{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T17:51:57Z","timestamp":1776275517606,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Nervenarzt"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Stimmungsschwankungen k\u00f6nnen im jungen Erwachsenenalter Leitsymptom unterschiedlicher Erkrankungen sein. Aufgrund hoher Symptom\u00fcberlappung bestehen in der klinischen Praxis erhebliche diagnostische Unsicherheiten mit der Gefahr von Fehldiagnosen und Fehlbehandlungen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Darstellung qualitativer und quantitativer Charakteristika von Stimmungsschwankungen bei den relevantesten St\u00f6rungsbildern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Narrative \u00dcbersicht auf Basis der International Classification of Diseases, 11th Revision (ICD-11) und einschl\u00e4giger Literatur.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Bipolare affektive St\u00f6rungen zeigen phasenhafte, meist nicht reaktive Schwankungen mit klar abgrenzbaren Episoden. Bei unipolaren Depressionen sind affektive Ver\u00e4nderungen vorwiegend zum depressiven Pol ausgerichtet, teils mit tageszeitlicher Modulation. Die emotional instabile Pers\u00f6nlichkeitsst\u00f6rung ist gekennzeichnet durch hochfrequente, reaktive und interpersonell getriggerte Affektwechsel, w\u00e4hrend bei neurobiologischen Entwicklungsst\u00f6rungen eine situativ ausgel\u00f6ste, kurzzeitige emotionale Dysregulation dominiert.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die differenzialdiagnostische Einordnung erfordert eine umfassende Auseinandersetzung mit der Patient:in, ggf. unter Zuhilfenahme von Life Charts, Stimmungskalendern oder psychometrischen Instrumenten. Auch angesichts h\u00e4ufiger Komorbidit\u00e4ten ist bei Unsicherheit eine longitudinale Diagnostik indiziert.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00115-026-01970-7","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T16:59:20Z","timestamp":1776272360000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alles bipolar oder was? Differenzialdiagnostische Einordnung von Stimmungsschwankungen im jungen Erwachsenenalter","Is it all bipolar? 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