지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한정신약물학회 Clinical Psychopharmacology and Neuroscience Clinical Psychopharmacology and Neuroscience 제16권 제1호
- 발행연도
- 2018.1
- 수록면
- 114 - 117 (4page)
이용수
초록· 키워드
오류제보하기
Bipolar affective disorder (BD) diagnosis and initiation of appropriate treatment are often delayed, and this is associated with poorer outcomes, such as rapid cycling or cognitive decline. Therefore, identifying certain warning signs of a probable successive episode during the inter-episode phase is important for early intervention. We present the retrospective data of three cases of BD. Our first case had a history of alcohol use disorder (AUD), where he drank in a dipsomaniac manner, and the other two cases had dipsomaniac alcohol use before their manic attacks, and none of them had any AUD after the mood episode was over. Two brothers also had hypertensive episodes during the manic attacks. None of the cases reported increased fluid intake when they were euthymic. We suggest that polydipsia in BD may be a warning sign of an upcoming manic episode, especially in those patients with AUD. Polydipsia in BD may be caused or facilitated by a combination of hyperdopaminergic activity, hypothalamic dysfunction, and dysregulated renin-angiotensin system. To be able to prevent new episodes, a patient’s drinking habits and change in fluid intake should be asked at every visit. Those patients with a history of alcohol abuse should especially be informed about polydipsia and manic episode association.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Merikangas KR / 2011 / Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative / Arch Gen Psychiatry 68:241~251
Vos T / 2012 / Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010 / Lancet 380:2163~2196
Conus P / 2008 / The proximal prodrome to first episode mania--a new target for early intervention / Bipolar Disord 10:555~565
Patel R / 2015 / Delays before diagnosis and initiation of treatment in patients presenting to mental health services with bipolar disorder / PLoS One 10:e0126530
Kessing LV / 2004 / The predictive effect of episodes on the risk of recurrence in depressive and bipolar disorders - a life-long perspective / Acta Psychiatr Scand 109:339~344
Vos T / 2012 / Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010 / Lancet 380:2163~2196
Conus P / 2008 / The proximal prodrome to first episode mania--a new target for early intervention / Bipolar Disord 10:555~565
Patel R / 2015 / Delays before diagnosis and initiation of treatment in patients presenting to mental health services with bipolar disorder / PLoS One 10:e0126530
Kessing LV / 2004 / The predictive effect of episodes on the risk of recurrence in depressive and bipolar disorders - a life-long perspective / Acta Psychiatr Scand 109:339~344
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