Mahé V, Féline A
Ann Med Psychol (Paris). 1996 Jun;154(4):226-31.
The occurrence of mania in the elderly is under-estimated. Mania may inaugurate a late-onset bipolar illness, extend a unipolar depressive disorder or rarely continue a early-onset bipolar illness. Early-onset bipolar illness frequently disappear after 60 years or is prolonged by reccurrent depression. Late-onset bipolar illness may be preceded by slight disturbances of mood. These modalities underline two of the various evolutions of bipolar illness. Only a prospective follow-up study could specify it.
老年人躁狂症的发生率被低估了。躁狂症可能引发迟发性双相情感障碍，扩展单相抑郁症，或很少见地延续早发性双相情感障碍。早发性双相情感障碍常在60岁后消失或因复发性抑郁症而延长病程。迟发性双相情感障碍可能在情绪有轻微紊乱之前出现。这些情况突显了双相情感障碍的两种不同演变方式。只有前瞻性随访研究才能明确这一点。
