梁晓琳?甘照宇

    【摘要】经前期综合征和双相障碍都是常见的精神障碍，两者在临床症状、病程等方面有相似之处，而且常常同时发生，严重影响患者的社会功能。目前国内关于经前期综合征与双相障碍共病的研究较少，该文就两者共病的流行病学、可能的共病机制、诊断要点以及治疗方面进行综述。

    【关键词】经前期综合征；双相障碍；共病

    Comorbidity of premenstrual syndrome and bipolar disorder Liang Xiaolin， Gan Zhaoyu. Department of Psychiatry， the Third Affiliated Hospital of Sun Yat-sen University， Guangzhou 510630， China

    【Abstract】Both premenstrual syndrome (PMS) and bipolar disorder are common mental disorders. They have similarities in clinical symptoms and course of disease， and often occur simultaneously， which seriously affect the social function of patients. At present， few studies on PMS and bipolar disorder comorbidity have been conducted in China. In this article， the epidemiological data， possible comorbidity mechanism， diagnosis and treatment of PMS and bipolar disorder were reviewed.

    【Key words】Premenstrual syndrome； Bipolar disorder； Comorbidity

    经前期综合征(PMS)主要表现为经期前反复出现情绪不稳定、易怒、烦躁和焦虑等症状，同时可能伴有行为和躯体症状，这些症状在经期时或经期后不久可自行缓解。经前期烦躁障碍(PMDD)是PMS中较为严重的一种类型。目前美国《精神障碍诊断与诊断统计手册(第五版)》(DSM-5)仅对PMDD的诊断标准进行了说明，并将其划分为抑郁症的亚型之一。在育龄女性中 ......