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留水了   抑郁症的DSM-IV诊断标准

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发表于 2006-6-13 20:27:53 | 显示全部楼层 |阅读模式
<><SPAN><STRONG>抑郁症的DSM-IV诊断标准<FONT face=\"Times New Roman\"> </FONT></STRONG></SPAN><SPAN lang=EN style=\"FONT-SIZE: 9pt\"><BR><FONT face=\"Times New Roman\"><SPAN style=\"mso-spacerun: yes\"> </SPAN></FONT></SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><SPAN style=\"mso-spacerun: yes\"><FONT face=\"Times New Roman\"></FONT></SPAN></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">A、在连续两周的时间里,病人表现出下列九个症状中的五个以</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">上。这些症状必须是病人以前没有的、或者极轻的。并且至少包括症状(1)和(2)中的一个。</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> <BR><SPAN style=\"mso-spacerun: yes\"> </SPAN><SPAN style=\"mso-spacerun: yes\"></SPAN></FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">每天的大部分时间心情抑郁,或者是由病人自我报告</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">(例如,感到伤心,心理空空的),或者是通过旁人的观察(例如,暗暗流泪)</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">注意:在儿童和青少年中,可以表现为易激惹,而不是明显的心情抑郁。</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><BR><FONT face=\"Times New Roman\"> <SPAN style=\"mso-spacerun: yes\"></SPAN></FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">每天大部分时间,对所有或者大多数平时感兴趣的</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">活动失去了兴趣。或者通过病人自我报告,或者通过旁人的观察。体重显著减少或增加(正常体重的5%),食欲显著</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">降低或增加。</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">注意:在儿童中,考虑缺乏正常的体重增加。</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">每天失眠或者睡眠过多。</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><BR><FONT face=\"Times New Roman\"> <SPAN style=\"mso-spacerun: yes\"></SPAN></FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">每天精神运动亢进或减少(不止是自我主观感觉到的</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">坐立不安或者不想动,旁人都可以观察得到)。</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><BR><FONT face=\"Times New Roman\"><SPAN style=\"mso-spacerun: yes\"> </SPAN><SPAN style=\"mso-spacerun: yes\"></SPAN></FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">每天感到疲劳,缺乏精力。</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> <BR> <SPAN style=\"mso-spacerun: yes\"></SPAN></FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">每天感到自己没有价值,或者自罪自贬(可能出现妄</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">想)。这不仅是普通的自责,或只是对自己的抑郁感</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">到丢脸。</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> <BR><SPAN style=\"mso-spacerun: yes\"> </SPAN></FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">每天注意力和思考能力下降,做决定时犹豫不决。</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">(自我报告或者是旁人的观察</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\">) </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">常常想到死(不只是惧怕死亡),或者常常有自杀的念头但没有具体的计划,或者是有自杀的具体计划,</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">甚至有自杀行为。</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><BR><FONT face=\"Times New Roman\"><SPAN style=\"mso-spacerun: yes\"> </SPAN></FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">B、排除双向燥郁。</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><BR><FONT face=\"Times New Roman\"><SPAN style=\"mso-spacerun: yes\"> </SPAN> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">C、上述症状对病人的生活工作或其他重要方面造成严重影响。</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><BR><FONT face=\"Times New Roman\"><SPAN style=\"mso-spacerun: yes\"> </SPAN> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">D、上述症状不是由于药物的生理作用(例如,服药,吸毒,酗</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">酒)或者躯体疾病所引起(例如,甲状腺分泌降低)。</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> <BR><SPAN style=\"mso-spacerun: yes\"> </SPAN><SPAN style=\"mso-spacerun: yes\"></SPAN></FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">E、上述症状不能仅仅由丧失亲友来解释。(如果有丧失亲友的</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">事件发生,那么上述症状必须在事件发生后的两个月后仍存在,而且伴随着显著的生活工作方面的功能缺损、病态的自罪自责,</SPAN><SPAN style=\"mso-bidi-font-size: 10.5pt\"><FONT face=\"Times New Roman\"> </FONT></SPAN><SPAN style=\"FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: \'Times New Roman\'; mso-hansi-font-family: \'Times New Roman\'\">自杀观念,精神症状,或精神运动迟滞。)</SPAN><SPAN lang=EN style=\"mso-bidi-font-size: 10.5pt\"><?xml:namespace prefix = o ns = \"urn:schemas-microsoft-comfficeffice\" /><o:p></o:p></SPAN></P>
发表于 2006-6-13 21:26:39 | 显示全部楼层
怎么治疗啊? [s:2]
发表于 2006-6-13 21:52:13 | 显示全部楼层
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发表于 2006-6-13 22:09:46 | 显示全部楼层
[s:7]  [s:7]  [s:7]
发表于 2006-6-15 18:22:35 | 显示全部楼层
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