Hirschfeld R M, Cross C K
Arch Gen Psychiatry. 1982 Jan;39(1):35-46. doi: 10.1001/archpsyc.1982.04290010013003.
Data from recent epidemiological studies involving psychosocial risk factors for affective disorders are reviewed. The results of these studies are divided into the categories of depressive symptoms, bipolar depressive disorder, and nonbipolar depressive disorder. When the data are examined using these categories, remarkable consistency in psychosocial risk factors for depressive symptoms and nonbipolar depressive disorder is observed, suggesting possible continuity between these conditions. Psychosocial risk factors for bipolar disorder differ substantially from those identified for depressive symptoms and nonbipolar depressive disorder and, therefore, provide further support for the bipolar-nonbipolar distinction.
本文回顾了近期涉及情感障碍心理社会风险因素的流行病学研究数据。这些研究结果分为抑郁症状、双相抑郁障碍和非双相抑郁障碍三类。当按照这些类别对数据进行审视时，可观察到抑郁症状和非双相抑郁障碍的心理社会风险因素具有显著的一致性，这表明这些病症之间可能存在连续性。双相障碍的心理社会风险因素与抑郁症状和非双相抑郁障碍所确定的因素有很大差异，因此，为双相与非双相的区分提供了进一步的支持。
