Bipolar Bozukluk Tip I ile Tip II'nin Depresyon Atakları Arasındaki Farklılıklar

Sermin Kesebir, Leman İnanç, Gönül Yıldırım
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Öz


Fieve ve Dunner 1975'te, belirgin yeti yitimine neden olacak ya da hastaneye yatışı gerektirecek kadar şiddetli olmayan ve psikotik özellikler bulundurma-yan hipomanik dönemleri maniden ayırt ederek, manik ve depresif dönemler-le karakterli Bipolar bozukluk tip I (BPB I) ve hipomanik ve depresif dönem-lerle karakterli Bipolar bozukluk tip II (BPB II)' yi birbirinden ayırdılar. BPB I ile BPB II depresif ataklarının benzer olduğu öne sürülmüştür. BPB II'nin BPB I'in ya da unipolar bozukluğun bir varyantı mı olduğu, BPB I ile unipo-lar bozukluk arasındaki süreklilikte bir yerde mi olduğu yoksa ayrı bir bozuk-luk mu olduğu halen tartışılmaktadır. BPB'un alt tiplerinin depresif atak karakterinde ve gidiş özelliklerinde bazı benzerlikler bulunmakla birlikte, ayırıcı tanı ve tedavide yararlı olabilecek bazı farklılıklar vardır. Bu yazının amacı bu farklılıkları gözden geçirmektir..

Anahtar kelimeler


Bipolar bozukluk, bipolar depresyon, depresif atak

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DOI: http://dx.doi.org/10.5455/cap.20130519

Referanslar


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