The Bipolar Spectrum: Myth or Reality?

被引：16

作者：

Youngstrom, Eric ^{[1
,2
]}

Van Meter, Anna ^{[2
]}

Algorta, Guillermo Perez ^{[2
,3
]}

机构：

[1] Univ N Carolina, Dept Psychiat, Chapel Hill, NC 27599 USA

[2] Univ N Carolina, Dept Psychol, Chapel Hill, NC 27599 USA

[3] Ctr Clin Sur, Montevideo, Uruguay

来源：

CURRENT PSYCHIATRY REPORTS | 2010年 / 12卷 / 06期

基金：

美国国家卫生研究院;

关键词：

Bipolar disorder; Cyclothymic disorder; Bipolar spectrum; Diagnosis; Mania; Validity; NATIONAL TRENDS; MENTAL-HEALTH; I DISORDER; CHILDREN; ADOLESCENTS; MANIA; COMORBIDITY; POPULATION; DIAGNOSIS; PARENTS;

D O I：

10.1007/s11920-010-0153-3

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

The idea of a "bipolar spectrum" is controversial due to 1) lack of widely accepted definitions, 2) concern that spectrum definitions might subsume cases with nonbipolar disorders, 3) worry that "diagnostic creep" may lead practitioners to overdiagnose bipolar disorder in marginal cases, and 4) worry that more diagnosis of bipolar spectrum may increase aggressive pharmacotherapy. These concerns are weighed against theoretical and empiric evidence converging in support of the bipolar spectrum as having prognostic and prescriptive validity. Practitioners can use inexpensive and practical strategies to incorporate the spectrum concept into their work while minimizing risks of overdiagnosis or unnecessary medication exposure.

引用

页码：479 / 489

页数：11

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