Differences between Depression Episodes of Bipolar Disorder I and II

Abstract

In 1975 Fieve and Dunner made the distinction between hypomania and mania as hypomania does not usually cause social and occupational impair-ment and hospitalization is not needed, moreover patients do not experience psychosis. Bipolar disorder type I is defined by the presence of manic and depressive episodes and differs from Bipolar disorder type II characterized with hipomanic and depressive episodes. Bipolar disorder type I and II do not differ in their depressive episodes. It is still point of contention whether bipolar type II is a variant of bipolar disorder type I or is positioned on the spectrum between bipolar type I and unipolar disorder. Even there are some similarities in characteristics of depressive episodes and outcome features of different bipolar disorder subtypes, there are differences that can be useful in differential diagnosis and treatment. This paper aims to focus on those differences between bipolar disorder type I and II.

Keywords

• Bipolar disorder, bipolar depression, depressive episode

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

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

Kaynakça

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