Illness course, comorbidity, gender, and suicidality in patients with bipolar disorder.

Illness course, comorbidity, gender, and suicidality in patients with bipolar disorder.
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双相情感障碍患者的病程、合并症、性别和自杀倾向。

DOI:
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发表时间:
2006
影响因子:
5.3
通讯作者:
C. Baldassano
C. Baldassano
中科院分区:
医学2区
文献类型:
--
作者:
C. Baldassano

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在双相情感障碍患者中,合并症是常见的。共病与病程较困难(如发作时间较长、平静期较短、起病年龄较早)和相关问题(如自杀和暴力)增加有关。来自双相情感障碍系统治疗增强计划(STEP-BD)的数据显示,焦虑症、注意力缺陷/多动障碍、物质和酒精使用障碍通常与双相情感障碍同时发生。本文详细介绍了这些发现,并讨论了与这些合并症相关的并发症。关于性别差异的STEP-BD数据也进行了讨论,并描述了进入该计划的患者自杀意念的相关因素。
Among patients with bipolar disorder, comorbid conditions are common. Comorbidity is associated with a more difficult course of illness (such as longer episodes, shorter time euthymic, and earlier age at onset) and an increase in related problems (such as suicidality and violence). Data from the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) reveal that anxiety disorders, attention-deficit/hyperactivity disorder, and substance and alcohol use disorder are conditions that commonly co-occur with bipolar disorder. This article details these findings and discusses the complications associated with these comorbid conditions. STEP-BD data about gender differences are also discussed, and correlates of suicidal ideation among patients entering the program are described.
DOI: 10.1176/appi.ajp.161.12.2222
发表时间: 2004-12-01
影响因子: 17.7
作者:
Simon, NM;Otto, MW;Pollack, MH
通讯作者: Pollack, MH