TY  - JOUR
PY  - 2010//
TI  - El diagnóstico diferencial entre la Depresión Bipolar y la Depresión Monopolar en la práctica clínica
JO  - Revista Medica de Chile
A1  - Leyton a, Fanny
A1  - Barrera, Álvaro
SP  - 773
EP  - 779
VL  - 138
IS  - 6
N2  - When assessing a patient with depression it is crucial not to miss a diagnosis of bipolar depression. In this review we suggest that it can be achieved, first, by consistently using standardised diagnostic criteria (e.g. DSM-IV-TR or ICD 10) and, second, by ascertaining the presence of some clinical features. The latter include previous episodes of mood elevation, current or past episodes of psychotic depression, onset of recurrent depressive disorder before the age of 25, a strong family history of mood disorder and suicide, lack of response or “wearing off” of response to well conducted antidepressant treatment, and an unusually fast response to antidepressants with features of elation. Although more and better research is required to establish the validity, sensitivity, specificity, and predictive value of each one of these features we suggest that from a practical point of view they would increase clinicians’ awareness of bipolar depression.<p /> <p>Language: es</p>
LA  - es
SN  - 0034-9887
UR  - http://dx.doi.org/10.4067/S0034-98872010000600017
ID  - ref1
ER  -