情感分裂型精神障碍Schizoaffective Disorder

精神分裂症和其他一些错乱性精神疾病Schizophrenia and Other Psychotic Disorder

(二) 情感分裂型精神障碍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.
在一段连续的发病期间,除可见精神分裂症诊断标准A的症状外,在某些时候可见严重的忧郁症状,或者躁狂症状,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.
在这段发病时期,至少有两周的时间发生过错觉/妄想和幻觉,发生错觉/妄想和幻觉的时候不是主要情绪障碍发生的时期.

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.
情绪障碍的症状在整个活跃和轻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.
所表现的症状不是由毒品或其他疾病引起

Specify type:
特定类型

Bipolar Type: If the disturbance includes a Mixed Episode (or a Manic or a Mixed Episode and Major Depressive Episode)
双向情感障碍型:如果发病时期有混合发作(或者是躁狂,混合发作伴严重忧郁)

Depressive Type: If the disturbance only includes Major Depressive Episodes
忧郁症型:如果发作时期只伴有严重忧郁症状


(三) 错觉/妄想型障碍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.
出现非怪诞性的错觉/妄想(如:出现的场景可以在真实生活中遇到,象被人跟踪,投毒,被感染细菌病毒,被人远距离的爱,被伴侣欺骗,患病)至少一个月之久.

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中的症状不符合精神分裂症的诊断.(注意:触觉和嗅觉的幻觉在相应的妄想场合有可能发生.)

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.
尽管有妄想存在,但不显著影响患者的功能,也不见非常怪异的行为.

D. If mood episodes have occurred concurrently with delusions, their total duration has been brief relative to the duration of the delusional periods.
如果有情绪障碍出现,其总的发作时间短于妄想发作的时间.

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.
障碍的出现不是因为毒品或其他疾病.

Specify type (the following types are assigned based on the predominant delusional theme):
特定类型(根据以下主要妄想类型出现分类)

Erotomanic Type: delusions that another person, usually of higher status, is in love with the individual
被爱妄想:患者有一种被他人(一般是地位高于患者的对方)爱上的错觉/妄想.

Grandiose Type: delusions of inflated worth, power, knowledge, identify, or special relationship to a deity or famous person
夸张型:过高地认识自己的价值,能力,身份;或认为与名人,神有特殊关系.

Jealous Type: delusions that the individual’s sexual partner is unfaithful
嫉妒型:自己的性伴侣与他人有染的错觉/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:自己或自己亲近的人被人迫害的错觉/妄想.

Somatic Type: delusions that the person has some physical defect or general medical condition
躯体型:身体有缺陷或有病的错觉/妄想.

Mixed Type: delusions characteristic of more than one of the above types but no one theme predominates
混合型:有以上一项或多项,每一项都不占主导.

Unspecified Type非典型类型



(四) 短暂的精神失常Brief Psychotic Disorder

A. Presence of one (or more) of the following symptoms: 可见以下一或多项症状:

(1) delusions错觉/妄想

(2) hallucinations幻觉

(3) disorganized speech (e.g., frequent derailment or incoherence)语无伦次

(4) grossly disorganized or catatonic behaviour严重的没有条理或紧张症

Note: Do not include a symptom if it is a culturally sanctioned response pattern.
(注意:不要包含某个宗教认可的症状)

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.
症状发作至少一天,但少于一个月,能够恢复到发作前状况.

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.
不是由其他情感障碍,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体状况引起.

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
显著精神刺激型:短暂的精神失常出现在一个或一系列重大精神刺激,这些刺激足以引起所有经历到的有相同文化背景的人都感到显著的精神压力.

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
没有显著的精神刺激型:短暂的精神失常不是出现在一个或一系列重大精神刺激,这些刺激足够引起同样背景的人感到显著的精神压力.

With Postpartum Onset: if onset within 4 weeks postpartum
产后发作:发作在产后的四周内.

(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.
错觉或妄想发生在患者有一个密切的人已经患有错觉/妄想的轻快下.

B. The delusion is similar in content to that of the person who already has the established delusion.
错觉/妄想的内容与另外一个已经患有错觉/妄想的一样.

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.
障碍不符合其他精神疾病诊断