《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  

Diagnostic and statistical manual of mental disorders,fifth edition expert questionnaire survey of bipolar disorder with mixed features

作　　者：朱建峰 沈东 孙峰俐 金卫东[3] ZHU Jian-feng;SHEN Dong;SUN Feng-li;JIN Wei-dong(The Second People's Hospital of Yuhang District,Hangzhou 311121,China)

机构地区：[1]杭州市余杭区第二人民医院,311121 [2]嘉兴市康慈医院 [3]浙江省立同德医院

出　　处：《临床精神医学杂志》2024年第1期30-34,共5页Journal of Clinical Psychiatry

摘　　要：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。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.

关 键 词：双相障碍 抑郁症 《精神疾病诊断和统计手册》第5版 伴混合特征 问卷调查 

分 类 号：R749.4[医药卫生—神经病学与精神病学]