儿童双相障碍的分类问题。

Psychiatric developments Pub Date : 1984-01-01
G A Carlson
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引用次数: 0

摘要

随着系统访谈的普及,已经有可能识别出符合成人抑郁症标准的大量儿童和青少年。困难相关的正确识别现象学的严重抑郁症的儿童进行了审查。讨论了分离焦虑、厌食症、注意力缺陷和行为障碍作为“抑郁症等同物”的重要性,尽管情绪或体验快乐的能力的变化似乎具有更大的诊断分量。虽然在儿童中识别躁狂症和双相情感障碍比较困难,但在青春期前出现明确的躁狂症相对不常见。数据回顾表明,儿童双相情感障碍存在另一种更常见的形式,其特征是情感不稳定,易怒和爆炸性行为。然而,现有数据并不支持注意力缺陷障碍和“情绪不稳定性格障碍”是双相综合征的变体的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Classification issues of bipolar disorders in childhood.

As systematic interviewing has become more widespread, it has been possible to identify significant populations of children and adolescents who meet adult criteria for depression. The difficulties associated with identifying correctly the phenomenology of major depression in children are reviewed. The significance of separation anxiety, anorexia, attention deficit and conduct disorder, as 'depressive equivalents' is discussed, although a change in mood or ability to experience pleasure appear to carry greater diagnostic weight. While the identification of mania and hence of bipolar disorder in children is more difficult, the appearance of a definite maniac syndrome in preadolescence is relatively uncommon. Data are reviewed suggesting the existence of an alternative and more common form of bipolar disorder in childhood, characterized by affective lability, irritability and explosive behavior. However, available data do not support the view that attention deficit disorder and 'emotionally unstable character disorder' are variants of bipolar syndromes.

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