{"created":"2023-07-27T06:52:37.817385+00:00","id":46673,"links":{},"metadata":{"_buckets":{"deposit":"cee02edf-042a-4aad-ad8e-d48d177ea907"},"_deposit":{"created_by":18,"id":"46673","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"46673"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00046673","sets":["2229:2230:2231"]},"author_link":["224","81231"],"item_59_biblio_info_10":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"198","bibliographicPageStart":"195","bibliographicVolumeNumber":"21","bibliographic_titles":[{"bibliographic_title":"日本生物学的精神医学会誌"},{"bibliographic_title":"Japanese journal of biological psychiatry","bibliographic_titleLang":"en"}]}]},"item_59_creator_5":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Munesue, Toshio"}],"nameIdentifiers":[{},{}]}]},"item_59_description_23":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"The diagnosis of major depressive disorder(MDD)cannot be made in patients with major depressive episodes if they have shown hypomanic symptoms. However, hypomanic symptoms are often overlooked in daily clinical settings. Bipolar disorder(BD), especially bipolar II disorder(BDII), is liable to be misdiagnosed as MDD. Antidepressants may induce harmful events, such as manic switch, in patients with BD. Therefore, clinicians must carefully probe hypomanic episodes in patients with major depressive episodes. Moreover, the diagnosis of MDD should not be made lightly even if hypomanic episodes are not recognized, as patients with major depressive episodes may show hypomanic episodes during their clinical course. Early onset of major depressive episodes is regarded as one of the clinical signs in patients with BD rather than MDD. Many adolescents seek help with depressive symptoms in daily clinical settings. Clinicians should pay attention to unrecognized hypomanic symptoms. Patients may show one to four hypomanic symptoms during major depressive episodes. Such patients are regarded as having depressive mixed state, and that they should be diagnosed as having BDII rather than MDD.","subitem_description_type":"Abstract"},{"subitem_description":"診断において双極性障害（Bipolar Disorder ： BD）は大うつ病性障害（Major Depressive Disorder ： MDD）に優先する。その背景の 1 つは軽躁病が見逃されやすいことである。つまり双極 II型障害（Bipolar II Disorder ： BDII）は MDD と誤診されやすい。さらに丹念に問診しても軽躁病エピソードが認められなかった場合，すぐに MDD と診断するのではなく，躁性の徴候を探し，将来のBD の発症を念頭に置いておく必要がある。このような配慮は BD を MDD と誤診して，抗うつ薬を処方し，病状の悪化することを防ぐために必要である。 青年が抑うつ状態を呈して受診した場合，まず BD，特に BDII を疑わなければならない。なぜなら若年発症自体が躁性の徴候だからである。また，depressive mixed state という病態に注意する必要がある。なぜなら，操作的診断基準では MDD と診断されるが，この病態は BDII に近縁だからである。","subitem_description_type":"Abstract"}]},"item_59_description_7":{"attribute_name":"提供者所属","attribute_value_mlt":[{"subitem_description":"金沢大学子どものこころの発達研究センター","subitem_description_type":"Other"}]},"item_59_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00053005","subitem_identifier_reg_type":"JaLC"}]},"item_59_publisher_19":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本生物学的精神医学会 = Japanese Society of Biological Psychiatry"}]},"item_59_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.11249/jsbpjjpp.21.3_195","subitem_relation_type_select":"DOI"}}]},"item_59_relation_30":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"https://www.jstage.jst.go.jp/browse/jsbpjjpp/-char/ja"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.jstage.jst.go.jp/browse/jsbpjjpp/-char/ja","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"http://www.jsbp.org/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.jsbp.org/","subitem_relation_type_select":"URI"}}]},"item_59_rights_25":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Copyright © 日本生物学的精神医学会 Japanese Society of Biological Psychiatry"}]},"item_59_source_id_11":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2186-6619","subitem_source_identifier_type":"ISSN"}]},"item_59_source_id_13":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA12468060","subitem_source_identifier_type":"NCID"}]},"item_59_version_type_27":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"棟居, 俊夫"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-01-10"}],"displaytype":"detail","filename":"CH-PR-MUNESUE-T-195.pdf","filesize":[{"value":"278.5 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"CH-PR-MUNESUE-T-195.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/46673/files/CH-PR-MUNESUE-T-195.pdf"},"version_id":"a452dcbe-09c8-44ed-ab31-93504925f03a"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"青年期の双極Ⅱ型障害: 診断上の注意点","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"青年期の双極Ⅱ型障害: 診断上の注意点"},{"subitem_title":"Diagnostic considerations regarding bipolar II disorder in adolescence","subitem_title_language":"en"}]},"item_type_id":"59","owner":"18","path":["2231"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-01-10"},"publish_date":"2019-01-10","publish_status":"0","recid":"46673","relation_version_is_last":true,"title":["青年期の双極Ⅱ型障害: 診断上の注意点"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T16:41:48.419700+00:00"}