情感障碍Mood Disorder(二): 躁狂发作Manic Episode

躁狂发作Manic Episode和混合发作Mixed Episode

躁狂发作Manic Episode

A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary).
显著的不正常的持续的情绪高昂,情绪扩张或不安,至少持续一周(或者短于一周,却到了需要住院的发作程度)

B. During the period of mood disturbance, three (or more) of the following symptoms have persisted (four if the mood is only irritable) and have been present to a significant degree:
在情绪不正常期间,可见以下三项或更多项症状的持续出现(如果知识情绪不安,至少要有四项出现)并达到一定的程度:

(1) inflated self-esteem or grandiosity自我感觉膨胀性良好

(2) decreased need for sleep (e.g., feels rested after only 3 hours of sleep)对睡眠的需求减少,比如三个小时睡眠就够了

(3) more talkative than usual or pressure to keep talking比平时多话,有要不停说话的紧迫感

(4) flight of ideas or subjective experience that thoughts are racing主意奔涌而出,思维奔腾

(5) distractibility (I.e., attention too easily drawn to unimportant or irrelevant external stimuli)
关注力极其容易转移(如,注意力容易被外界的或无关的事情吸引)

(6) increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation目标性强的活动增加(无论是社交,工作或学习,性活动),及精神运动的烦躁不安.

(7) excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)
过分陷入一些高风险的娱乐活动(如无节制购物,轻率的性活动,或愚蠢的商业投资)

C. The symptoms do not meet criteria for a Mixed Episode 以上症状不符合混合发作诊断

D. The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.
以上情感上的变化的严重程度足以引起社交,工作上的障碍,或者到了必须住院一避免造成对人对己的伤害,或者有精神错乱.

E. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general condition (e.g., hyperthyroidism)
以上症状不是由于毒品或其他疾病引起(如甲状腺技能亢进)

Note: Manic-like episodes that are clearly caused by somatic antidepressant treatment (e.g., medication, electroconvulsive therapy, light therapy) should not count toward a diagnosis of Bipolar I Disorder.
注意:诊断要排除因某些治疗忧郁症的方法(药物,电击治疗,光照治疗)造成的症状.


混合发作Mixed Episode

A. The criteria are met both for a Manic Episode and for a Major Depressive Episode (except for duration) nearly every day during at least a 1-week period.
症状既表现躁狂发作又出现严重忧郁发作的症状(除去发作的长短)几乎每天发作至少一周.

B. The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.
情感上的变化的严重程度足以引起社交,工作上的障碍,或者到了必须住院一避免造成对人对己的伤害,或者有精神错乱.

C. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a 症状不是由于毒品或其他疾病引起.

Note: Mixed-like episodes that are clearly caused by somatic antidepressant treatment (e.g., medication, electroconvulsive therapy, light therapy) should not count toward a diagnosis of Bipolar I Disorder.
注意:诊断要排除因某些治疗忧郁症的方法(药物,电击治疗,光照治疗)造成的症状.