摘要
《美国精神障碍诊断与统计手册》第5版(DSM-5)将重性抑郁障碍与双相障碍分开,躁狂症则归属双相障碍Ⅰ型项目下。有明确的证据表明双相障碍Ⅰ型具有异质性。虽然躁狂症定义为纯躁狂症和躁狂症伴有混合发作,与重性抑郁症和双相障碍相比是相当少见的。许多专家学者和临床精神科医师研究认为躁狂症可以从双相障碍中分出来,独立作为一个疾病编码。随着常见的科学验证因素--基因、病程、死亡率、临床特征、治疗反应、性格特征等方面研究的不断进展,在不远的将来躁狂症也许会有独立的疾病代码。
Diagnostic and Statistical Manual of Mental Disorders 5 th edition(DSM-5)separates major depressive disorder from bipolar disorder,while mania falls under the bipolarⅠ.There is clear evidence of heterogeneity in bipolarⅠdisorder.While mania,defined as pure mania or associated with mixed episodes,is relatively rare compared to major depression and bipolar disorder.Many experts and clinical psychiatrists have studied mania as a separate disease code from bipolar disorder.With the development of our common scientific validation factors--genes,course of disease,mortality,clinical features,therapeutic responses,personality traits,etc.,there may be independent disease codes for mania in the near future.
作者
石华孟
SHI Hua-meng(the Mental Health Center of Shanghai Jiao-tong University School of Medicine,Shanghai 200030,China)
出处
《临床精神医学杂志》
2020年第1期70-72,共3页
Journal of Clinical Psychiatry
