Pain Disorder疼痛

A. Pain in one or more anatomical sites is the predominant focus of the clinical presentation and is of sufficient severity to warrant clinical attention.
主诉身体上有一处或几处罚疼痛的地方,疼痛达到需要治疗的程度.

B. The pain causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
疼痛导致显著的痛苦,并影响了工作,社交或其他重要方面的功能.

C. Psychological factors are judged to have an important role in the onset, severity, exacerbation, or maintenance of the pain.
精神因素在疼痛的最早发生,严重程度,加重或持续方面起作用.

D. The symptoms or deficit is not intentionally produced or feigned (as in Factitious Disorder or Malingering).
这些症状不是故意编造的(与人为障碍病不同).

E. The pain is not better accounted for by a Mood, Anxiety, or Psychotic Disorder and does not meet criteria for Dyspareunia.
疼痛不符合其他的情绪障碍,焦虑,精神病的诊断,也不符合性交困难的诊断.


Conversion Disorder换位障碍

A. One or more symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition.
患者出现一种或多种运动系统或感觉系统的障碍,好象是某种神经性或全身性疾病的症状.

B. Psychological factors are judged to be associated with the symptom or deficit because the initiation or exacerbation of the symptom or deficit is preceded by conflicts or other stressors.
精神因素在这些症状的最早发生,严重程度,加重或持续方面起作用.

C. The symptom or deficit is not intentionally produced or feigned (as in Factitious Disorder or Malingering).
这些症状不是故意编造的(与人为障碍病不同).

D. The symptom or deficit cannot, after appropriate investigation, be fully explained by a general medical condition, or by the direct effects of a substance, or as a culturally sanctioned behavior or experience.
经过全面检查,症状不是某种躯体疾病,或某种药物引起,也不是某种文化的特有行为.

E. The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.
症状导致显著的痛苦,并影响了工作,社交或其他重要方面的功能,严重程度需要临床检查.


F. The symptom or deficit is not limited to pain or sexual dysfunction, does not occur exclusively during the course of Somatization Disorder, and is not better accounted for by another mental disorder.
这些症状不仅仅局限于疼痛或性功能障碍,不只是发生在躯体病样精神障碍的发作时期,不符合其他精神疾病的诊断标准..