甘鸿 文竹 胡瑶 王韵 吴彦

    摘 要 精神分裂症和双相情感障碍在当前主流的疾病诊断与分类系统中分属不同的诊断单元。目前常见的观点认为，一个患者不会同时罹患这两种疾病，即这两种疾病不共病。但临床上发现，这两种疾病存在许多共通点，即一个患者会同时或不同时出现这两种疾病的典型症状。本文依据既往相关研究结果，探讨精神分裂症和双相情感障碍共病的可能性。

    关键词 精神分裂症 双相情感障碍 共病

    中图分类号：R749 文献标志码：A 文章编号：1006-1533(2022)09-0031-03

    引用本文 甘鸿， 文竹， 胡瑶， 等. 精神分裂症和双相情感障碍可否共病？[J]. 上海医药， 2022， 43(7)： 31-33.

    Comorbidity of schizophrenia and bipolar affective disorder

    GAN Hong， WEN Zhu， HU Yao， WANG Yun， WU Yan

    (Division of Mood Disorders， Shanghai Mental Health Center， Shanghai Jiao Tong University School of Medicine， Shanghai 200030， China)

    ABSTRACT Schizophrenia and bipolar affective disorder are classified into two separate diagnostic units in the current mainstream diagnostic and statistical manual of mental disorders. The current common view is that patients do not suffer from the two disorders simultaneously， that is， the two disorders are not comorbid. However， it is clinically found that these two disorders have many things in common， that is， a patient will simultaneously have the typical symptoms of the two disorders or not. This paper reviews the previous studies and discusses the possibility of comorbidity between schizophrenia and bipolar affective disorder. ......