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Somatoform Disorders軀體病樣精神障礙(三):疼痛Pain Disorder

(2012-05-13 18:51:47) 下一個
Pain Disorder疼痛

A. Pain in one or more anatomical sites is the predominant focus of the clinical presentation and is of sufficient severity to warrant clinical attention.
主訴身體上有一處或幾處罰疼痛的地方,疼痛達到需要治療的程度.

B. The pain causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
疼痛導致顯著的痛苦,並影響了工作,社交或其他重要方麵的功能.

C. Psychological factors are judged to have an important role in the onset, severity, exacerbation, or maintenance of the pain.
精神因素在疼痛的最早發生,嚴重程度,加重或持續方麵起作用.

D. The symptoms or deficit is not intentionally produced or feigned (as in Factitious Disorder or Malingering).
這些症狀不是故意編造的(與人為障礙病不同).

E. The pain is not better accounted for by a Mood, Anxiety, or Psychotic Disorder and does not meet criteria for Dyspareunia.
疼痛不符合其他的情緒障礙,焦慮,精神病的診斷,也不符合性交困難的診斷.


Conversion Disorder換位障礙

A. One or more symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition.
患者出現一種或多種運動係統或感覺係統的障礙,好象是某種神經性或全身性疾病的症狀.

B. Psychological factors are judged to be associated with the symptom or deficit because the initiation or exacerbation of the symptom or deficit is preceded by conflicts or other stressors.
精神因素在這些症狀的最早發生,嚴重程度,加重或持續方麵起作用.

C. The symptom or deficit is not intentionally produced or feigned (as in Factitious Disorder or Malingering).
這些症狀不是故意編造的(與人為障礙病不同).

D. The symptom or deficit cannot, after appropriate investigation, be fully explained by a general medical condition, or by the direct effects of a substance, or as a culturally sanctioned behavior or experience.
經過全麵檢查,症狀不是某種軀體疾病,或某種藥物引起,也不是某種文化的特有行為.

E. The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.
症狀導致顯著的痛苦,並影響了工作,社交或其他重要方麵的功能,嚴重程度需要臨床檢查.


F. The symptom or deficit is not limited to pain or sexual dysfunction, does not occur exclusively during the course of Somatization Disorder, and is not better accounted for by another mental disorder.
這些症狀不僅僅局限於疼痛或性功能障礙,不隻是發生在軀體病樣精神障礙的發作時期,不符合其他精神疾病的診斷標準..

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