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re:DSM-IV郁闷症的诊断标准: ...
DSM-IV郁闷症的诊断标准:
A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. 以下五种或以上症状同时在两个星期的时间内持续出现,并与之前的状态不同。其中至少有一种症状是(1)忧郁情绪或(2)失去兴趣或不愉快。
(1) depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful). Note: In children and adolescents, can be irritable mood. 每天的大部分时间都情绪低落(例如:感到伤心或空虚,或哭泣)。
(2) markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation made by others) 完全失去兴趣或快乐感
(3) significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. Note: In children, consider failure to make expected weight gains. 严重的非节食引起的体重减轻或严重的体重增加,或者严重的胃口变化(多或少)。
(4) insomnia or hypersomnia nearly every day 失眠或嗜眠
(5) psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down) 易怒或智力减退
(6) fatigue or loss of energy nearly every day 感觉疲劳
(7) feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick) 感觉到无意义或无价值,或不适当的负罪感
(8) diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others) 思维能力减退,或无法集中注意力,或无法作决定
(9) recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide 不断地想到死亡,想到要自杀(没有具体的计划),或试图自杀,或计划自杀
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