Intervening early in children with bipolar disorder: is there a pot at the end of the Rainbow?
Intervening early in children with bipolar disorder: is there a pot at the end of the Rainbow?
复制标题
双相情感障碍儿童的早期干预：彩虹尽头有锅吗？
DOI：
10.1136/eb-2015-102073
复制
发表时间：
2015
影响因子：
5.2
通讯作者：
Miklowitz,DavidJ
中科院分区：
文献类型：
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作者：
Miklowitz,DavidJ
患有双相情感障碍(BD)的儿童在学校、同伴和家庭功能方面有相当大的障碍，疾病共病的比率很高。1随着年龄的增长，他们自杀未遂、住院、药物滥用和医疗并发症的风险增加。药物治疗通常是患有BD的年轻人的一线治疗方法，但儿科患者可能比成年人对治疗的反应更差。此外，常用的情绪稳定药物的副作用(如体重增加)可能会损害儿童的长期健康状况。三种心理社会干预措施辅以药物治疗已被测试，并被发现对稳定双相儿童和青少年的情绪症状有效：多家庭心理教育小组，3辩证行为治疗4和以家庭为中心的治疗。5.
Children with bipolar disorder (BD) have considerable impairments in school, peer and family functioning and high rates of illness comorbidity. 1 With age, their risk increases for suicide attempts, hospitalisation, substance abuse and medical complications. Pharmacotherapy is usually the first-line treatment for young people with BD, but paediatric patients may be less treatment-responsive than adults. 2 Moreover, side effects (eg, weight gain) from commonly used mood stabilising medications can compromise children’s long-term health status. Three psychosocial interventions given adjunctively with medications have been tested and found effective in stabilising mood symptoms among bipolar children and adolescents: multifamily psychoeducation groups, 3 dialectical behaviour therapy 4 and family-focused therapy. 5