临床上双相II型障碍存在抑郁发作和轻躁狂发作,轻躁狂发作不会带来明显的损害;明显的损害主要来源于抑郁发作、持久的不可预测的心境变化以及波动的不可靠的人际关系和职业功能。 患者通常不认为双相II型障碍的轻躁狂发作是病态的,尽管其他人可能被不检点行为所困扰。交往密切的亲人或朋友提供的临床信息对于双相II型障碍的诊断至关
DSM-IV atypical features criteria (which include IRS) were followed. Results: IRS was significantly more common in bipolar II than in unipolar patients (37.8% vs. 20.5%, odds ratio 2.3, P=0.0000). Sensitivity and specificity for bipolar II diagnosis were 37.8% and 79.4%. Conclusions: IRS ...
DSM-IV-TRclassifiesPTSDas an anxiety disorder with the major criteria of an extreme precipitating stressor, intrusive recollections, emotional numbing, andhyperarousal. Individuals at risk for PTSD include, but are not limited to, soldiers and victims of motor accidents, sexual abuse, violent crime,...
DSM-IV-TR 分类中的「心境障碍」在 DSM-5 中被分开为「抑郁障碍」和「双相障碍」两个独立的章节。 为了防止双相障碍在儿童(大于 12 岁)中的过度诊断和治疗,DSM-5 在「抑郁障碍」中加入了新的抑郁障碍类型 -- 破坏性情绪失调障碍,是指儿童存在持续易激惹、频繁行为失控的状态。
然而,Insel的研究领域标准(Research Domain Criteria,RDoC)倡议[10]作为精神医学研究的替代范式提供,在生物还原论方面更甚一筹,并且由于未能解决解释性鸿沟而受到批评(参见[101,136])。 在这里,我们到达精神医学诊断的本体论和认识论批判的一个交叉点。也就是说,即使在精神障碍实际上作为脑疾病存在的本体论立场的...
What is the DSM 5 code for bipolar disorder? What is DSM-IV-TR, and what are other methods for diagnosing mental illness? Why is the DSM atheoretical? What are the criteria for substance use disorder according to the DSM? What are the positions supporting and criticizing the DSM? What ar...
This paper provides an overview of alternatives to traditional categorical systems that have garnered significant attention in recent years. While some models, such as the NT and the PTMF propose potential replacements for traditional diagnostic systems, others—like the Research Domain Criteria (RDoC)...
DSM-IV-TR (2000)943 ppText revision – no change to diagnostic criteria DSM-IV and DSM-IV-TRThe Five DSM-IV AxesI – Major disordersII – Stable, enduring problems III – Medical conditions (related)IV – Psychosocial problems V – rating of adaptive functioning DSM-5 (2013)947 pp?“5...
criteria. Disorders are placed on one of five axes:axis Iincludes all the clinical syndromes and V codes except for personality disorders and mental retardation;axis IIincludes the personality disorders and mental retardation;axis IIIlists any coexisting physical disorders or conditions;axis IVassesses ...
Overall, healthcare professionals can successfully diagnose patients—and account for the nuances of each person they diagnose—without the use of the multi-axial system. Changes in the DSM-5-TR The most recent update to the DSM, theDSM-5-TR (text revision), updated the criteria for more th...