Dysphoric About Dysphoria: Towards a Greater Conceptual Clarity of the Term
Dysphoric About Dysphoria: Towards a Greater Conceptual Clarity of the Term
复制标题
关于烦躁不安：使该术语的概念更加清晰
作者：
V. Starcevic
目的：本研究的目的是在回顾其在各种精神病理背景下的含义以及随之而来的概念混乱之后，以一种更清晰，更好地描述和更临床有用的方式概念化烦躁不安。结论：目前焦虑症的语义状况最不理想。它的定义通常过于宽泛或过于简单，因此在临床上没有用处。对于这个词的含义没有一致的看法。在这篇文章中，烦躁主要被定义为一种复杂的情绪状态，由强烈的不快乐/不满和烦躁组成。此外，焦虑症通常（尽管并非总是）伴有某些认知和行为特征。本文综述了焦虑和相关情绪状态与各种精神障碍之间的关系，并提出了对临床实践有意义的区分。躁郁症中躁郁症在混合状态中的作用尤其需要进一步研究。
Objective: The aim of this study was to conceptualize dysphoria in a way that is clearer, better delineated and more clinically useful, after reviewing its meanings in a variety of psychopathological contexts and the consequent conceptual confusion. Conclusions: The current semantic status of dysphoria is most unsatisfactory. Its definitions are usually too broad or too simplistic and, therefore, not clinically useful. There is no agreement on what the term means. In this article, dysphoria is conceptualized primarily as a complex emotional state, consisting of intense unhappiness/discontent and irritability. In addition, dysphoria is often, though not invariably, accompanied by certain cognitive and behavioural features. This article reviews relationships between dysphoria and related emotional states and various psychiatric disorders, and proposes differentiations that have implications for clinical practice. The role of dysphoria in mixed states within bipolar disorder is particularly in need of further study.