妄想性障碍

定义

妄想症的特点是，在没有抑郁症、躁狂症或混合型情绪发作的情况下，出现一种妄想或一组相关的妄想，通常持续至少3个月，往往更长。妄想的内容因人而异，但在个人内部通常是稳定的，尽管它们可能随着时间推移而演变。精神分裂症的其他特征性症状（即清晰而持续的幻觉、消极症状、思维紊乱或影响、被动或控制的经历）并不存在，但与妄想有关的各种形式的感知障碍（如幻觉、错觉、对人的误认）仍与诊断一致。除了与妄想或妄想系统直接相关的行动和态度外，情感、语言和行为通常不受影响。这些症状不是另一种疾病（如脑瘤）的表现，也不是由于某种物质或药物对中枢神经系统的影响（如皮质类固醇），包括戒断作用（如酒精戒断）所致。

Delusional disorder is characterised by the development of a delusion or set of related delusions, typically persisting for at least 3 months and often much longer, in the absence of a Depressive, Manic, or Mixed mood episode. The delusions are variable in content across individuals, but typically stable within individuals, although they may evolve over time. Other characteristic symptoms of Schizophrenia (i.e. clear and persistent hallucinations, negative symptoms, disorganised thinking, or experiences of influence, passivity, or control) are not present, although various forms of perceptual disturbances (e.g. hallucinations, illusions, misidentifications of persons) thematically related to the delusion are still consistent with the diagnosis. Apart from actions and attitudes directly related to the delusion or delusional system, affect, speech, and behavior are typically unaffected. The symptoms are not a manifestation of another medical condition (e.g., a brain tumour) and are not due to the effect of a substance or medication on the central nervous system (e.g. corticosteroids), including withdrawal effects (e.g. alcohol withdrawal).

子条目 共 4 条

• 6A24.0妄想性障碍，目前为症状期
• 6A24.1妄想性障碍，目前为部分缓解
• 6A24.2妄想性障碍，目前为完全缓解
• 6A24.Z未特指的妄想性障碍