摘要
共病是指在同一个体中存在两种或两种以上的慢性疾病。双相障碍与物质使用障碍共病是一个重要的临床和公共卫生问题。两者共病的发病率高,并且会导致人格改变、愈后不良、自杀风险增加、死亡率增加、暴力行为风险增加。目前,两者共病的作用机制尚未完全清楚,且无相关的规范性治疗指南,因此临床工作较为棘手。本文主要从两者共病的作用机制、对个体影响及治疗方法作一综述,以期为临床治疗提供参考。
Comorbidity refers to the existence of two or more chronic diseases in the same individual.The comorbidity of bipolar disorder and substance use disorder is an important clinical and public health problem.The incidence of comorbidity is high,and the comorbidity can lead to personality changes,poor prognosis,increase the risk of suicide,increase the mortality,and increase the risk of violence.At present,the mechanism of the two comorbidities is not fully understood,and there is not relevant normative treatment guidelines,so the clinical work is more difficult.This article mainly reviews the mechanism of action,individual effects and treatment methods of the two comorbidities,in order to provide reference for clinical treatment.
作者
罗小阳
马月娇
何浩宇
LUO Xiaoyang;MA Yuejiao;HE Haoyu(Department of Women Psychiatry of the Second People’s Hospital of Hengyang City,Hengyang 421002,Hunan,China;Department of Child Psychiatry of Shenzhen Kangning Hospital,Shenzhen Mental Health Center,School of Mental Health,Shenzhen University,Shenzhen 518003,Guangdong,China;Department of Psycholoy,College of Education,Hunan First Normol University/Hunan Key Laboratory for Children’s Psychological Development and Brain&Cognition Science,Changsha 410205,Hunan,China)
出处
《中国药物滥用防治杂志》
CAS
2023年第9期1495-1499,共5页
Chinese Journal of Drug Abuse Prevention and Treatment
关键词
双相障碍
物质使用障碍
共病
作用机制
重要影响
治疗方法
Bipolar disorders
Substance use disorders
Comorbidity
Pathogenesis
Significant impact
Treatment