Hasan M K, Mooney R P
Am J Psychiatry. 1979 Aug;136(8):1069-71. doi: 10.1176/ajp.136.8.1069.
The authors point out that manic-depressive illness is often not diagnosed in mentally retarded patients because they are already regarded as "different." They discuss the use of lithium carbonate as a prophylactic agent in the treatment of manic-depressive illness in mentally retarded patients and present three case histories illustrating some of the difficulties encountered in diagnosing mania or hypomania in such patients. They provide a number of suggestions to help physicians recognize and treat these disorders.
作者指出,躁郁症在智障患者中常常未被诊断出来,因为他们已被视为“异类”。他们讨论了碳酸锂作为预防剂在治疗智障患者躁郁症中的应用,并给出了三个病例记录,阐明了在诊断此类患者的躁狂或轻躁狂时遇到的一些困难。他们提供了一些建议,以帮助医生识别和治疗这些疾病。