情绪波动和情绪稳定剂：这些术语具体指的是什么？

Mood swing and mood stabilizer: how specific are these terms?

机构信息

Departments of Psychiatry and Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Bipolar Disord. 2010 Nov;12(7):685-90. doi: 10.1111/j.1399-5618.2010.00870.x.

DOI:10.1111/j.1399-5618.2010.00870.x

PMID:21040285

Abstract

BACKGROUND

In the DSM-IIIR in 1987, the category title for depressive and bipolar disorders was changed from affective disorders to mood disorders. Within a short period of time thereafter, mood swing and mood stabilizer became very commonly used terms in psychiatry with bipolar implications.

METHODS

Terms and definitions in recent texts, articles, and dictionaries pertaining to mood fluctuations have been reviewed.

RESULTS

The term mood was seldom part of psychiatric terminology until the late 1970s. Mood swing and mood stabilizer as used in the psychiatric literature are primarily nonspecific and often misleading concepts--particularly as a basis for treatment decisions. Affective fluctuations and shifts to irritability and/or anger in persons with personality and depressive disorders are being viewed by many in the mental health field as cyclically biphasic--between depressed to elated--which is clearly at variance with research findings.

CONCLUSIONS

More data-based research on mood variations is needed to authoritatively remedy this situation.

摘要

背景

1987 年的 DSM-III-R 中，抑郁和双相障碍类别名称由情感障碍更改为心境障碍。此后不久，情绪波动和情绪稳定剂就成为精神病学中具有双相意义的常用术语。

方法

对与情绪波动相关的近期文本、文章和词典中的术语和定义进行了回顾。

结果

直到 20 世纪 70 年代末，“情绪”一词在精神病学术语中很少出现。在精神病学文献中使用的“情绪波动”和“情绪稳定剂”主要是非特异性的，而且常常具有误导性——尤其是作为治疗决策的基础。许多心理健康领域的人认为，人格和抑郁障碍患者的情绪波动和情绪从烦躁/愤怒转变为欣快是周期性双相的——从抑郁到欣快——这与研究结果明显不一致。