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Yıl:2015; Cilt: 1; Sayı: 1>> Özet
Türkiye Klinikleri Çocuk Psikiyatrisi Özel Dergisi; 2015;1(1):55-63
Bipolar Bozukluk ve Dikkat Eksikliği Hiperaktivite Bozukluğu Birlikteliği
Nİ Emiroğlu, D Akdemir, A Akay
Dokuz Eylül Üniversitesi, İzmir
Dikkat eksikligi hiperaktivite bozukluğu (DEHB), çocuk ve ergen bipolar bozukluğu (BB) ile bulunan en sık görülen eştanılardan biridir. Erken dönemde BB başlayan çocuk ve ergenlerde daha geç başlayanlara göre daha sık DEHB komorbiditesi bildirilmiştir. DEHB ve BB ayrıca biribirlerinden ayırılmalıdır. Psikostimulanların kullanımı erken dönemde DEHB'nin BB'a sıklıkla eşlik etmesi ile muhtemeldir, bu tedavilerin bozukluğun ortaya çıkışını kolaylaştırıp kolaylaştırmayacağı açık değildir. En son araştırmalar iki bozukluk arasındaki olası farklılıkları tanımlamıştır. Beyin yapı ve işlevlerindeki farklılıklar iki bozukluğu ayırabilir. Biz bu makalede iki bozukluk arasındaki eştanılılık, ayırıcı tanı, tedavi ve nörobiyolojik farklılıklar ile ilgili bilimsel yazını gözden geçirdik.
Bipolar Disorders with Attention Deficit Hyperactivity Disorder
Attention deficit and hyperactivity disorder (ADHD) is one of the most common comorbidity with pediatric bipolar disorders (BD). More frequent ADHD comorbidity was reported for children and adolescents whose BD started in early period compared to those whose disorder started later. ADHD and BD also should be differentiated from each other. The use of psychostimulants is likely for the treatment of ADHD which frequently accompany BD in early period, it is not clear whether these treatments will facilitate the emergence of the disorder. Recent research has identified potential distinctions between two disorders. Differences in brain structures and function may distinguish the two disorders. We aimed to review of scientific literature which were about comorbidity, differential diagnosis, treatment and neurobiological differences between two disorders in this article.

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