Txawm tias muaj ntau hom mob siab ntsws, feem ntau hom kev nyuaj siab tshaj plaws rau me nyuam yaus raws li Tus Thawj Coj Kev Noj Qab Haus Huv Qhia Txog Kev Noj Qab Haus Huv yog ib qho kev nyuaj siab loj (MDD), mob plawv (DD), thiab kev puas siab puas ntsws bipolar (BD).
Kev Nyuaj Siab Kev Nyuaj Siab hauv Cov Menyuam
Kev nyuab siab heev yog qhov mob hnyav uas tus me nyuam muaj kev puas siab puas ntsoog.
Lub sijhawm ntawd feem ntau kawg 7 mus rau 9 lub hlis. Raws li lub DSM-IV, cov tsos mob ntawm kev nyuaj siab thaum yau muaj xws li:
- Kev poob kev kawm
- Tshem tawm ntawm cov phooj ywg thiab tsev neeg
- Xav lossis ua rau nws tus kheej raug mob
- Tsis muaj kev txaus siab ntawm cov khoom ntawm kev lom zem dhau los
- Teeb meem nrog pw
- Kev noj qab haus huv thiab / los yog qhov hnyav hloov
- Kev xav ntawm kev txhaum lossis ua yuam kev
- Coj tus niam txiv
- Kev quaj ntsuag uas tsis tau qhia
Tsis tas li ntawd, cov menyuam uas muaj MDD yuav muaj cov tsos mob ntawm kev ntxhov siab, zoo li shyness , kev ntshai, thiab kev tsis txaus siab ntawm lub cev .
Kwv yees li ntawm 2 mus rau 3 feem pua ntawm cov menyuam yaus hnub nyoog qis dua 10 xyoo raws li cov cai MDD, tiam sis nruab nrab ntawm cov hnub nyoog 10 thiab 14, tus nqi nce mus txog 5 mus rau 8 feem pua rau cov menyuam yaus tag nrho. Kwv yees li ntawm ob zaug kom ntau tus ntxhais yuav muaj kev nyuaj siab thaum tub ntxhais hluas muaj hnub nyoog 15 xyoos. Ua ntej pub dawb , cov tub ntxhais hluas muaj kev nyuab siab dua cov ntxhais.
Cov nqi them rov qab rau MDD yog siab rau cov menyuam uas tau txais kev kho mob. Txawm li cas los xij, yog li rov qab tshwm sim ntawm kev nyuaj siab.
Lub koom haum National Mental Health (NIMH) qhia ntxov thiab kev kho mob ntawm kev nyuab siab hauv cov menyuam yaus , tau txais cov txiaj ntsig zoo ntawm luv luv thiab ntev, xws li pluag tus kheej , kev quav yeeb tshuaj, kev pheej hmoo, kev kawm tsis zoo, , thiab kev pheej hmoo ntawm kev tua tus kheej.
Dysthymic Teeb Meem Hauv Menyuam
Dysthymic disorder yog ib qho mob plawv tiamsis tsis zoo siab dua li MDD, kav ntev tsawg kawg yog ob xyoos.
Cov menyuam yaus nrog DD muaj ntau dua li cov menyuam yaus nrog MDD. Txawm tias muaj cov tsos mob, cov menyuam uas muaj hnub nyoog DD tuaj yeem tuaj kawm ntawv thiab koom nrog cov kev ua ub no uas qee cov menyuam yaus nrog MDD yuav tsis tuaj yeem ua tau. Cov me nyuam uas muaj hnub nyoog DD yuav raug kev txom nyem los ntawm DD ntev li ntev tau tias lawv ntseeg tias lawv lub siab muaj kev nyuab siab yog "zoo". Cov niam txiv los yog lwm tus neeg nyob ze rau tus me nyuam yuav xav tias nws muaj ib qho kev txaj muag los yog kev ntxim ntxub uas tsis yog kev nyuaj siab.
Cov tsos mob ntawm DD hauv cov me nyuam yog zoo li cov tsos mob ntawm MDD, tab sis tsis nyhav dua. Tus nqi ntawm DD cov menyuam yaus yog 3 feem pua. Raws li Dr. Daniel Klein thiab cov npoj yaig, uas tau luam tawm txoj kev tshawb fawb hauv Phau Tsom Cai Kev Ntsuam Txog Kev Puas Hlwb hauv xyoo 2008, 75 feem pua ntawm cov me nyuam mus rau MDD. Kev sib xyaw ntawm MDD thiab DD nws yog xam ob txoj kev nyuab siab.
Cov nqi them rov qab rau dysthymic disorder yog siab ntawm cov menyuam, tshwj xeeb tshaj yog cov kev kho mob uas tsim nyog. Rov ua dua, yog li rov qab kis dua. Dr. Klein thiab cov npoj yaig pom tau hais tias qhov rov qab ua rau DD muaj kwv yees li 70% tshaj 10 xyoo ntawm cov menyuam yaus. Tsis tas li ntawd, nws tau tshaj tawm tias ntev dua tus me nyuam nrog DD, nws yuav yog tus paub MDD los yog DD.
Kev puas siab puas ntsws Bipolar hauv Menyuam
Kev nyuaj siab tshwm sim tuaj yeem yog ib feem ntawm kev puas siab puas ntsws bipolar.
Qhov no yog ib qho mob uas tus me nyuam muaj kev ntxhov siab xws li kev nyuaj siab heev.
Muaj qee qhov kev tsis txaus siab tshaj txoj kev kuaj mob ntawm kev puas siab puas ntsws bipolar hauv cov menyuam yaus. Txawm li cas los xij, Dr. Elizabeth Weller, tus kws kho mob uas nws saib xyuas txog thaum yau BD raug tshaj tawm hauv Kev Hloov Psychiatric hauv xyoo 2002, qhia tias thaum BD tsis tshua muaj me nyuam yaus, nws tshwm sim thiab feem ntau tsis tuaj yeem yuam kev.
Qhov pib rau BD yog feem ntau lig thaum tiav hluas nkauj los yog laus thaum laus, tab sis tuaj yeem tshwm sim rau cov me nyuam yaus. Cov tsos mob ntawm BD rau cov me nyuam yaus yog txawv tshaj li ntawm cov laus: Cov menyuam yaus ua ntej hnub nyoog 9 xyoo rov tuaj yeem ua kom meem txom thiab puas siab ntsws nrawm, muaj ntau dua, rov muaj dua li qee cov kev mob tshwm sim, cov kab mob paranoia, thiab cov paj hlwb.
Tom qab lub hnub nyoog 9 xyoo, cov tsos mob BD zoo ib yam li cov laus nrog BD: Kev ua haujlwm lossis kev zoo siab heev; kev pheej hmoo; kev muaj peev xwm ua rau me me los yog tsis tsaug zog; sib tw kev xav; yoojyim lossis nrov nrov; disorganization; thiab ua tiav kev txawj ntse ntawm lub peev xwm lossis kev ua tiav.
Ib xyoo 2007 tso tawm los ntawm NIMH tau qhia tias feem ntau ntawm cov me nyuam muaj kev puas siab puas ntsws bipolar yog kwv yees li 1%, uas yog plaub caug rov saud tshaj 10 xyoo.
Kev kho yog ib qho tsim nyog rau cov me nyuam uas muaj cov kab mob BD tau ua rau nws lub txim loj, xws li kev kawm tsis zoo, cuam tshuam txog kev sib raug zoo ntawm tus kheej, kev quav yeeb tshuaj, thiab kev tua tus kheej. Cov tshuaj noj yuav pab tau koj tus menyuam txoj kev xav, tab sis BD yog ib txoj kev tsis haum neej.
Cov Niam Txiv Ua Tau Dab Tsi
Yog tias koj pom cov tsos mob ntawm kev nyuaj siab hauv koj tus menyuam, nrog tus kws kho mob tham tam sim ntawd. Ib tus kws kho mob tuaj yeem txiav txim seb muaj mob vim li cas thiab pom zoo kho thaum tsim nyog.
Thaum nws muaj peev xwm ua rau nws ntshai tias koj tus me nyuam muaj kev nyuab siab, nws tsis yog "lub neej txoj sia". Nrog kev kho mob thiab kev txhawb nqa, koj tus me nyuam tuaj yeem rov qab tau thiab nyiam nws thaum yau.
Qhov chaw:
Mental Association Association. Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Kho Dua Tshiab. Washington, DC: Koom Haum American Association; 2000.
Kev Nyuaj Siab thiab Kev Tua Yus Tus Kheej hauv Cov Menyuam Yaus thiab Cov Hluas. Ib Daim Ntawv Tshaj Qhia ntawm Tus Phais Mob Nthuav Dav Dav. http://mentalhealth.about.com/library/sg/chapter3/blsec5.htm
Jim Rosack. "Kev puas siab puas ntsws Bipolar ntau zaus rau Cov Me Nyuam, Cov Kws Paub Hais Tias." Psychiatric News , Lub Xya Hli 5, 2002 37 (13): 26.
NCHS Cov Ntaub Ntawv Qhia Txog: Kev nyuaj siab hauv Tebchaws Asmeskas Cov Pejxeem, 2005-2006. Cov Chaw Rau Kev Kho Mob. https://www.cdc.gov/nchs/data/databriefs/db07.htm
Tshaj Xov Xwm: Cov Ntaus Nkaus Bipolar Nyob Hauv Cov Hluas Taws Tawm Ntxov, Kev Kho Mob Zoo Sib Xws Lawm. Lub Cuaj Hlis 03, 2007. Lub Tebchaws Lub Koom Haum Ntawm Kev Puas Siab Puas Ntsws. https://www.nimh.nih.gov/news/science-news/2007/rates-of-bipolar-diagnosis-in-youth-rapidly-climbing-treatment-patterns-similar-to-adults.shtml
Cov Cim Qhia Teeb thiab Cov Tsos Mob ntawm Kev Ntsuam Xyuas Dab Tsi? National lub koom haum rau Kev Puas Siab Puas Ntsws. https://www.nimh.nih.gov/health/publications/depression/index.shtml