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MOOD DISORDERS IN ADOLESCENTS: CONCEPTS AND INTERROGATIONS AMONG FRANCOPHONE PSYCHIATRISTS
Nicolas Zdanowicz
; Medicine Faculty, Université Catholique de Louvain, Psychopathology and Psychosomatic unit Hospital Universitary Center Mont-Godinne, Yvoir, Belgium
Denis Jacques
; Medicine Faculty, Université Catholique de Louvain, Psychopathology and Psychosomatic unit Hospital Universitary Center Mont-Godinne, Yvoir, Belgium
Pascal Janne
; Medicine Faculty, Université Catholique de Louvain, Psychopathology and Psychosomatic unit Hospital Universitary Center Mont-Godinne, Yvoir, Belgium
Anne Mylisnki
; Medicine Faculty, Université Catholique de Louvain, Psychopathology and Psychosomatic unit Hospital Universitary Center Mont-Godinne, Yvoir, Belgium
Charles Messaud
; Medicine Faculty, Université Catholique de Louvain, Psychopathology and Psychosomatic unit Hospital Universitary Center Mont-Godinne, Yvoir, Belgium
David Tordeurs
; Medicine Faculty, Université Catholique de Louvain, Psychopathology and Psychosomatic unit Hospital Universitary Center Mont-Godinne, Yvoir, Belgium
Christine Reynaert
; Medicine Faculty, Université Catholique de Louvain, Psychopathology and Psychosomatic unit Hospital Universitary Center Mont-Godinne, Yvoir, Belgium
Sažetak
Background: With the publication of DSM III, the nosology of children and adolescents’ disorders has evolved differently in
Francophone and Anglo-Saxon countries. We want to 1 / familiarize readers with the nosographic concepts of mood disorders and
bipolar disorders in the Francophone world of Adolescent Psychiatry; 2/ highlight the major current issues of concern to both
Francophone and Anglo-Saxon adolescents’ psychiatrists.
Method: A review of the literature in PubMed, PsycINFO and PsycARTICLES, but also of Francophone journals or textbooks
not included in these databases nor distributed outside Francophone countries.
Results: Although Francophone adolescents’ psychiatrists still rely on the DSM II, particularly in reference to the transitory
dimension of problems during adolescence, the DSM III led to a tightening of criteria for bipolar disorder in the Anglo-Saxon
countries. These disorders have become rare in the 2000s while still common in Francophone countries. Nowadays the evolution of
current criteria in Anglo-Saxon countries tends to bring the diagnostic criteria closer to the Francophone’s one even though
important differences still persist.
Conclusion: Despite differences between these two approaches in Psychiatry, there is agreement regarding the poor prognosis
of type I bipolar disorder, particularly when psychotic traits are observed. Early diagnosis and treatment are therefore a challenge
for both, but their limitations are inherent to their respective approaches. In Anglo-Saxon countries, if the criteria are met for
bipolar disorder, treatment is decided at the risk of over-diagnosis and stigmatization of false positives. In Francophone countries,
even if the criteria for bipolar disorder are met, it is still necessary that the psychopathological analysis of the disorder in the
developmental framework of adolescence confirms that the disorder is stable, at the risk of later treatment and of increase of
insufficiently treated false negatives. A reconciliation of these fields may limit the above side effects.
Ključne riječi
mood disorder; bipolar disorder; adolescence; nosography
Hrčak ID:
266465
URI
Datum izdavanja:
26.8.2013.
Posjeta: 427 *