Anxiety Disorder 焦虑症VII: 广泛性焦虑症

Anxiety Disorder 焦虑症VII:
广泛性焦虑症Generalized Anxiety Disorder (Includes Overanxious Disorder of Childhood,包括儿童的过于焦虑障碍)

A.    Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance)
       至少有六个月的日子里,大部分时间在过分焦虑和担心(对未来忧虑)一些事情和活动(如:工作,或学习)

B.    The person finds it difficult to control the worry.
       患者发现很难控制这种担心.

C.    The anxiety and worry are associated with three (or more) of the following
six symptoms (with at least some symptoms present for more days than not for the past 6 months). Note: Only one item is required in children.
这些担心和焦虑还伴有以下三种或以上的症状.注意:对儿童,只有一项即可.

 (1)restlessness or feeling keyed up or on edge心神不安,不安,紧张,

(2)    being easily fatigued容易疲劳

(3)    difficulty concentrating or mind going blank
       难于集中注意力,或脑子一片空白

(4)     irritability易怒

(5)    muscle tension肌肉发紧

(6)    sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)
        睡眠不好(难于入睡,易醒,或不安然,不如意的睡眠)

D.    The focus of the anxiety and worry is not confined to features of an Axis I disorder, e.g., the anxiety or worry is not about having a Panic Attack (as in Panic Disorder), being embarrassed in public (as in Social Phobia), being contaminated (as in Obsessive-Compulsive Disorder), being away from home or close relatives (as in Separation Anxiety Disorder), gaining weight (as in Anorexia Nervosa), having multiple physical complaints (as in Somatization Disorder), or having a serious illness (as in Hypochondriasis), and the anxiety and worry do not occur exclusively during Posttraumatic Stress Disorder.
患者的担心和焦虑不局限于轴I的症状,如:不仅是担心有恐慌发作(恐慌症的表现),在公共场所被羞辱(社交恐惧症的表现),担心被感染(强迫症的表现),对离开家或亲属的担心(分离焦虑症的表现),担心变胖(厌食症的表现),多处身体不适的抱怨(躯体化失调的症状),或者是担心有严重的疾病(如疑病症的表现),这些担心和焦虑不是由创伤后应激障碍引起.

E.    The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
      患者的担心和焦虑导致显著的痛苦,或引起社交,工作和其他重要功能的缺失.

F.    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 (e.g., hyperthyroidism) and does not occur exclusively during a Mood Disorder, a Psychotic Disorder, or a Pervasive Developmental Disorder.
这些症状不是因为某些药物造成的身体上的直接伤害,也不是某种躯体疾病造成(如甲亢),也不是仅仅发生在情感失调症,精神失常,广泛性发育障碍症.