Ukuchonga i-Cyclothymia kwi-DSM-5
Kuze kubekho ukupapashwa kwe-DSM-5, i-Cyclothymic Disorder ichazwa njengamaxesha e- hypomania kunye nezihlandlo zokudakumba ezingazange zibize ngokwaneleyo ukuba zibizwa ngokuba ziziqholo ezinkulu zokudandatheka . I-Hypomania ngokwayo inokubangela iingxaki ezinzima (nangona zingekho ziyingozi njengemigqabhoko yamadoda ), ngoko abanye abantu abane-cyclothymia baziva bebephathwa ngokuba "ngabemi beesibini" xa beba nokuthatha ingqalelo ngokugula kwabo.
Imilinganiselo ye-DSM-5 ye-cyclothymia ingenza umfanekiso uphawuleze.
Iimpawu zokuxilonga
Isiqendu A esivela kwi- DSM-IV-TR yile: "Ubuncinane ubuncinane iminyaka emi-2, ubukho bamaxesha amaninzi kunye neempawu ze-hypomanic ... kunye namaxesha amaninzi aneempawu ezixinzelelekileyo ezingenakuhlangabezana neempendulo ze-Major Depression episode." Ngaphantsi " "Lo mbhalo uthi akuyimfuneko ukuba iimpawu ze-hypomanic zihlangabezane neendlela ezipheleleyo zeqhekeza, kodwa ayiyikulawula ukuba, mhlawumbi.
Nangona kunjalo, isiCwangciso se-A esivela kwi-DSM-5 sitshintsha oku: "Ubuncinane ubuncinane iminyaka emi-2 (ubuncinane ubuncinane kwiminyaka engama-1 kubantwana nakwishumi elivisayo) kuye kwaba namaxesha amaninzi aneempawu ze-hypomanic ezingenakuhlangabezana nemigqaliselo yesiganeko se-hypomanic [ukugxininisa kwam] amaxesha amaninzi aneempawu ezidandathelisayo ezingenakuhlangabezana neendlela zokunyamezela.
Ngamanye amazwi, akukho nto ixilongo kubantu abanemigqomo ye-hypomanic episodes kunye nexesha lokudandatheka okungekho nzima ngokwaneleyo ukuba zibe ziintlobo ezinkulu zokudandatheka.
Iimpawu eziqhelekileyo ze-cyclothymic disorder kwi-DSM-5 zi:
B. Ngethuba le-2 leminyaka engentla (unyaka o-1 kubantwana nakwishumi elivisayo), iimeko zokuxhaswa kunye nokudandatheka ziye zafumaneka ubuncinane kwisiqingatha sithuba kwaye umntu akazange abe ngaphandle kweempawu ezingaphezu kweenyanga ezi-2 ngelo xesha.
C. Inkcazo yesiganeko esicinezelekileyo, somntu okanye isiqendu esingazange sihlangane. [Qaphela: Ukuba ezo ziqendu ziza kuvela emva koko, ukuxilongwa kuya kutshintshwa kwi- bipolar I okanye i- bipolar II disorder , ngokufanelekileyo.]
D. Iimpawu azichazekanga ngenye ingxaki yengqondo.
E. Izimpawu azibangelwa yinto (umzekelo, amayeza okanye iziyobisi zokusetyenziswa kakubi) okanye enye imeko yonyango.
F. Iimpawu zibangele ukukhathazeka okanye ukukhubazeka kwiinkonzo zentlalo, umsebenzi okanye ezinye izinto ezibalulekileyo zokusebenza.
Ezinye izinto
- I-Cyclothymic disorder ngokuvamile ivela kubantwana abaselula kunye nabaselula, kwaye kukho umngcipheko we-15% -50% wokuba umntu onjalo uza kuhlakulela i-bipolar I okanye i-II disorder epheleleyo.
- Kuye kwafunyanwa i-genetic component eyandisa ingozi yokuphuhlisa i-cyclothymia, ngokukodwa kwiidanga zokuqala zabantu abanesifo sengqondo.
- Ukusetyenziswa kakubi kweziyobisi kunye nokuphazamiseka kokulala kungenzeka kubantu abane-cyclothymia, kunye nabantwana be-cyclothymic baninzi kunokuba abanye babe ne- ADHD .
- Umcacisi "ngokuxhalabisa" unokungeniswa kwi-diagnosis ye-cyclothymic disorder apho ukukhathazeka kubaluleke kakhulu.
> Imithombo:
> I- Diagnostic and Statistical Handbook yeengxaki zeengqondo, udidi lwesine, i-Text Review (DSM-IV-TR). Umbutho wezeMpilo waseMerika. 2000 (398-400).
> I- Diagnostic and Statistical Handbook yeengxaki zeMental, i-Fifth Edition (DSM-5). Umbutho wezeMpilo waseMerika. 2013 (139-141).