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双相障碍临床研究现状与趋势
引用本文:方贻儒,汪作为. 双相障碍临床研究现状与趋势[J]. 上海精神医学, 2011, 23(1): 12-16. DOI: 10.3969/j.issn.1002-0829.2011.01.004
作者姓名:方贻儒  汪作为
作者单位:1. 海交通大学医学院附属精神卫生中心,200030
2. 海交通大学医学院附属精神卫生中心,200030;上海市虹口区精神卫生中心,200083
摘    要:与抑郁障碍相比,双相障碍的临床表现和病程更复杂,治疗更困难,预后更差,自杀风险更大。据报道,双相谱系障碍的患病率为6%,但是在世界范围内尤其是在中国,对这类疾病的识别率和治疗率很低。临床医生需要更熟悉"软双相"的症状,更准确地鉴别双相抑郁与单相抑郁,更准确地区分出共病双相障碍的其他精神障碍,并为预防双相障碍的复发提供更有效的维持治疗。对双相谱系障碍的临床研究需要有效地整合心理治疗和生物治疗。

关 键 词:双相障碍  双相抑郁  临床现象学  共病

Current status and future trends in clinical research of bipolar disorder
Yi Ru FANG,Zuo Wei WANG. Current status and future trends in clinical research of bipolar disorder[J]. Shanghai Archives of Psychiatry, 2011, 23(1): 12-16. DOI: 10.3969/j.issn.1002-0829.2011.01.004
Authors:Yi Ru FANG  Zuo Wei WANG
Affiliation:Yi Ru FANG1*,Zuo Wei WANG2 1Shanghai Mental Health Center,Shanghai Jiaotong University School of Medicine,Shanghai 200030,China,2Hongkou District Mental Health Center,Shanghai 200083
Abstract:Compared to patients with depressive disorders,those with bipolar disorders have a more complex clinical presentation and course,a greater risk for treatment non-response,a poorer prognosis and an increased risk of suicide.The reported prevalence of the full spectrum of bipolar disorders is 6% but the rates of recognition and treatment around the world are very low,particularly in China.Clinicians need to become more familiar with the softsigns of bipolar spectrum disorders including hypomania,and they need...
Keywords:Bipolar Disorder  Bipolar Depression  Clinical Phenomenology  Comorbidity  
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