211020095. Epub 2021 May 20.
The 2020 College guidelines for mood disorders banish bipolar II disorder - despite its formal status in and International Classification of Diseases manuals for more than two decades - and argue that there is no need to partition bipolar disorder into separate sub-types. Their single-entity model is seemingly based on opinion rather than any support from referenced scientific studies. The author challenges the Committee's model of there being only one bipolar disorder and argues that it presents several clinical management risks, particularly of 'over-treatment'.
2020 年的心境障碍学院指南摒弃了双相情感障碍 II 型 - 尽管它在 和《国际疾病分类》手册中已有二十多年的正式地位 - 并认为没有必要将双相情感障碍分为不同的亚型。他们的单一实体模型似乎基于意见而不是任何参考科学研究的支持。作者质疑委员会关于只有一种双相情感障碍的模型，并认为它存在几个临床管理风险，特别是“过度治疗”的风险。
