Department of Psychiatry and Behavioral Neuroscience, Division of Bipolar Disorders Research, University of Cincinnati College of Medicine, 260 Stetson Street, Suite 3200, PO Box 670516, Cincinnati, OH 45219 -0516, USA.
Division of Bipolar Disorders Research, Department of Psychiatry and Behavioral Neurosciences, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Child Adolesc Psychiatr Clin N Am. 2021 Jul;30(3):561-571. doi: 10.1016/j.chc.2021.04.007.
Irritability, anger, and aggression, although not specific for pediatric bipolar disorder (BD), can be a common finding and an important source of distress and impairment in these patients. Over the past 2 decades the diagnostic significance of irritability in pediatric BD has been highly debated. Beyond the debate of its diagnostic significance, the clinical importance of irritability, anger, and aggression in youth with BD has been well established. In this review, the authors discuss evaluation and management strategies of irritability, anger, and aggression in youth with BD.
易激惹、愤怒和攻击行为虽然并非儿童双相障碍（BD）的特异性表现，但在这些患者中较为常见，也是导致其痛苦和功能损害的重要原因。在过去的 20 年中，易激惹在儿童 BD 中的诊断意义一直备受争议。除了其诊断意义的争议之外，易激惹、愤怒和攻击行为在青少年 BD 中的临床重要性已经得到了充分证实。在这篇综述中，作者讨论了青少年 BD 患者易激惹、愤怒和攻击行为的评估和管理策略。
