情感障礙Mood Disorder(三): 亞躁狂發作Hypomanic Episode

A. A distinct period of persistently elevated, expansive, or irritable mood, lasting throughout at least 4 days, that is clearly different from the usual no depressed mood.
持續出現明顯的擴張性,高昂的,躁動的情緒,全程至少有四天,明顯的與平常不憂鬱的情緒不同.

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:
在情緒異常時期,可見以下三項或更多的症狀(如果情緒異常隻是躁動不安,需要出現四項)並達到一定程度.

(1) inflated self-esteem or grandiosity膨脹的自我感覺

(2) decreased need for sleep (e.g., feels rested after only 3 hours of sleep)睡眠減少(三個小時睡眠就足夠)

(3) more talkative than usual or pressure to keep talking多話或有說話的緊迫感

(4) flight of ideas or subjective experience that thoughts are racing思想奔騰,主意不斷出現.

(5) distractibility (I.e., attention too easily drawn to unimportant or irrelevant external stimuli)
注意力不集中,容易被不相關或不重要的事情幹擾

(6) increase in goal-directed activity (either socially, at work, or school, or sexually) or psychomotor agitation目的性的活動增加(在工作,學習,社交,或性行為中)或精神運動性不安

(7) excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., the person engages in unrestrained buying sprees, sexual indiscretion, or foolish business investments)過多參與有高風險的娛樂性活動(過度消費,不負責任的性活動,愚蠢的投資)

C. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic.發作時的表現與無症狀時顯著不同

E. The episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization, and there are no psychotic features.
症狀的嚴重程度不引起明顯的社交或職業障礙,也不需要住院就醫,不伴有精神錯亂.

F. 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 medical condition (e.g., hyperthyroidism).
症狀不是由於毒品,藥品,或其他疾病(如:甲亢)引起.

Note: Hypomanic-like episodes that are clearly caused by somatic antidepressant treatment (e.g., medication, electroconvulsive therapy, light therapy) should not cont toward a diagnosis of Bipolar II Disorder.
注意: 亞躁狂發作要與抗憂鬱治療(藥物,電擊,光照)引起的症狀區分,以避免診斷成雙向情感障礙II型.