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首页> 外文期刊>The Journal of Nervous and Mental Disease >Irritability Disorders in Adults Diagnostic Categories Missing in Plain Sight?
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Irritability Disorders in Adults Diagnostic Categories Missing in Plain Sight?

机译：令人烦恼的成人诊断类别在普通的视线中缺失？

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摘要

Research into irritability has focused largely on its developmental and child-adolescent manifestations. Although irritability appears to be as elemental an experience as anxiety or depression, diagnoses highlighting irritability as the focal ingredient have yet to be delineated for adults. Instead, irritability-related diagnoses in adults have largely emphasized externalizing behaviors, depressed mood, and personality. Consequently, patients complaining of irritability are sometimes shoehorned into diagnostic categories that they do not experience as authentic representations of their lived experiences. This article proposes that the symptom of irritability might be productively reenvisioned as a focal point, analogous to anxiety and depression, around which irritability-related syndromes and disorders in adults might coalesce. If anxiety, depressive, insomnia, and pain disorders, why not irritability disorders? Both state and trait characteristics of irritability can lend themselves toDSMdiagnostic frames. Based on clinical observations, specific irritability disorders in adults can be envisioned, modeled as Irritability Disorder of Adulthood, Irritability Disorder Secondary to Another Medical Condition, Substance-Induced Irritability Disorder, Adjustment Disorder With Irritable Mood, and the like. Further delineation of irritability phenomena, syndromes, and possible disorders in adults is warranted to advance investigation, guide assessment, and improve treatment.
机译：烦躁的研究主要集中在其发展和儿童青少年表现上。尽管令人烦躁似乎是元素的经验，但焦虑或抑郁症的经验，但诊断突出令人烦恼，因为局灶性成分尚未为成年人划定。相反，成人的令人烦躁相关的诊断主要强调了外部化行为，情绪低落和个性。因此，抱怨烦躁的患者有时会挖掘到诊断类别中，以至于它们不会被培养为其生活经历的真实陈述。本文提出，令人兴奋的症状可能被高效地重新调整为焦点，类似于焦虑和抑郁症，其周围有令人烦躁的相关综合征和成年人的疾病可能会加工。如果焦虑，抑郁，失眠和疼痛障碍，为什么不令人烦恼的障碍？烦躁的州和特质的特点都可以为自己赋予它来造成恐怖症。基于临床观察，可以设想成人的特异性烦躁障碍，模拟成年性的烦躁障碍，继发于另一种医疗病症的烦躁障碍，物质诱导的烦躁障碍，调整障碍，具有烦躁的情绪等。进一步描绘令人烦躁的现象，综合征和成人中可能的障碍，以提前调查，指导评估和改善治疗。

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