Department of Psychiatry, Stobhill Hospital, NHS Greater Glasgow & Clyde, Glasgow, UK.
Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK.
J R Coll Physicians Edinb. 2023 Sep;53(3):192-196. doi: 10.1177/14782715231197577. Epub 2023 Aug 30.
Bipolar disorder is a relatively common mental illness, characterised by recurrent episodes of mania (or hypomania) and major depression, and associated with a significant burden of morbidity and premature mortality. Physicians across all specialities are likely to encounter individuals with the condition within their clinical practice. This short review provides an up-to-date overview of the clinical features, epidemiology, pathophysiology, evidence-based management, prognosis and future directions for treatment and research in bipolar disorder. Aspects of cross-specialty relevance are highlighted, including the physical health burden associated with the condition, and the side effects and safety considerations of medication regimes used in bipolar disorder.
双相情感障碍是一种较为常见的精神疾病,其特征为反复发作的躁狂(或轻躁狂)和重度抑郁,并与较高的发病率和过早死亡率相关。所有专业的医生都有可能在临床实践中遇到患有该疾病的患者。本综述提供了关于双相情感障碍的临床特征、流行病学、病理生理学、基于证据的管理、预后和未来治疗及研究方向的最新概述。本文强调了与跨专业相关的方面,包括与该疾病相关的身体健康负担,以及双相情感障碍药物治疗方案的副作用和安全性考虑。