继发性心境综合征，伴混合性症状

定义

根据病史、体检或实验室检查结果证据，判定是一种非精神和行为障碍的健康情况的直接病生理后果，以同时存在躁狂和抑郁症状（或同时出现，或在一天或一天内交替出现）为特征的综合征。躁狂症状可能包括情绪高涨、欣快、烦躁或膨胀状态，不同情绪状态之间的快速变化（即情绪不稳定），或能量或活动增加。这些症状并非由谵妄或其他精神和行为障碍引起，也不是对严重疾病的心理介导反应（例如，对危及生命诊断做出的抑郁症状）。当精神病症状严重到需要特别临床关注时，除对假定的潜在障碍或疾病进行诊断外，还应使用这一类别编码。

A syndrome characterised by the presence of both manic and depressive symptoms, either occurring together or alternating from day to day or over the course of a day that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders based on evidence from the history, physical examination, or laboratory findings. Manic symptoms may include elevated, euphoric, irritable, or expansive mood states, rapid changes among different mood states (i.e., mood lability), or increased energy or activity. Depressive symptoms may include persistently depressed mood, loss of interest in previously enjoyable activities, or signs such as tearful or downtrodden appearance. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., depressive symptoms in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the mood symptoms are sufficiently severe to warrant specific clinical attention.

除外词 明确排除、需编到其他条目的情况

• 适应障碍6B43
• 谵妄6D70

索引词 可用于检索该条目的同义词与别名

• 继发性心境综合征，伴混合性症状
• 器质性混合性情感障碍
• 不可归类在精神和行为障碍的健康状况引起的心境障碍，伴混合性症状