双相障碍与成人注意缺陷多动障碍的临床特征探讨  

Study of the clinical traits in bipolar disorder and adult attention deficit hyperactivity disorder

作　　者：王芳[1] 沈文超 王军[1] 胡笑楠 李永超[1] WANG Fang;SHEN Wen-chao;WANG Jun;HU Xiao-nan;LI Yong-chao(Shanghai Yangpu Mental Health Center,Shanghai 200093,China)

机构地区：[1]上海市杨浦区精神卫生中心,200093

出　　处：《临床精神医学杂志》2020年第5期374-376,共3页Journal of Clinical Psychiatry

基　　金：上海市杨浦区精神卫生中心院级课题(YJY2018-3,YJY2019-2);上海市卫生健康委员会卫生行业临床研究专项(20204Y0025)。

摘　　要：双相障碍(BD)和成人注意缺陷多动障碍(ADHD)患者的症状表现有相似之处,包括精力旺盛、分心、破坏规则、冲动、多动和语速加快等。区分这些症状属于单病还是共病是一项精神科领域的挑战。本文重点讨论了BD与ADHD诊断标准的比较、鉴别、临床特征的区分、共病以及神经认知功能损伤,旨在区分重叠症状,并从症状学和神经心理学角度寻找共性和区别,以帮助医生增加临床诊断的准确性。Bipolar disorder(BD)has many similar clinical manifestations with attention-deficit/hyperactivity disorder(ADHD),such as excessive amounts of energy,high degree of distractibility,breaking rules,impulsivity,hyperactivity and pressured speech.These symptoms that contributed to distinguishing the diseases are still a challenge in the field of psychiatry.In this paper,we focus on the comparison of diagnostic criteria,differential diagnosis,clinical manifestation and neurocognitive impairment between BD and ADHD to distinguish overlapping symptoms from the perspective of symptomatology and neuropsychology.It will be helpful for clinicians to increase the accuracy of diagnosis.

关 键 词：双相障碍 注意缺陷多动障碍 共病 神经认知功能 

分 类 号：R749[医药卫生—神经病学与精神病学]