首页|《精神疾病诊断和统计手册》第5 版双相障碍伴混合特征的专家问卷调查

《精神疾病诊断和统计手册》第5 版双相障碍伴混合特征的专家问卷调查

扫码查看
目的:评价我国精神科医师对《精神疾病诊断和统计手册》第5 版中双相障碍伴混合特征的态度和观点以及临床适用性.方法:通过网络调查问卷,调查214 名精神病学相关医疗人员,汇总专家建议,进行分析.结果:多数专家肯定了混合特征这一标注的确立,特别是对于抑郁障碍有不同意义.但是调查结果显示认为将典型的躁狂发作症状(50%)和典型的抑郁发作症状(63.55%)列为伴混合特征症状的反向症状合理的比例偏低.抑郁背景上,易激惹、激越、冲动、想的事情太多、对外界特别敏感较为常见,在躁狂背景上,自伤、自责、自卑较为常见.结论:相反症状组合在一起,可能会因为相互修饰出现新的症状,而不是两个相反症状的简单组合.
Diagnostic and statistical manual of mental disorders,fifth edition expert questionnaire survey of bipolar disorder with mixed features
Objective:To evaluate the attitudes and opinions of our psychiatrists regarding the《Diagnos-tic and Statistical Manual of Mental Disorders》,fifth edition bipolar disorder with mixed features and its clinical applicability.Method:A web-based questionnaire was used to survey 214 psychiatry-related medical profes-sionals and to summarize expert recommendations for analysis.Results:The results show that most experts af-firm the establishment of the mixed features,which has different implications especially for depressive disorders.However,the finding showed that the percentage of those who considered it reasonable to classify manic episode symptoms(50%)and depressive symptoms(63.55%)as reverse symptoms with mixed features symptoms is low.On the depressive background,irritability,agitation,impulsivity,thinking too much,and overly sensitivity to the outside world were common,and on the manic background,self-harm,self-blame,and low self-esteem were more common.Conclusion:The combination of opposite symptoms together may result in new symptoms due to mutual modification,rather than a simple combination of two opposite symptoms.

bipolar disorderdepressive disorder《diagnostic and statistical manual of mental dis-orders》(fifth edition)mixed featuresquestionnaire

朱建峰、沈东、孙峰俐、金卫东

展开 >

311121 杭州市余杭区第二人民医院

嘉兴市康慈医院

浙江省立同德医院

双相障碍 抑郁症 《精神疾病诊断和统计手册》第5 伴混合特征 问卷调查

2024

临床精神医学杂志
南京医科大学附属脑科医院

临床精神医学杂志

CSTPCD
影响因子:1.108
ISSN:1005-3220
年,卷(期):2024.34(1)
  • 17