Diagnosis, treatment, and recovery maintenance in bipolar depression.
Diagnosis, treatment, and recovery maintenance in bipolar depression.
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DOI：
10.4088/jcp.8125cc5c
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发表时间：
2010-01-01
期刊：
影响因子：
--
通讯作者：
Bowden, Charles L
中科院分区：
文献类型：
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作者：
Bowden, Charles L
双相情感障碍的误诊和不适当的药物治疗是常见的。临床医生应在抑郁发作期间筛查躁狂/轻躁狂症状，以区分双相抑郁症和其他抑郁症。抑郁症是双相情感障碍的主导极，有效的维持治疗必须防止抑郁发作复发。很少有药物治疗有证据支持双相抑郁症的短期和长期疗效。临床医生必须考虑各种药物和心理干预措施预防和治疗双相情感发作的长期疗效的现有证据。
Misdiagnosis of bipolar disorder and inappropriate pharmacotherapeutic treatment is common. Clinicians should screen for manic/hypomanic symptoms during depressive episodes to differentiate bipolar depression from other depressive disorders. Depression is the dominant pole of bipolar disorder, and effective maintenance therapy must prevent depressive episode recurrence. Few pharmacologic treatments have evidence supporting both short- and long-term efficacy for bipolar depression. Clinicians must consider the existing evidence on the long-term efficacy of various pharmacologic and psychosocial interventions for preventing and treating bipolar mood episodes.