在DSM-5中,“具有混合特征”既可用于双相障碍,也可用于MDD。DSM-5中的重度神经认知障碍(major neurocognitive disorder,NCD)与 DSM-Ⅳ中的痴呆大致相同,但是,DSM-5对诊断标准进行了修订,同时也包括轻度的神经认知障碍。除了重度及轻度NCD的核心标准之外,DSM-5还根据病因的不同,列举了10个亚型,且分别进行了描述。
抑郁症(MDD,DSM-5)及其相关亚型,DSM-5相关说明:DSM-5中抑郁障碍包括破坏性心境失调、典型抑郁障碍(包括单次、反复发作)、持续抑郁障碍(心境恶劣)、经前期心境恶劣障碍、物质和(或)药物导致的抑郁障碍、由其他躯体问题引起的抑郁障碍、其他特定的抑郁障碍、非特定的抑郁障碍8种亚型。DSM-5还在典型抑郁障碍中增加了很...
抑郁症(MDD,DSM-5)及其相关亚型
最常见的就是重性抑郁障碍,简称MDD,和DSM-4相比,诊断标准没有大的变化,只有一个需要注意,在DSM-4中,家里属于丧痛期,也就是在2个月之内,由于近亲去世,出现重性抑郁表现,达到标准也暂时不诊断,可能是正常丧痛反应;而在DSM-5中,是否因为近亲去世,只要达到重性抑郁障碍诊断标准,2周以上的抑郁病程,而且达到一定...
抑郁症(MDD)也可能伴随轻躁狂或躁狂症状(即,症状更少或持续时间更短不足以诊断躁狂或轻躁狂)。当患者处于抑郁发作时,必须具有确切的躁狂或轻躁狂发作史才能做出双相障碍的诊断。易激惹症状可能既与抑郁症有关,也与双相障碍有关,这增加了诊断的复杂性。
DSM-5中抑郁障碍成为单独一章 ▪DSM-5将“抑郁障碍”（Depressive Disorders）与“双相及相关疾病”分离，•分裂性心境调节障碍，DisuptiveMoodDysregulationDisorder •成抑为郁症独，立Ma章jorD节epr，essi包veD括iso：rder •持续性情绪障碍（心境恶劣），persistentdepressivedisorder(dysthymia)•经前情绪障碍...
and 125 MDD cases), and their operating characteristics regarding BP diagnosis were compared.ResultsThe prevalence of both Benazzi's mixed depression and DSM-5-defined mixed features was significantly higher in patients with BP than it was in patients with MDD, with the latter being quite low (...
Objective To present current nationally representative findings on the prevalence, correlates, psychiatric comorbidity, functioning, and treatment of DSM-5 MDD and initial information on the prevalence, severity, and treatment of DSM-5 MDD severity, anxious/distressed specifier, and mixed-features specifie...
(4) dysthymic disorder has been re-labeled as persistent depressive disorder (PDD); (5) the bereavement exclusion in the definition of major depressive disorder (MDD) has been removed; and (6) the specifiers "with psychotic features," "with anxious stress," "with mixed features," "with ...
or dedicated courses. The current situation, though, in which the reliability of the diagnosis of BD is much higher than that of MDD as defined inDSM-5, suggests that adding a “with mixed features” specifier may not actually have a negative impact on diagnostic skills (Freedman et al., ...