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作 者:李灿鑫 方贻儒[2] Li Canxin;Fang Yiru(Shanghai Mental Health Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Mood Disorder Department,Clinical Research Center,Shanghai Mental Health Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)
机构地区:[1]上海交通大学医学院附属精神卫生中心,200030 [2]上海交通大学医学院附属精神卫生中心临床研究中心心境障碍科,200030
出 处:《神经疾病与精神卫生》2022年第8期575-580,共6页Journal of Neuroscience and Mental Health
基 金:国家重点研发计划(2016YFC1307100)。
摘 要:双相抑郁在临床中常被误诊为单相抑郁,且误诊率较高,只有约20%的双相抑郁患者能在第1年被明确诊断,大部分患者需要首次发作后的7~10年才能被明确诊断。目前,对两者的鉴别仍然主要依靠临床相关症状和特征。现对事件相关电位在单、双相抑郁的区别以及对其疗效预测方面进行综述,以找到能指导临床区分和预测两种疾病的客观指标。In clinical practice,bipolar depression is often misdiagnosed as unipolar depression,and the misdiagnosis rate is high.Only about 20%of bipolar depression patients can be definitive diagnosed in the first year,and most patients need 7 to 10 years to be diagnosed after the first episode.Now the differentiation between two affective disorders is still mainly based on clinical symptoms and characteristics.This paper reviews the difference between unipolar and bipolar depression and the prediction of its curative effect through eventrelated potential,hoping to find an objective index that can guide the clinical differentiation and prediction of the two diseases.
关 键 词:单相抑郁 双相抑郁 事件相关电位 疗效预测 综述
分 类 号:R749.4[医药卫生—神经病学与精神病学]
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