心境障碍中的惊恐发作

定义

在当前心境障碍（躁狂、抑郁、混合或低躁狂）的情况下，在过去一个月内有反复的惊恐发作（即至少两次），特别是在对引起焦虑的认知反应时发生，这些激发焦虑的认知是情绪发作的特征。如果惊恐发作完全是对这种想法的反应，则应使用此限定词记录惊恐发作，而不是另外指定一个共同发生的惊恐障碍的诊断。 如果在抑郁或混合发作的过程中，有些惊恐发作是意料之外的，并且不完全是对引起抑郁或焦虑想法的反应，则应指定一个单独的惊恐障碍诊断。

In the context of a current mood episode (manic, depressive, mixed, or hypomanic), there have been recurrent panic attacks (i.e., at least two) during the past month that occur specifically in response to anxiety-provoking cognitions that are features of the mood episode. If panic attacks occur exclusively in response to such thoughts, panic attacks should be recorded using this qualifier rather than assigning an additional co-occurring diagnosis of panic disorder. If some panic attacks over the course of the depressive or mixed episode have been unexpected and not exclusively in response to depressive or anxiety-provoking thoughts, a separate diagnosis of panic disorder should be assigned.

除外词 明确排除、需编到其他条目的情况

• 惊恐障碍6B01

索引词 可用于检索该条目的同义词与别名

• 心境障碍中的惊恐发作

编码备注 Coding note

这些分类不可用作主要编码。当需要标识心境障碍中发作的特定重要临床特征时，这些编码可作为补充或附加编码。

These categories should never be used in primary coding. The codes are provided for use as supplementary or additional codes when it is desired to identify specific clinically important features of mood episodes in mood disorders.