_and treatment of bipolar disorder in children and 儿童双相情感障碍的诊断和治疗课件

《_and treatment of bipolar disorder in children and 儿童双相情感障碍的诊断和治疗课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、DiagnosisandTreatmentofBipolarDisorderinChildrenandAdolescentsPediatricBipolarTopicsPrevalenceDiagnosisComorbidityMedicationtreatmentOutcomePrevalenceofBipolarDisorderinAdolescents1,709highschoolstudents,14to18yearsofageDiagnosticinterviewsFindings1.0%prevalenceofbipolardisorders5.7%prevalen

2、ceofbipolarNOSLewinsohn,etal.1995.DifficultiesDiagnosingBipolarDisorderinYouthLowbaserateVariableclinicalpresentationOverlapwithotherdisordersEffectofdevelopmentonsymptomexpressionBowringandKovacs,1992.93outpatients,7to16yearsofage(meanage=11years)withbipolarIorIIMeanageonset:7yearsofageMea

3、nepisodeduration:3.5yearsofageCharacteristicsofBipolarDisorderinChildrenandAdolescentsGeller,etal.2000.Percentage55%87%50%25%87%Geller,etal.2000.CharacteristicsofBipolarDisorderinChildrenandAdolescents(cont.)SymptomsMixedmaniaRapidcyclingGrandiosedelusionsSuicidalityComorbidADHDBipolarDisord

4、erinChildrenLessdiscreteepisodesofmaniaordepressionOftenmixedstates,rapidcyclingIrritabilityacrossepisodesEmotionallylabileExplosiveoutburstsBipolarDisorderinAdolescentsDistinctepisodesofmaniaanddepressionRapidonsetofsymptomsMood-congruentpsychoticfeaturesComorbidDisordersAssociatedWithBipol

5、arDisorderinChildrenandAdolescentsAttentiondeficit/hyperactivitydisorder(ADHD)SubstanceabuseAnxietydisordersOppositionaldefiantdisorderConductdisorderComorbidityBetweenBipolarDisorderandADHD43children,age12andyoungerBipolardisorder,manic94%comorbidADHDSevereclinicalpicturePsychosisComorbidde

6、pressionPsychiatrichospitalizationSchoolfailureWozniak,etal.1995.60outpatientchildrenwithbipolardisorder(mean=11.0years)60outpatientchildrenwithADHD(mean=9.6years)DistinctionBetweenBipolarDisorderandADHDGeller,etal.1998.DistinctionBetweenBipolarDisorderandADHD(cont.)FindingsBipolardisorderg

7、roup>ADHDgroupElevatedmoodGrandiosityHypersexualityDecreasedneedforsleepRacingthoughtsGeller,etal.1998.DistinctionBetweenBipolarDisorderandADHD(cont.)NodistinctionbetweengroupsHyperenergeticDistractibilityGeller,etal.1998.MedicationTrialsforBipolar