Kuongorora Cyclothymia mu DSM-5
Kusvikira bhuku re DSM-5, Cyclothymic Disorder rakatsanangurwa seine nguva dze hypomania pamwe nenguva dzekuora mwoyo dzakanga dzisingakoshi zvakakwana kunzi mahombekombe makuru ekudzvinyirira. Hypomania pachayo inogona kukonzera zvinetso zvakakomba (zvisinei kuti hazvina ngozi sezvinowanikwa mumagariro evanhu ), saka vamwe vanhu vane cyclothymia vakafunga kuti vakanga vachibatwa se "chipiri-vagari vemo" pazvakaitika kuti chirwere chavo chiitwe zvakanyanya.
Zviratidzo zveDSM-5 zve cyclothymia zvinogona kuita kuti mufananidzo uve fuzzier.
Zviratidzo Zvokuziva
Criterion A kubva ku DSM-IV-TR ndeyekuti: "Kwemakore maviri, kuvapo kwemazuva akawanda ane zviratidzo zve hypomanic ... uye nguva dzakawanda dzine hutambudzi hwezviratidzo zvisingasviki zvinodiwa zveMa Major Depressive episode." Pasi pe "Kuona Zviratidzo, "Ino shanduro inoti haifaniri kuti zviratidzo zve hypomanic zvigadzirise zvizere zvinoshandiswa ne hypomanic episode, asi hazvirevi kuti zvichida, kana.
Zvisinei, Criterion A kubva ku DSM-5 inoshandura iyi: "Kwemakore maviri (gore rinenge gore rimwe chete muvana nevechiri kuyaruka) pane nguva dzakawanda dzine zviratidzo zve hypomanic izvo zvisingasviki zvirongwa zve hypomanic episode [kusimbisa rangu] uye nguva dzakawanda dzine kuora mwoyo zviratidzo zvisingasviki zviyero zvekutambudzika kukuru kwechiitiko.
Mune mamwe mazwi, pane iye zvino hapana kuongororwa kwevanhu vane chokwadi chekuita hypomanic episodes pamwechete nenguva dzekuora mwoyo kwete zvakakwana kuti zvive zvakanyanya kuora mwoyo zvikamu.
Zvimwe zviyero zve cyclothymic disorder mu DSM-5 ndeizvi:
B. Munguva yepamusoro yegore remakore maviri (gore rimwe chete muvana nevechiri kuyaruka), nguva yekutengesa uye kushungurudzika kwave iripo kwehafu yenguva uye munhu wacho haana kumbove asina zviratidzo zvinopfuura mwedzi miviri panguva.
C. Chikonzero chepfungwa huru, manic, kana hypomanic haisati yasangana. [Cherechedza: Kana zvikamu zvakadaro zvikaonekwa gare gare, kuongororwa kunogona kuchinjwa kuva bipolar I kana bipolar II disorder , sezvakakodzera.]
D. Zviratidzo hazvisi nani zvinotsanangurwa nedzimwe chirwere chepfungwa.
E. Zviratidzo hazvikonzerwi nezvinhu (semuenzaniso, mishonga kana zvinodhaka zvekushungurudzwa) kana imwe chirwere chekurapa.
F. Zviratidzo izvi zvinokonzera kushungurudzika kunetseka kana kukanganisa mumagariro evanhu, kumabasa, kana mamwe mabasa anokosha ekushanda.
Zvimwe Zvokufungisisa
- Cyclothymic disorder inowanzotanga kuonekwa muvechiri kuyaruka uye vaduku, uye kune 15% -50% ngozi yokuti munhu akadaro achakurira zvakakwana bipolar I kana II chirwere gare gare.
- A genetic component yakawanikwa inowedzera dambudziko rekudzidzira cyclothymia, kunyanya muchikoro chekutanga chevanhu vane hutano hwepfungwa.
- Kushungurudzwa kwemishonga uye kushungurudzwa kwehope kunogona kuitika kune vanhu vane cyclothymia, uye vana cyclothymic vakawanda kupfuura vamwe kuti vave neDHD .
- Izvo zvinotaurwa "nokuzvidya mwoyo" zvinogona kuwedzererwa kuongororwa kwecyclothymic disorder apo kufunganya chinhu chinokosha.
> Sources:
> Kuona uye Statistical Handbook yeMental Disorders, Kugovera Yechechina, Text Revision (DSM-IV-TR). American Psychiatric Association. 2000 (398-400).
> Kuona uye Statistical Handbook yeMental Disorders, Fifth Edition (DSM-5). American Psychiatric Association. 2013 (139-141).