PMDD诊断标准中英对照

”

or weight gain.

躯体症状如：

乳房胀痛，

头痛，

关节或肌肉痛，

肿胀感或体重增加。

Note:

The symptoms in Criteria A-C must have been met for most menstrual cycles that occurred in

the preceding y ear.

注：

A-C

症状标准中的症状 必须出现在上一年的绝大多数月经周期内。

D

. The symptoms are associated with clinically significant distress or interference with work, school,

usual

social

activities,

or

relationships

with

others

(e.g.,

avoidance

of

social

activities;

decreased

productivity and efficiency at work, school, or home).

本病会有显著的临床上的痛苦，

< br>或明显影响工

作、学习、日常社会活动和人际关系及其他方面（例如，不愿参加社 会活动、学习和工作家庭

效率下降）

。

E.

The disturbance is not merely an exacerbation of the symptoms of another disorder, such as major

depressive

disorder,

panic

disorder,

persistent

depressive

disorder

(dysthymia),

or

a

personality

disorder (although it may co-occur with any of these disord ers).

该干扰不是另一个疾病的症状恶化，

如严重抑郁症，

恐慌症，

持续的抑郁症

（心境）

，

或人格障碍

（虽然它能够叠加某些疾病的症 状）

。

F

.

Criterion

A

should

be

confirmed

by

prospective

daily

ratings

during

at

least

two

symptomatic

cycles. (

Note:

The diagnosis may be made provisionally prior to this confirmation.)

诊断标准

A

必须

在其 后的至少连续两个周期内，

通过前瞻性的每日评定来证实。

（注 该诊断可以由暂时在此之前

确认。

）

G.

The symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse,

a medication, other treatment) or another medical condition (e.g., hyperthyroidism).

这些症状是 不是

由于某种物质（例如，滥用药物，用药，治疗等）或其他医疗条件（如甲亢）的生理 效应。

Recording Procedures

登记程序

If symptoms have not been confirmed by prospective daily ratings of at least two symptomatic cycles,

provisional

如果症状没有 得到至少有之后的两个月经周期的每日评价证实，

应注意在诊断后标注为

“临时”

（即“经前期烦躁不安的紊乱，临时”

）

。

Diagnostic Features

诊断要点

The

essential

features

of

premenstrual

dysphoric

disorder

are

the

expression

of

mood

lability,

irritability,

dysphoria,

and

anxiety

symptoms

that

occur

repeatedly

during

the

premenstrual

phase

of

the

cycle

and

remit

around

the

onset

of

menses

or

shortly

symptoms may be accompanied by behavioral and physical symptoms.

Symptoms must have occurred in most of the menstrual cycles during the past year and

must

have

an

adverse

effect

on

work

or

social

functioning.

The

intensity

and/or

expressivity of the accompanying symptoms may be closely related to social and cultural

background characteristics of the affected female, family perspectives, and more specific

factors such as religious beliefs, social tolerance, and female gender role issues.

经前烦躁症的主要特点是情绪不稳定

，

易怒，

烦躁不安，

焦虑症状

< br>,

并在经前期反复

出现

,

在月经开始或之后不久消失。

这些症状可伴有行为和躯体症状。

症状必须发生

在过去一年中大多数月经周期，并且必须具有对工作或社 会功能产生不利影响。伴

随症状的强度和

/

或表达性可能与患病女性的社会和文化背景特征密切相关，

家庭的

< br>观念和更具体的因素，如宗教信仰，社会的宽容和女性的性别角色问题的影响。

Typically, symptoms peak around the time of the onset of menses. Although it is not

uncommon for symptoms to linger into the first few days of menses, the individual must

have

a

symptom- free

period

in

the

follicular

phase

after

the

menstrual

period

the

core

symptoms

include

mood

and

anxiety

symptoms,

behavioral

and

somatic

symptoms

commonly

also

occur.

However,

the

presence

of

physical

and/or

behavioral symptoms in the absence of mood and/or anxious symptoms is not sufficient

for

a

diagnosis.

Symptoms

are

of

comparable

severity

(but

not

duration)

to

those

of

another

mental

disorder,

such

as

a

major

depressive

episode

or

generalized

anxiety

disorder. In order to confirm a provisional diagnosis, daily prospective symptom ratings

are required for at least two symptomatic cycles.

通常情况下，症状的峰值在月经来潮左右。 虽然症状持续到月经的头几天的情

况并不少见，个体必须在经期开始后的卵泡期出现无症 状期。而核心症状包括情绪

和焦虑症状，行为和躯体症状也常发生。然而，只出现躯体和

/

或行为症状，没有情

绪和