Nikolitch Katerina, Saraf Gayatri, Solmi Marco, Kroenke Kurt, Fiedorowicz Jess G
Department of Psychiatry, The University of Ottawa, The Ottawa Hospital, Ottawa Hospital Research Institute, 501 Smyth Road, Box 400, Ottawa, ON K1H 8L6, Canada; Institute for Mental Health Research, Ottawa, Ontario, Canada.
Department of Psychiatry, The University of Ottawa, The Ottawa Hospital, Ottawa Hospital Research Institute, 501 Smyth Road, Box 400, Ottawa, ON K1H 8L6, Canada.
Med Clin North Am. 2023 Jan;107(1):31-60. doi: 10.1016/j.mcna.2022.04.002. Epub 2022 Oct 28.
Bipolar disorder is characterized by recurrent mood episodes, affecting 1% to 2% of the population. Although its defining features are manic and hypomanic episodes, its course is dominated by depressive syndromes. Diagnosis can be challenging owing to symptom overlap with other disorders. Management goals include early and complete remission of acute episodes and the prevention of relapse between episodes. We present an overview of bipolar disorder and its subtypes, including algorithms and suggestions for screening, assessment, and treatment.
双相情感障碍的特征是反复出现情绪发作，影响着1%至2%的人口。尽管其决定性特征是躁狂和轻躁狂发作，但其病程主要由抑郁综合征主导。由于症状与其他疾病重叠，诊断可能具有挑战性。管理目标包括急性发作的早期完全缓解以及发作间期复发的预防。我们概述了双相情感障碍及其亚型，包括筛查、评估和治疗的算法及建议。
