Chinese General Practice ›› 2019, Vol. 22 ›› Issue (2): 123-127.DOI: 10.12114/j.issn.1007-9572.2018.00.408

Special Issue: 指南/共识最新文章合集 精神卫生最新文章合集 述评栏目最新文章合集

• Commentary •     Next Articles

Update Focus Interpretation:CANMAT/ISBD 2018 Guidelines for the Management of Patients with Bipolar Disorders 

  

  1. Shanghai Mental Health Center,Shanghai 200030,China
    *Corresponding author:FANG Yiru,Professor,Doctoral supervisor;E-mail:yirufang@aliyun.com
    XU Yifeng,Professor;E-mail:hyyyyb@gmail.com
  • Published:2019-01-15 Online:2019-01-15

《2018版加拿大抑郁和焦虑治疗网络/国际双相障碍学会双相障碍管理指南》的更新重点解读

  

  1. 200030上海市精神卫生中心
    *通信作者:方贻儒,教授,博士生导师;E-mail:yirufang@aliyun.com 徐一峰,教授;E-mail:hyyyyb@gmail.com

Abstract: With the development of society and the increase of priority given to mental health,the impact on patients caused by bipolar disorders is brought into focus. How to make a correct diagnosis and treatment is a big challenge to every psychiatrist. In this review,key content and changes for the CANMAT/ISBD 2018 guidelines for the management of patients with bipolar disorders are addressed. The main contents include the general highlights of the guidelines,the basis of bipolar disorders management,drug treatment and the role and recommendation of psychosocial intervention,hoping to give a hand to clinicians to better understand the new guidelines.

Key words: Bipolar disorder, Diagnosis, Treatment, Chronic disease management, Depressive episode, Manic episode, Hypomanic episode

摘要: 随着社会的发展和对精神卫生的重视,双相障碍对患者的影响越来越受到社会关注。如何做到正确诊断和合理治疗是每个临床医生所面对的重大难题。本文对《2018版加拿大抑郁和焦虑治疗网络/国际双相障碍学会双相障碍管理指南》重点内容进行分析解读,主要内容包括指南总体亮点、疾病管理基础、药物治疗、心理社会干预的作用和推荐,以期为广大临床工作者提供新的指导方针。

关键词: 双相情感障碍, 诊断, 治疗, 慢病管理, 抑郁发作, 躁狂发作, 轻躁狂发作