情感障碍Mood Disorder(三): 亚躁狂发作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.
持续出现明显的扩张性,高昂的,躁动的情绪,全程至少有四天,明显的与平常不忧郁的情绪不同.

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:
在情绪异常时期,可见以下三项或更多的症状(如果情绪异常只是躁动不安,需要出现四项)并达到一定程度.

(1) inflated self-esteem or grandiosity膨胀的自我感觉

(2) decreased need for sleep (e.g., feels rested after only 3 hours of sleep)睡眠减少(三个小时睡眠就足够)

(3) more talkative than usual or pressure to keep talking多话或有说话的紧迫感

(4) flight of ideas or subjective experience that thoughts are racing思想奔腾,主意不断出现.

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

(6) increase in goal-directed activity (either socially, at work, or school, or sexually) or psychomotor agitation目的性的活动增加(在工作,学习,社交,或性行为中)或精神运动性不安

(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)过多参与有高风险的娱乐性活动(过度消费,不负责任的性活动,愚蠢的投资)

C. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic.发作时的表现与无症状时显著不同

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.
症状的严重程度不引起明显的社交或职业障碍,也不需要住院就医,不伴有精神错乱.

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).
症状不是由于毒品,药品,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: 亚躁狂发作要与抗忧郁治疗(药物,电击,光照)引起的症状区分,以避免诊断成双向情感障碍II型.