Grzegorzewska Agata M, Wiglusz Mariusz S, Cubała Wiesław J, Jakuszkowiak-Wojten Katarzyna, Włodarczyk Adam, Szarmach Joanna
Department of Psychiatry, Faculty of Medicine, Medical University of Gdansk, 80-952 Gdansk, Poland.
J Clin Med. 2021 Oct 8;10(19):4624. doi: 10.3390/jcm10194624.
This article aims to review the concept of epilepsy-specific psychiatric disturbance, Interictal Dysphoric Disorder (IDD), focusing on issues related to its core symptoms and methodological pitfalls. In the psychiatric literature, an epilepsy-specific pleomorphic mood disorder has been long recognized and described as IDD, a condition characterized by eight symptoms, which are grouped into four labile depressive symptoms, two labile affective symptoms, and two specific symptoms. The existence of IDD is still a matter of debate because of several methodological issues. The main features of IDD, such as dysphoria and irritability, lack precise and clear definition. This review article explores the different definitions and approaches towards both terms described in the psychiatric literature and the rationale for modifying the diagnostic process of IDD.
本文旨在综述癫痫特异性精神障碍——发作间期烦躁症（IDD）的概念，重点关注与其核心症状及方法学缺陷相关的问题。在精神病学文献中，一种癫痫特异性多形性情绪障碍早已得到认可，并被描述为IDD，该病症具有八个症状，分为四个不稳定的抑郁症状、两个不稳定的情感症状和两个特定症状。由于一些方法学问题，IDD的存在仍存在争议。IDD的主要特征，如烦躁不安和易怒，缺乏精确且明确的定义。这篇综述文章探讨了精神病学文献中对这两个术语的不同定义和方法，以及修改IDD诊断过程的基本原理。
