摘要
目的:对双相情感障碍抑郁相和单相抑郁发作进行临床分析。方法:对双相情感障碍抑郁相和单相抑郁发作患者各30例进行临床分析。结果:双相情感障碍抑郁相有如下特点:①发病年龄早;②女性多见;③具有“精力过盛”性人格;④一级亲属中有双相障碍的家族史;⑤症状多为非典型抑郁发作或伴有精神病性症状。结论:如首次抑郁发作的症状符合以上特点,则可能以后发展为双相情感障碍,应使用足量心境稳定剂,谨慎使用抗抑郁剂,以免转为躁狂发作。
Objeetive:A clinical analysis was made on bipolar and unipolar depressive episode affective disorder, to observe their differences. Method: Both patients with bipolar of unipolar depressive episode affective disorder had 30 cases each. A clinical analysis of them were made.. Results:Some characters in bipolar depressive affective disorder were as follows: 1. early onset age; 2. females were more; 3. with "higher activity'personality; 4. bipolar disorders in first degree of family were more; 5. atypical depressive episode or with psychotic symptoms were more. Conclusion If first visit of depressive patients accord the above characters, they develop to bipolar affective disorder is possible. They must use mood stabilizer, and careful to use antideprsssant to avoid transfer to manic episode.
出处
《临床精神医学杂志》
2006年第6期354-355,共2页
Journal of Clinical Psychiatry
关键词
双相情感障碍抑郁相
单相抑郁发作
bipolar affective disorder depressive phase
unipolar depression episode