Duke University Medical Center, Durham, NC 27509, USA.
Bipolar Disord. 2010 Jun;12(4):437-9. doi: 10.1111/j.1399-5618.2010.00824.x.
The recently released preliminary proposal for the DSM-5 diagnostic system includes modification of the mixed mania diagnosis symptom set. That definition includes the long-overdue exclusion of nonspecific signs and symptoms, as well as the inclusion of psychomotor retardation. Anxiety is specifically excluded from the definition. The current report reviews studies to establish that psychomotor retardation would have limited utility in the definition, in contrast to anxiety, which is a core symptom of the mixed manic subtype.
最近发布的 DSM-5 诊断系统初步提案包括修改混合躁狂症诊断症状集。该定义包括长期以来被排除的非特异性症状和体征,以及精神运动迟滞的纳入。焦虑症被明确排除在定义之外。本报告回顾了一些研究,以确定精神运动迟滞在定义中的作用有限,而焦虑症则是混合躁狂亚型的核心症状。