情感分裂型精神障礙Schizoaffective Disorder

精神分裂症和其他一些錯亂性精神疾病Schizophrenia and Other Psychotic Disorder

(二) 情感分裂型精神障礙Schizoaffective Disorder

A. An uninterrupted period of illness during which, at some time, there is either a Major Depressive Episode, a Manic Episode, or a Mixed Episode concurrent with symptoms that meet Criterion A for Schizophrenia.
在一段連續的發病期間,除可見精神分裂症診斷標準A的症狀外,在某些時候可見嚴重的憂鬱症狀,或者躁狂症狀,或者二者兼有.

B. During the same period of illness, there have been delusions or hallucinations for at least 2 weeks in the absence of prominent mood symptoms.
在這段發病時期,至少有兩周的時間發生過錯覺/妄想和幻覺,發生錯覺/妄想和幻覺的時候不是主要情緒障礙發生的時期.

C. Symptoms that meet criteria for a mood episode are present for a substantial portion of the total duration of the active and residual periods of the illness.
情緒障礙的症狀在整個活躍和輕微期都要占重要地位

D. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
所表現的症狀不是由毒品或其他疾病引起

Specify type:
特定類型

Bipolar Type: If the disturbance includes a Mixed Episode (or a Manic or a Mixed Episode and Major Depressive Episode)
雙向情感障礙型:如果發病時期有混合發作(或者是躁狂,混合發作伴嚴重憂鬱)

Depressive Type: If the disturbance only includes Major Depressive Episodes
憂鬱症型:如果發作時期隻伴有嚴重憂鬱症狀


(三) 錯覺/妄想型障礙Delusional Disorder

A. Nonbizarre delusions (I.e., involving situations that occur in real life, such as being followed, poisoned, infected, loved at a distance, or deceived by spouse or lover, or having a disease) of at least 1 month’s duration.
出現非怪誕性的錯覺/妄想(如:出現的場景可以在真實生活中遇到,象被人跟蹤,投毒,被感染細菌病毒,被人遠距離的愛,被伴侶欺騙,患病)至少一個月之久.

B. Criterion A. for schizophrenia has never been met. Note: Tactile and olfactory hallucinations may be present in Delusional Disorder if they are related to the delusional theme.
A中的症狀不符合精神分裂症的診斷.(注意:觸覺和嗅覺的幻覺在相應的妄想場合有可能發生.)

C. Apart from the impact of the delusion（s) or its ramifications, functioning is not markedly impaired and behaviour is not obviously odd or bizarre.
盡管有妄想存在,但不顯著影響患者的功能,也不見非常怪異的行為.

D. If mood episodes have occurred concurrently with delusions, their total duration has been brief relative to the duration of the delusional periods.
如果有情緒障礙出現,其總的發作時間短於妄想發作的時間.

E. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
障礙的出現不是因為毒品或其他疾病.

Specify type (the following types are assigned based on the predominant delusional theme):
特定類型(根據以下主要妄想類型出現分類)

Erotomanic Type: delusions that another person, usually of higher status, is in love with the individual
被愛妄想:患者有一種被他人(一般是地位高於患者的對方)愛上的錯覺/妄想.

Grandiose Type: delusions of inflated worth, power, knowledge, identify, or special relationship to a deity or famous person
誇張型:過高地認識自己的價值,能力,身份;或認為與名人,神有特殊關係.

Jealous Type: delusions that the individual’s sexual partner is unfaithful
嫉妒型:自己的性伴侶與他人有染的錯覺/妄想.

Persecutory Type: delusions that the person (or someone to whom the person is close) is being malevolently treated in some way
被害妄想型:自己或自己親近的人被人迫害的錯覺/妄想.

Somatic Type: delusions that the person has some physical defect or general medical condition
軀體型:身體有缺陷或有病的錯覺/妄想.

Mixed Type: delusions characteristic of more than one of the above types but no one theme predominates
混合型:有以上一項或多項,每一項都不占主導.

Unspecified Type非典型類型



(四) 短暫的精神失常Brief Psychotic Disorder

A. Presence of one (or more) of the following symptoms: 可見以下一或多項症狀:

(1) delusions錯覺/妄想

(2) hallucinations幻覺

(3) disorganized speech (e.g., frequent derailment or incoherence)語無倫次

(4) grossly disorganized or catatonic behaviour嚴重的沒有條理或緊張症

Note: Do not include a symptom if it is a culturally sanctioned response pattern.
(注意:不要包含某個宗教認可的症狀)

B. Duration of an episode of the disturbance is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning.
症狀發作至少一天,但少於一個月,能夠恢複到發作前狀況.

C. The disturbance is not better accounted for by a Mood Disorder with Psychotic Features, Schizoaffective Disorder, or Schizophrenia and is not due to the direct physiological effects of a substance or a general medical condition.
不是由其他情感障礙,情感分裂型精神病,精神分裂症引起,也不是由毒品或其他身體狀況引起.

Specify if:特定分型:

With Marked Stressor (s): if symptoms occur shortly after and apparently in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the person’s culture
顯著精神刺激型:短暫的精神失常出現在一個或一係列重大精神刺激,這些刺激足以引起所有經曆到的有相同文化背景的人都感到顯著的精神壓力.

Without Marked Stressor(s): if psychotic symptoms do not occur shortly after, or are not apparently in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the person’s culture
沒有顯著的精神刺激型:短暫的精神失常不是出現在一個或一係列重大精神刺激,這些刺激足夠引起同樣背景的人感到顯著的精神壓力.

With Postpartum Onset: if onset within 4 weeks postpartum
產後發作:發作在產後的四周內.

(五) 分享的精神失常Shared Psychotic Disorder (Folie a Deux)

A. A delusion develops in an individual in the context of a close relationship with another person(s), who has an already-established delusion.
錯覺或妄想發生在患者有一個密切的人已經患有錯覺/妄想的輕快下.

B. The delusion is similar in content to that of the person who already has the established delusion.
錯覺/妄想的內容與另外一個已經患有錯覺/妄想的一樣.

C. The disturbance is not better accounted for by another psychotic disorder (e.g., schizophrenia) or a Mood Disorder with psychotic features and not due to the direct physiological effects of a substance or a general medical condition.
障礙不符合其他精神疾病診斷