Bipolar Disorder 雙向情感障礙(一)

Bipolar Disorder 雙向情感障礙(一)

Bipolar I Disorder (一型雙向情感障礙)

There are six separate criteria sets for Bipolar I Disorder: 一型雙向情感障礙分別有六組診斷標準
Single Manic Epsisode, Most Recent Episode Hypomanic, Most Recent Episode Manic, Most Recent Episode Mixed, Most Recent Episode Depressed, and Most Recent Episode Unspecified. Bipolar I Disorder, Single Manic Episode, is used to describe individuals who are having a first episode of mania. The remaining criteria sets are used to specify the nature of the current (or most recent) episode in individuals who have had recurrent mood episodes.
包括單次躁狂發作, 最新亞躁狂發作, 最新躁狂發作, 最新混合型發作, 最新憂鬱發作, 和最新不典型發作.其中一型雙向情感障礙的單次躁狂發作用於描述那些第一次發病而且是躁狂發作的患者.其它的診斷標準用於描述患者現有的狀況(或者是最近期的),而這些患者有反複發作的表現.

Bipolar I Disorder, Single Manic Episode一型雙向情感障礙,單次躁狂發作

A. Presence of only one Manic Episode and no past Major Depressive Episodes.
僅出現一次躁狂發作並無嚴重憂鬱發作的過去史

B. The Manic Episode is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
以上躁狂發作不是因情感分裂型障礙引起,也不是疊加的精神分裂症,精神分裂性質的障礙,妄想性障礙或一些其它的精神疾病的症狀.

Bipolar I Disorder, Most Recent Episode Hypomanic一型雙向情感障礙,最新亞躁狂發作

A. Currently (or most recently) in a Hypomanic Episode.亞躁狂正在發作或發作不久

B. There has previously been at least one Manic Episode or Mixed Episode.
以前至少有一次躁狂發作或混合發作

C. The mood symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
情感的發作引起了顯著的臨床意義上的不適或者影響到社交,職業,或其它重要方麵的障礙.

D. The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
以上的情感障礙發作不是因情感分裂型障礙引起,也不是疊加的精神分裂症,精神分裂性質的障礙,妄想性障礙或一些其它的精神疾病的症狀.

注:躁狂發作和憂鬱發作的症狀請參考前麵的短文.