双相I型障碍

定义

双相障碍I型是一种发作性心境障碍，其定义是发生一次或多次躁狂或混合发作。躁狂发作是一种持续至少一周的极端情绪状态，除非通过治疗干预而缩短，其特征是欣快、易怒或扩张性，以及活动增加或能量增加的主观体验，同时伴其他特征性症状，如快速或有压力的说话、思想飞扬、自尊心或自大感增加、睡眠需求减少、注意力分散、冲动或鲁莽行为，以及不同情绪状态之间的快速变化（即情绪不稳定）。 混合发作的特点是出现几个突出的狂躁症状和几个突出的抑郁症状，与狂躁发作和抑郁发作中观察到的症状一致，这些症状或同时出现，或非常迅速地交替出现（从一天到另一天或在同一天内）。症状必须包括与躁狂和/或抑郁发作相一致的情绪状态改变（即抑郁、焦虑、欣快或扩张性情绪），并且在至少2周时间内，几乎每天都有大部分时间出现，除非通过治疗干预缩短。虽然可以根据单一躁狂或混合发作的证据进行诊断，但通常躁狂或混合发作与抑郁发作在疾病的过程中交替出现。

Bipolar type I disorder is an episodic mood disorder defined by the occurrence of one or more manic or mixed episodes. A manic episode is an extreme mood state lasting at least one week unless shortened by a treatment intervention characterised by euphoria, irritability, or expansiveness, and by increased activity or a subjective experience of increased energy, accompanied by other characteristic symptoms such as rapid or pressured speech, flight of ideas, increased self-esteem or grandiosity, decreased need for sleep, distractibility, impulsive or reckless behaviour, and rapid changes among different mood states (i.e., mood lability). A mixed episode is characterised by the presence of several prominent manic and several prominent depressive symptoms consistent with those observed in manic episodes and depressive episodes, which either occur simultaneously or alternate very rapidly (from day to day or within the same day). Symptoms must include an altered mood state consistent with a manic and/or depressive episode (i.e., depressed, dysphoric, euphoric or expansive mood), and be present most of the day, nearly every day, during a period of at least 2 weeks, unless shortened by a treatment intervention. Although the diagnosis can be made based on evidence of a single manic or mixed episode, typically manic or mixed episodes alternate with depressive episodes over the course of the disorder.

除外词 明确排除、需编到其他条目的情况

• 双相II型障碍6A61
• 环性气质6A62

子条目 共 18 条

• 6A60.0双相I型障碍，目前为不伴精神病性症状的躁狂发作
• 6A60.1双相I型障碍，目前为伴精神病性症状的躁狂发作
• 6A60.2双相I型障碍，目前为轻躁狂发作
• 6A60.3双相I型障碍，目前为轻度抑郁发作
• 6A60.4双相I型障碍，目前为不伴精神病性症状的中度抑郁发作
• 6A60.5双相I型障碍，目前为伴精神病性症状的中度抑郁发作
• 6A60.6双相I型障碍，目前为不伴精神病性症状的重度抑郁发作
• 6A60.7双相I型障碍，目前为伴精神病性症状的重度抑郁发作
• 6A60.8双相I型障碍，目前为未特指严重程度的抑郁发作
• 6A60.9双相I型障碍，目前为不伴精神病性症状的混合性发作
• 6A60.A双相I型障碍，目前为伴精神病性症状的混合性发作
• 6A60.B双相I型障碍，目前为部分缓解，最近为躁狂或轻躁狂发作
• 6A60.C双相I型障碍，目前为部分缓解，最近为抑郁发作
• 6A60.D双相I型障碍，目前为部分缓解，最近为混合性发作
• 6A60.E双相I型障碍，目前为部分缓解，最近为未特指的发作
• 6A60.F双相I型障碍，目前为完全缓解
• 6A60.Y其他特指的双相I型障碍
• 6A60.Z未特指的双相I型障碍