警惕“高功能陷阱”——双相抑郁患者的过度状态期望

Beware of the"high functioning trap"-excessive status expectations in patients with bipolar depression

维持病情长期稳定是双相障碍治疗的关键,而准确判断患者的疾病状态是维持治疗的重点和难点。过度状态期望常见于双相抑郁患者,通过影响患者对自身疾病状态的判断,最终干扰临床决策,此现象应当引起高度关注。本文就双相障碍患者过度状态期望的现象和可能的机制进行探讨,为有关诊疗和研究提供思路。

Maintaining long-term stability of patient's condition is crucial in the treatment for bipolar disorder,while accurately assessing the patient's disease status is important and challenging in maintaining treatment.Excessive status expectation is common in patients with bipolar depression,which would warp the patient's perception of his or her own disease status and,thus,ultimately interfere with clinical decisions.Heightened vigilance should be given to such phenomenon.This paper explores the phenomenon and potential mechanisms of excessive status expectation in patients with bipolar disorder,providing ideas for related diagnosis,treatment and research.