Dsm iv tr pdf download

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The main contribution of this work consists of facilitating computerized and universal algorithms for obtaining automatically any DSM-IV diagnosis in three categories present, absent and not evaluable due to the lack of information starting from a vector that includes all the criteria for that disorder.

This study will also contribute to endowing the classification system most used in psychopathology DSM-IV with greater methodological rigour. Jen Marie. Darin Dougherty. Ayla Michelle Demir. Alejandra De la Cruz. Christine Skotzko. Log in with Facebook Log in with Google. Remember me on this computer.

Enter the email address you signed up with and we'll email you a reset link. Need an account? Click here to sign up. Download Free PDF. Diagnostic and statistical manual of mental disorders. Jess M De anda. Cohen, Flamm, Hanin, Pfaehler, and Shellow who helped with the planning of our work. Several other individuals have our special gratitude. Wendy Davis, Nancy Vettorello, and Nancy Sydnor-Greenberg developed and implemented an organizational structure that has kept this complex project from spinning out of control.

The need for a classification of mental disorders has been clear throughout the history of medicine, but there has been little agreement on which disorders should be included and the optimal method for their organization. The many nomenclatures that have been developed during the past two millennia have differed in their relative emphasis on phenomenology, etiology, and course as defining features.

Some systems have included only a handful of diagnostic categories; others have included thousands. Moreover, the various systems for categorizing mental disorders have differed with respect to whether their principle objective was for use in clinical, research, or statistical settings.

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Ansar Haroun. International Journal of Methods in Psychiatric Research. Ive Rosario. This work addresses methodological and conceptual issues related to the translation of the DSM-IV diagnoses from verbal language into formal language through computerized algorithms, with the aim of guaranteeing its quality.

A great number of biases can affect this process, so the main difficulties connected with each phase are outlined, proposals to standardize the process are advanced, and practical solutions to avoid errors in the formal diagnostic definitions are presented. Moreover, because the standardization of the process that creates the diagnoses in programming language requires the homogenization of the variable names and the codification formats, we have produced a proposal compatible with the verbal language for identifying, through letters and numbers, all the DSM-IV criteria.

The main contribution of this work consists of facilitating computerized and universal algorithms for obtaining automatically any DSM-IV diagnosis in three categories present, absent and not evaluable due to the lack of information starting from a vector that includes all the criteria for that disorder. This study will also contribute to endowing the classification system most used in psychopathology DSM-IV with greater methodological rigour.

Jen Marie. Darin Dougherty. Ayla Michelle Demir. Alejandra De la Cruz. Christine Skotzko. Log in with Facebook Log in with Google. Remember me on this computer. The disturbance is not better accounted for by a mood disorder with psychotic features, schizoaffective disorder, or schizophrenia and is not due to the direct physiologic effects of a substance e.

Gangguan ini tidak memenuhi kriteria gangguan mood dgn gambaran psikotik,skizoafektif,atau skizofrenia dan tidak disebabkan ole efek fisiologis darizat medikasi,penyalahgunaan obat atau kondisi medis umum. Five or more of the following symptoms have been present during the same 2 week period and represent a change from previous functioning: at least one of the symptoms is either 1 depressed mood or 2 loss of interest or pleasure Note: Do not include symptomsthat are clearly due to a general medical condition, or mood-incongruent delusions or hallucinations.

Adanya 5 ataulebih gejala2 berikut yg telah berlangsung dalam 2 minggu yg sama dan menunjukan perubahan dari fungsi2 sebelumnya dimana salah satunya adalah mood depresif atau kehilangan minat atau rasa senang. Note : in children and adolescents, can be irritable mood. Mood depresi berlangsung sepanjang hari pada hampir setiap hari sebagaimana dikeluhkan secara subjektif merasa sedih atau hampa atau diamati orang lain terlihat berlinangan airmata.

Cat pada anak dan remaja tampil sebagai mood irritable. The symptoms do not meet criteria for a mixed episode. Gejala2 tdk memenuhi kriteri episode campuran. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning Gejala2 menyebabkab penderitaaan yg bermakna klinis atau hambatan sosial,pekerjaan atau area penting kehidupan lainnya.

The symptoms are not due to the direct physiologic effects of a substance e. The symptoms are not better accounted for by bereavement i. Gejala2 tidak termasuk: keadaan dukacita mis. Adanya Episode Depresi Mayor tunggal. Tidak pernah ada episode Mania,Hipomania atau Campuran. Adanya 2 atau lebih Episode Depresi Mayor.. Cata: kalau dianggap sbg episode yg berbeda maka harus ada interval 2 bulan berturut yg tdk memenuhi kriteria Episode Depresi Mayor..

Berat tanpa gambaran psikotik: adanya sejumlah gejala diagnostik lebih dari ringan dan sedang dimana nyata menggangu fungi2 okupasional, aktifits2 sosisl atau hub dgn sesama. Berat dgn gambaran psikotik: terdapat waham atau halusinasi, jika memungkinkan tentukan: -gambaran psikotik sesuai mood: waham dan halusinasi 2 yg menetap bertema khas depresi ttg ketidak mampuan, rasa bersalah, penyakit, kematian, nihilistik atu berhak menerima hukuman.

Dlm remisi parsial: kriteria penuh Episode Depresi Mayor tidak terpenuhi atau adanya periode tanpa gejala2 khas sedikitnya 2 bulan sesudah Episode Depresi Mayor terakhir jika bertumpang tindih dgn ggn Distimia maka diagnosis ini yg ditegakan saat kriteria penuh Episode Depresi Mayor tidak terpenuhi.

Dlm remisi penuh: tidak ada gejala dantanda bermakna Episode Depresi Mayor dlm 2 bulan terakhir. YTT DSM-IV-TR Diagnostic criteria for melancholic features specified Specify if: With melancholic features can be applied the current or most recent major depressive episode in major depressive disorder and to a major depressive episode in bipolar I or bipolar II disorder only if it is the most recent type of mood episode Gambaran melankolik dapat diterapkan pd episode Depresif Mayor terakhir atau kini dari ggn Depresif Mayor dan episode Depresif Mayor dlm ggn BipolarI atau II jika hal in adalah tipe tersering dari episode mood.

Either of the following, occurring during the most severe period of the current episode : 1 Loss of pleasure in all, or almost all, activities 2 Lack of reactivity to usually pleasureable stimuli does not feel much better, even temporarily, when something good happens Salah satu dibawah ini terjadi selama periode terparah episode kini: 1.

Three or more of the following: 1 Distinct quality of depressed mood i. Mood reactivity i. Two or more of the following feature: 1 Significant weight gain or increase in appetite 2 Hipersomnia 3 Leaden paralysis i.

Criteria are not met for with melancholic features or with catatonic features during the same episode. Tidak memenuhi criteria gambaran melankolis atau katatonik selama episode yg sama.

Gambaran klinis didominasi setidaknya oleh 2 hal berikut: 1. A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week or any duration if hospitalization is necessary. Adanya periode nyata dari mood2 elevasi,expansif atau irritable yg abnormal dan menetap sedikitnya 1 minggu atau lebih singkat dimana harus rawat inap.

During the period of mood disturbance, three or more of the following symptoms have persisted four if the mood is only irritable and have been present to a significant degree: Selama periode kekacauan mood diatas terdapat 3 gejala menetap ataulebih atau 4 jika moodnya hanya irritable dan pada derajat yg bermakna dari: 1 Infiated self-esteem or grandiosity rasa harga diri meningkat atau kebesaran.

Gejala2 diatas tidak memenuhi kriteri episode campuran. The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalization to prevebt harm to self or other, or there are psychotic features. Gangguan mood ini mampu merusak fungsi2 pekerjaan atau aktifitas2 sosial dgn sesama, atau dibutuhkan awat inap utk mencegah tindakan membahayakan diri sendir atau orang lain, atau adanya gambaran psikotik.

Gejala2 tidak disebabkan oleh efek fisiologis langsung dari zat medikasi,penyalahgunaan obat, atau terapi lainnya atau kondisi medis umum mis, hipertiroid.

Note : Maniclike episodes that are clearly caused by somatic antidepressant treatment e. Dlm remisi penuh: tdk ada gejala2 atau tanda2 khas sedikitnya 2 bulan sesudah Episode Mania terakhir. A distinct period of persistently elevated, expansive, or irritable mood, lasting throughtout 4 days, that is clearly different from the usual nondepressed mood.

Adanya periode nyata dari mood2 elevasi,expansif atau irritable yg abnormal dan menetap sedikitnya 4 hari yg mana jelas berbeda dgn mood non-depresi lazimnya. During the period of mood disturbance, three or more of the following symptoms have persisted four if the mood is only irritable and have been present to a significant degree Selama periode kekacauan mood diatas terdapat 3 gejala memnetap ataulebih atau 4 jika moodnya hanya irritable dan pada derajat yg bermakna dari: : 1.

Infiated self-esteem or grandiosity rasa harga diri meningkat atau kebesaran. Decreased need for sleep e. More talkative than usual or pressure to keep talking lebih aktif bicara dari biasanya atau dorongan kuat bicara terus-menerus. Flight of ideas or subjective experience that thoughts are racing lompat gagasan atau pikiran dirasakan seperti berpacu. Distractibility i. Increase in goal-directed activity either socially, at work or school, or sexually or psychomotor agitation peningkatan intensitas aktifitas yg bertujuan apakah disekolah, tempat kerja, lingkungan sosial, atau aktifitas sexual atau agitasi psikomotor 7.

Excessive involvement in pleasureable activities that have a high potential for painful consequences e. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic. Episode dimaksud berhubungan dgn nyatanya perubahan fungsi2 yg tidak sesuai dgn ybs ketika tidak adanya gejala.

The disturbance in mood and the change in functioning are observable by others. Gangguan mood dan perubahan2 fungsi diatas dapat diamati sesama. The episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization, and there are no psychotic features. Episodenya tidak cukup kuat merusak fungsi2 pekerjaan atau aktifitas2 sosial dgn sesama, atau dibutuhkan awat inap, atau adanya gambaran psikotik. Depressed mood for most of the day,for more days than not,as indicated elther by subjective account or observation by other.

For at least 2 years. Note: in children and adolescents,mood can be iritble and duration must be at least 1 year.

Berlangsungnya mood depresif hampir sepanjang dan setiap hari yg dikeluhkan ybs atau diamati sesama selama sedikitnya 2 tahun. Presence,while depressed,of trwo or more of the following: 1 poor appetite or overeating 2 insomnis or hypersomnia 3 low energy or fatigue 4 low self-esteem 5 poor concentration or difficulty making decisions 6 feelings of hopelessness Terdapatnya 2 ataulebih hal2 berikut: 1.

During the 2-yearperiod 1 year for children or adolescents of the disturbance, the person has never been without the symptoms in criteria A and B for more than 2 months at a time.

Tidak pernah bebas gejala2 kriteria A dan B lebih dari 2 bulan selama periode 2 tahun pertama gangguan 1 tahun untuk anak2 dan remaja. No mayor depressive episode has been present during the firs 2 years of the disturbance 1 year for children and adolescents ;l,e.

Tidak pernah terdapat episode Depresi Mayor selama periode 2 tahun pertama gangguan 1 tahun untuk anak2 dan remaja dan tidak dapat digolongkan sebagai Ggn Depresi Mayor kronis atau Ggn Depresi Mayor dlm remisi parsial. There has never been a manic episode, a mixed episode, or a hypomanic episode, and criteria have never been met for cyclothymic disorder.

Tidak pernah ada episode mania,campuran atau hipomania dan tidakmemenuhi kriteria siklotimia F. The disturbance does not accur exclusively during the course of a chronic psychotic disorder , such as schizophrenia or delusional disorder.

Gangguan ini tidak terjadi dalam perjalanan ggn psikotik kronis spt skizofrenia atau ggn waham. The symptoms are not due to the direct physiologic effects of a substance e,g.

Gejala2 tidak disebabkan oleh efek fisiologis langsung dari zat medikasi,penyalahgunaan obat atau kondisi medis umum mis, hipotiroid. The symptoms cause clinically significant distress or impairment in social,occupational, or other important areas of functioning. Gejala2 diatas menyebabkan penderitaan dan hambatan bermakna klinis dlm fungsi sosial,pekerjaan atau area fungsional penting lainnya.

Specify if: Early onset : if onset is before age 21 years Late onset : if onset is age 21 years or older Specity for most recent 2 years of dysthymic disorder : With atypical features Tentukan jika: Onset dini: jika dialami sebelum usia 21 tahun. Onset tertunda: jika dialami sesudah usia 21 tahun.

Tentukan jika pd 2 tahun terakhir dari ggn distimia :Dgn gambaran atipik From American Psychiatric Association. The presence of numerous periods with hypomanic symptoms and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode. Note: in children and adolescents, the duration must be at least 1 year. Sering munculnya periode gejala2 hipomania dan depresi yg tidak memnuhi kriteria episode depresi mayor sedikitnya selama 2 tahun. During the above 2 year period 1 year in children and adolescents , the person has not been without the symptoms in criterion A for more than 2 months at a time.

Selama periode 2 tahun diatas pada anak2 dan remaja durasi sedikitnya 1 tahun , ybs tidak pernah bebas dari gejala2 kriteria A lebihdari 2 bulan. No major depressive episode, manic episode, or mixed episodes has been present during the first 2 years of the disturbance.

Tidak pernah ada episode dpresi mayor, mania, atau campuran pada 2 tahun pertama ggn Note After the initial 2 years 1 year in children and adolescent of cyclothymic disorder, there may be superimposed manic or mixed episodes in Which case both bipolar I disorder and cyclothymic disorder may be diagnosed or major depressive episodes in which case both bipolar II disorder and cyclothymic, disorder may be diagnosed. The symptoms in criterion A are not better accounted for by schizoaffective disorder and are not superimposed on schizophreniform disorder, delusional disorder, or psychotic disorder not otherwise specified.

Gejala2 kriteria A tidak dapat digolongkan sebagai skizoafektif dan bertumpang tindih dgn ggn skizofrenia, skizofreniform, waham atau psikotik tak tertentukan.

The symptoms are not due to the direct physiologic effect of a substance e. Gejala tidak disebabkan oleh efek fisiologis langsung dari zat medikasi,penyalahgunaan obat atau kondisi medis umum mis, hipertiroid. The symptoms cause clinical significant distress or impairment in social, occupational , or other important areas of functioning. Code the specific diagnosis in which the panic attack occurs e.

Agoraphobia dgn panik. A discrete period of intense fear or discomfort, in wich four or more of the following symptoms developed abruptty and reached a peak within 10 minutes. Adanya suatu periode ketakutan mencekam atau tidak nyaman yg khas dimana gejala2 berikut terjadi mendadak dan memuncak dlm 10 menit: 1 palpitations, pounding heart, or accelerated heart rate palpitasi, jantung berdebar keras, atau berpacu.

Code the specific disorder in which Agoraphobia occurs e. Agoraphobia dgn panik atau tanpa riwayat panik. Anxiety about being in places or stuations from which escape might be diffucult or embarrassing or in which help might not be available in the even unexpected or situationally predisposed Panic attack or panic like symptoms.

Agoraphobia fears typically involve characteristic clusters of situations that include being outside the home alone, being in a crowd or standing in a line, being on bridge and traveling in abus, train or automobile.

Note: Consider the specific Phobia if the avoidance is limited to one or a few only a specific situations, or Social phobia if the avoidance limited to the social situations. Anxietas berada di tempat atau situasi dimana menyelamatkan diri mgk sulit atu memalukan atau tiada pertolongan pada saat terjadi serangan atau mirip panik yg tak terduga atau situasional.

Agoraphobia khas terjadi pd sekelompok situasi ketika sendirian diluar rumah, ditengah keramaian atau antrian, diatas jembatan, bepergian dgn bis, kereta api atau mobil. The situations are avoided e. Situasi2 diatas dihindari membatasi perjalanan atau terpaksa dijalani dgn berbeban atu dgn kecemasan akan mengalami serangan panik atau mirip atau membutuhkan teman pendamping.

The anxiety or phobic avoidance is not better accounted for by another mental disoerder such as Social Phobia, specific phobia, Obssesive-Compulsive disorder, Posttraumatic Stress disorder, Separation Anxiety disorder. Excessive anxiety and worry apprehensive expectation , occurring more days than not for a least 6 months, about a number of events or activities such as work or school performance. Kecemasan dan kekhawatiran berlebihan harap-harap cemaans pd berbagai kejadian atau kegiatan spt disekolah, tempat kerja yg berlangsung lebihdari 6 bulan.

The person finds it difficult to control the worry. Ybs menyadari tidak dapat mengendalikan kekhawatiran diatas. The anxiety and worry are associated with three or more of the following six simptoms with at least some simptoms present for more days than not for the past 6 months. Note: Only one item is required in children. Kecemasan dan kekhawatiran berhubungan dgn 3 atau lebih dari 6 gejala berikut yg berlangsung lebihdari 6 bulan. The focus of the anxiety and worry is not confined to features of on Axis I disorder, for example, the anxiety or worry is not about having a panic attack as in panic disorder , being embarassed in public as in social phobia , being contaminated as in obssesive-compulsive disorder , being away from home or close relatives as in separations anxiety disorder , gaining weight as in anorexia nervosa , having multiple physical complaints as in somatization disorder , or having a serious illness as in hypochondriasis , and the anxiety and worry do not occur exclusively during posttraumatic stress disorder.

Inti kecemasan dan kekhawatiran berlebihan ini mengambang, tidak jelas spt gambaran gangguan axis I. Contohnya kecemasan dan kekhawatiran bukan tentang akan mengalami serangan panik ggn panik , akan dipermalukan dimuka umum phobia sosial , tercemar OCD , jauh dari rumah atau saudara dekat ggn cemas perpisahan , menjadi gemuk anorexia nervosa , mengalami berbagai ggn somatis ggn somatisasi , memiiliki suatu penyakit serius hipokondriasis dan tidak terjadi hanya selama ggn cemas pasca trauma.

The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas or functioning. Kecemasan, kekhawatiran atau gejala2 fisik diatas menyebabkan penderitaan dan hambatan bermakna klinis dlm fungsi sosial,pekerjaan atau area fungsional penting lainnya.

Gangguan ini tidak disebabkan oleh efek fisiologis langsung dari zat medikasi,penyalahgunaan obat, atau terapi lainnya atau kondisi medis umum mis, hipertiroid dan tidak terjadi hanya selama ggn mood, psikotik atu suatu ggn perkembangan pervasif.

Marked and persistent fear that is excessive or unreasonable, cued by the presence or the anticipation of a specific object or situation e. Ketakutan menetap dan nyata yg berlebihan atau tidak masuk akal terhadap atu antisipasi objek spesifik atau situasi spt penerbangan, ketinggian,hewan, saat disuntik, melihat darah B. Exposure to the phobic stimulus almost invariably provokes an immediate anxiety respons, which may take the form of a situationally predisposed panic attack. Note: in children, the anxiety may be expressed by crying, tantrums, C.

Ketika terpapar pd stimulus phobik hampir selalu mencetus kecemasan mendadak yg dapat menjadi serangan panik berkaitan dgn hal itu. The person recognizes that the fear is excessive or unreasonable.

Note: in children, this feature may be absent. Ybs menyadari ketakutan ini berlebihan atau tidak masuk akal. Pada anak hal ini tidak ada. The phobic situation s is avoided or else is endured with intense anxiety or distress Situasi2 phobik dihindari atau dijalani dgn kecemasan kuat atau penderitaan. Penghindaran, kecemasan antisipatif, atau penderitaan pada situasi2 yg ditakutkan menganggu secara bermakna pd rutinitas normal ybs,pekerjaan atau akademik atau aktifitas sosial atau hubungan lainnya atau adanya penderitaan yg nyata ttg phobianya.

In individuals under age 18 years, in the duration is eat least 6 months. Jika berusia kurang dari 18 tahun maka durasinya minimal 6 bulan. The anxiety, panic attacks, or phobic avoidance associated with the specific object or situations is not better accounted for by another mental disorder, such as obssesive-compulsive disorder e. Kecemasan, serangan panik, penghindaran objek atau situasi spesifik tidak dapat dikategorikan pd ggn mental lainnya spt OCD,PTSD, Kecemasan perpisahan, Phobia sosial, panik dgn agoraphobia atau agora phobia tanpa riwayat panik.

Specity type: Animal type Natural environment type e. A marked an persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to posible scrutiny by others. The individual fears that he or she will act in a way or show anxiety symptoms that will be humiliating or embrassing. Note: In children, there must be evidence of the capacity for age approppriate social relationships with familiar people and the anxiety must occur in peer settings, not just in interactions with adults.

Ketakutan yg nyata dan menetap dari 1 atau lebih situasi atau penampilan dimana ybs terpapar dgn orang2 yg tidak dikenal atau merasa ditelanjangi oleh org lain. Ketakutan2 individu yaitu dia akan bertingkah atau menunjukan gejala ansietas yg akan dihina atau dipermalukan.

Exposure to the feared social situation almost invariably provokes anxiety, which may take the form of a situasionally bound or situasionally predisposed panic attack. Note: In children, the anxiety may be expressed by crying, tantums, freezing, or shrinking from social situations with unfamiliar people. Ansietas hampir selalu tercetus ketika terpapar dgn stuasi2 sosial terkait yg ditakutkan yg mgk saja merupakan predisposisi terhadap serangan panic. Note: In children, this feature may be absent.

Ketakutan mana disadari ybs sbg berlebihan atau tidak beralasan. The feared social or performance situations are avoided or else are endured with intense anxiety or distress. Situasi2 sosial atau penampilan yg ditakuti dihindarinya atau dijalani dgn ansietas yg kuat atau menderita karenanya. The avoidance, anxious anticipation, or distress in the feared social or performance situation s interferes significantly with the person's normal routine,occupational academic functioning, or social activities or relationships, or there is marked distress about having the phobia.

Penghindaran, kecemasan antisipatif atau penderitaan dlm situasi2 sosial atau penampilan yg ditakuti menginterfensi secara bermakna dlm rutinitas noramal, fungsi okupasi akademik atau hubungan2 adan aktifitas social pasien atau adnya penderitaan yg nyata ok mengalami fobia ini. In individuals under age 18 years, the duration is at least 6 months. Other obsession or compulsions: Obsesi2 atau kompulsi2 lainnya: Obsession as defined by 1 , 2 , 3 , and 4 : Obsesi yg didefinisikan pada 1.

Recurrent and persistent thoughts, impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress Pikiran2 berulang dan menetap, dorongan2 atau khayalan yg dialami dalam waktu ttt selama gangguan ini sebagai sesuatu yg tak diundang dan tidak sesuai yg menyebabkan ansietas nyata ataupun penderitaan 2. The thoughts, impulses, or images are not simply excessive worries about real-life problems Pikiran2, dorongan2 atau khayalan2 diatas bukanlah hanya kekhawatiran berlebihan ttg problema2 kehidupan sehari2 3.

At some point during the course of the disorder, the person has recognized that the obsessions or compulsions are excessive or unreasonable. Note: This does not apply to children. Pd suatu titik dlm perjalanan ggn ini, ybs menyadari bhw obsesi2 atau kompolsi2 diatas adalah berlebihan atau tidak beralasan. If another Axis 1 disorder is present, the content of the obsessions or compulsions is not restricted to it e.

Jiak terdapat juga ggn axis I lainnya, isi dari obsesi2 atau kompulsi2 tidak terbatas padanya mis. The disturbance is not caused by the direct physiologic effect of a substance e. Gangguan ini tidak disebabkan efek fisilogis lsg dari zat drug abuse, medikasi atau suatu kondis medis umum Specify if: With poor insight: if, for most of the time during the current episode, the person does not recognize that the obsessions and compulsions are excessive or unreasonable Tentukan jika: dgn tilikan buruk: jika pd hampir selama episode terakhir, ybs tdk menyadari obsesi2 dan kompulsi diatas adalah diatas berlebihan atau tidak beralasan From American Psichiatric Association, Diagnostic and Statistical Manual of Mental Disorder, text revision, 4th ed.

The person has been exposed to a traumatic event in which both of the following were present: Ybs selama ini terpapar dgn kejadian traumatis dimana terdapat kedua hal berikut: 1. Note: in children, this may be expressed instead by disorganized or agitated behavior.

Respons2 ybs melibatkan ketakutan, ketidakberdayaan atau horor. The traumatic event is persistently reexperienced in one or more of the following ways. Note: in young children, repetitive play may occur in which themes or aspects of the trauma are expressed.

Perulangan dan kenangan2 kejadian yg bersifat intrusive dan menderitakan termasuk bayangan2, pikiran2, atau persepsi2nya. Recurrent distressing dreams of the event. Note: in children, there may be frightening dreams without recognizable content. Berulangnya mimpi2 menderitakan dari kejadian itu.

Acting or feeling as if the traumatic event were recurring includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated.

Note: in young children, trauma-specific reenactment may occur. Berperangai atau merasakan seakan2 kejadian traumatis itu kembali terjadi termasuk perasan meghidupkan kembali pengalaman, ilusi2, halusinasi2 dan episode2 disosiatif pengingatan kembali baik yg terjdi wkt terjaga atau ketika mabuk.

Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event Mengalami penderitaan psikologis yg meningkat saat terpapar dgn kata atau kode internal atau eksternal yg menyimbolkan atau menyrupai suatu aspek dari kejadian trumatis tsb 5. Physiologic reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event Terjadi reaktifitas fisiologis saat terpapar dgn kata atau kode internal atau eksternal yg menyimbolkan atau menyrupai suatu aspek dari kejadian trumatis tsb C.

Persistent symptoms of increased arousal not present before the trauma , as indicated by two or more of the following. Gejala2 menetap dari peningkatan kewaspadaan tidak ada sebelum trauma spt yg ditunjukan oleh 2 atau lebih hal2 berikut: 1. Hypervigilance Kewaspadaan berlebihan 5.

Duration of the disturbance symptoms in criteria B,C, and D is more than 1 month. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Ggn ini menyebabkan penderitaan yg bermakna klinis atau hambatan dlm area social, okupasional atau area fungsional penting lainnya.

Specify if: Acute: if symptoms last less than 3 month Chronic: if symptoms last 3 months or more Tentukan jika: Akut: jika gejala2 berlangsung From American Psychiatric Association.

Diagnostic and Statistical Manual of Mental Disorder, text revision, 4th ed. A history of many physical complaints beginning before age 30 years that occur over a period of several years and result in treatment being sought or significant impairment in social, occupational, or other important areas of functioning.

Adanya riwayat keluhan-keluhan fisik yang dimulai sebelum usia 30 tahun yang berlangsung dalam periode beberapa tahun dan mencari-cari penyembuhannya atau terjadi hambatan bermakna dalam fungsi-fungsi sosial, pekerjaan, atau area penting lainnya. Each of the following criteria must have been met, with individual symptoms occurring at any time during the course of the disturbance Setiap kriteria berikut selama ini harus terpenuhi dimana gejala-gejala individu terjadi pada suatu waktu dalam perjalanan gangguan: 1.

Four pain symptoms ; a history of pain related to at least four different sites or functions e. Two gastrointestinal symptoms : a history of at least two gastrointestinal symptoms other than pain e. One sexual symptom : a history of at least one sexual or reproductive symptom other than pain e. One pseudoneurologic symptom : a history of at least one symptom or deficit suggesting a neurologic condition not limited to pain conversion symptoms such as impaired coordination or balance, paralysis or localized weakness, difficulty swallowing or lump in throat, aphonia, urinary retention, hallucinations, loss of touch or pain sensation, double vision, blindness, deafness, seizures ; dissociative symptoms such as amnesia ; or loss of consciousness other than fainting.

Either 1 or 2 Adanya 1 atau 2: 1. After appropiate investigation, each of the symptoms in Criterian B cannot be fully explained by a known general medical condition or the direct effects of a substance e.

Setelah penelitian yang sesuai; gejala-gejala pada kriteria B tidak dapat dijelaskan berdasarkan kondisi medis umum yang dikenal atau efek langsung dari zat penyalahgunaan obat atau medikasi 2.

When there is a related general medical condition, the physical complaints or resulting social or occupational impairment are in excess of what would be expected from the history, physical examination, or laboratory findings. Ketika ada kaitan dengan suatu kondisi medis umum, keluhan-keluhan fisik atau hambatan sosial atau pekerjaan adalah berlebihan berdasarkan riwayat, pemeriksaan fisik atau temuan-temuan laboratorium.

The symptoms are not intentionally feigned or produced as in factitious disorder or malingering. Gejala2 tidak dimaksudkan dibuat-buat atau disengaja seperti pada gangguan buatan atau malingering. One or more symptoms or deficit affecting voluntary motor or sensory function that suggest to neurogical or other general medical condition. Psychological factors are judged to be associated with the symptom or deficit because the initiation oe exacerbation of the symptom or deficit in preceded by conflicts or other stressor.

Faktor psikologis ditenggarai berhubungan dengan gejala atau defisit oleh karena permulaan atau eksaserbasinya didahului konflik atau streso lainnyar. The symptom or deficit is not intentionally produced or feigned as in factitious disorder or malingering. Gejala-gejala atau defisit-defisit tidak dimaksudkan demikian atau dibuat-buat seperti pada gangguan buatan atau malingering.

The symptom or deficit cannot, after appropriate investigation, be fully explained by a general medical condition, or by the direct effects of a culturally sanctioned behaviour or experience. Sebuah penelitian yang sesuai, gejala atau defisit tidak dapat dijelaskan sebagai suatu kondisi medis umum atau efek langsung zat, atau sebagai budaya lokal atau pengalaman.

The symptom or deficit causes clinically significant distress or impairment in social, occupational or other important areas of functioning or warrants medical evaluation.

Gejala dan defisit menyebabkan penderitaan klinis atau hambatan nyata dalam fungsi-fungsi sosial, pekerjaan atau area penting lainnya atau dapat surat evaluasi status kesehatan.. 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. Gejala dan defisit tidak terbatas pada nyeri atau disfungsi sexual, tidak terjadi dalam perjalanan gangguan somatisasi dan bukanjenis gangguan mental lainnya.

Spesify type of symptom or deficit : With motor symptom or deficit With sensory symptom or deficit With seizures or convulsions With mixed presentation. Tentukan tipe gejala dan defisit: a. Pain in one or more anatomic sites is the predominat focus of the clinical presentation and is of sufficient severity to warrant clinical attention.

Nyeri pada 1 atau lebih distribusi anatomis adalah fokus yang menonjol dari gambaran klinis yang cukup parah sehingga diperhatikan secara klinis. The pain causes clinically significant distress or impairment in social, occupational, or other important area of functioning. Nyeri tersebut menyebabkan penderitaan atau gangguan yang bermakna klinis di area sosial, pekerjaan, atau area penting lainnya.

Psychological factors are judged to have an important role in the onset , severity, exacerbation, or maintenance of the pain. Faktor psikologis ditenggarai berperan penting dalam onset, keparahan, eksaserbasi atau menetapnya nyeri. Gejala-gejala atau defisit tidakdimaksudkan demikian atau berpura-pura seperti pada gangguan buatan atau malingering.

The pain is not better accounted for by a mood , anxiety, or psychotic disorder and does not meet criteria for dyspareunia. Nyeri tidak dapat dikategorikan sebagai gangguan mood, anxietas atau psikotik dan tidak memenuhi kriteria dispareuni.

Code as follows : Pain disorder associated with psychological factors : psychological factors are judge to have the major role in the onset , severity, exacerbation, or maintenance of the pain. If a general medical condition is present , it does not have a major role in the onset , severity, exacerbation, or maintenance of the pain.

This type of pain disorder is not diagnosed if criteria are also met for somatization disorder. Pengkodean: Gangguan nyeri terkait faktor psikologis: faktor-faktor psikologis ditenggarai berperan penting dalam onset, keparahan, eksaserbasi atau menetapnya nyeri jika terdapat suatu kondisi medis umum maka hal itu bukan utama.

Tipe gangguan nyeri ini tidak didiagnosa jika memenuhi kriteria gangguan somatisasi. Specify if : Acute : duration of less than 6 months Chronic :duration of 6 months or longer Pain disorder associatedwith both psychological factors and a general medical condition : both psychological factors and a general medical condition are judged to have important roles in the onset, severity, exacerbation, or maintenance of the pain. The associated general medical condition or anatomic site of the pain.

The associated general medical condition or anatomic site of the pain is coded on axis III. Kondisi medis umumdam lokasi anatomisnya dimasukan pada axis III Specify if : Acute :duration of less than 6 months Chronic :duration of 6 months or longer.

Preokupasi dengan ketakutan bahwa yang bersangkutan mempunyai atau adanya idea tentang penyakit serius berdasarkan misinterpretasi ybs dengan gejala-gejala tubuhnya.

The preoccupation persists despite appropriate medical evaluation and reassurance. Preokupasi ini menetap meskipun adanya evaluasi medis yang memadai disertai penjelasan utk meyakinkannya. The belief in Criterian A is not of delusional intensity as in delusional disorder, somatic type and is not restricted to a circumscribed concern about apperance as in body dysmorphic disorder.

Keyakinan pada A tidak setingkat waham seperti pada gangguan waham tipe somatis dan tidak hanya pada kepedulian tentang penampilan seperti pada gangguan dismorfik.

The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Preokupasi ini menyebabkan penderitaan yang bermakna klinis atau di area-area sosial, okupasional, dan yang penting lainnya.

The duration of the disturbance is at least 6 months. Durasi gangguan sedikitnya 6 bulan. The preoccupation is not better accounted for by generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, a major depressive episode, separation anxiety, or another somatoform disorder.

Preokupasi tidak dapat digolongkan sebagai gangguan cemas menyeluruh, OCD, panik, depresif mayor, cemas perpisahan atau gangguan somatoform lainnya. Specify if : With poor insight : if, for most of the time during the current episode, the person does not recognized that the concern about having a serious illness is excessive or unreasoneable. Tentukan jika: dengan tilikan buruk maka pada sepanjang waktu, terutama kini, yang bersangkutan tidak menyadari bhw keprihatinan mampunyai suatu penyakit serius adalah berlebihan atau tidak beralasan.

Preoccupation with an imagined defect in appearance. Preokupasi dengan defek imajinasi pada penampilan. Jika terdapat anomali fisik yang ringan maka kepeduliannya thd hal itu sangat berlebihan. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important area of functioning. The preoccupation is not better accounted for by another mental disorder e.

Preokupasi ini tidak dapat digolongkan pada gangguan mental lainnya mis. One or more physical complaints e. Adanya 1 atau lebih keluhan fisik seperti keletihan, hilang nafsu makan, keluhan saluran cerna dan kencing B. Either 1 or 2 : 1 Other appropriate investigation, the symptoms cannot be fully explained by a known general medical condition or the direct effects of a substance e. Adanya 1 atau 2 : C. Setelah penyelidikan yg sesuai, gejala-gejala tidak dapat dijelaskan sebagai suatu kondisi medis umum atau sebagai suatu efek langsung zat drug abuse, medikasi.

Ketika ada keterkaitan dengan gangguan kondisi medis umum maka keluhan-keluhan fisiknya atau fungsi sosial atau okupasi terganggu berlebihan berdasarkan riwayat, pemeriksaan fisik atau temuan laboratoris yg ada. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Gejala-gejala diatas menyebabkan penderitaan dengan hambatan bermakna klinis dalam fungsi sosial, okupasi atau area penting lainnya..

Durasi sedikitnya 6 bulan The disturbance is not better accounted for by another mental disorder e. Gangguan ini tidak dapat dikategorikan sebagai gangguan mental lainnya misalnya gangguan somatoform lainnya, disfungsi sexual, gangguan mood, anxietas, atau psikotik.

The symptom is not intentionally produced or feigned as in factitious disorder or malingering. Gejala-gejala tidak dimaksudkan demikian atau berpura-pura seperti pada gangguan buatan atau malingering. Examples include: Kategori ini termasuk gangguan2 dgn gejala2 somatoform yg tidak sesuai dgn kriteria ggn somatoform spesifik,contohnya: 1. Pseudocyesis: a false belief of being pregnant that is associated with objective signs of pregnancy, which may include abdominal enlargement although the umbilicus does not become everted, reduced menstrual flow, amenorrhea, subjective sensation of fetal movement, nausea, breast enlargement and secretions, and labor pains at the expected date of delivery.

Endocrine changes may be present, but the syndrome cannot be explained by a general medical condition that causes endocrine changes e. Pseudocyesis: suatu keyakinan palsu menjadi hamil dikaitkan dgn tanda2 kehamilan diantaranya pembesaran perut meskipun umbilicus tidak eversi, tidak terlambatnya haid, ammenorrhea, merasa ada gerakan janin, nausea, pembesaran ammae dan adanya sekresi serta nyeri partus pada waktunya.

A disoreder involving nonpsychotic hypochondriacal symptoms of less than 6 months duration. Gangguan tentang gejala hipokondriasis nonpsikotik yg berlangsung sedikitnya 6 bulan 3. A disorder involving unexplained physical complaints e. Gangguan dgn keluhan2 fisik yg tdk dpt dijelaskan spt keletihan atau kelemahan tubuh yg berlangsung sedikitnya 6 bulandan bukan dikarenakan ggn mental lainnya.

The predominant disturbance is one or more episodes of inability to recall important personal information, usually of traumatic or stressful nature, that is too extensive to be explained by ordinary forgetfulness. Ggn menonjol pd ketidakmampuan mengingat kembali informasi penting pribadi yg terjadi 1 kali atau lebih episode, biasanya ada riwayat traumatis atau kejadian sgt berat, yg terlalu luas dijelaskan dgn kelupaan biasa. The disturbance does not occur exclusively during the course of dissociative identity disorder, dissociative fugue, posttraumatic stress disorder, or somatization disorder and is not due to direct physiologic effects of a substance e.

Ggn ini tdk hanya terjadi selama perjalanan ggn2 Disosiatif Idntitas atau Fugue, Stres Pasca Trauma, Stres Akut, Somatisasi dan bukan krn efek fisiologis lsg suatu zat penyalahgunaan obat, medikasi atau kondisi neurologis atau medis umum lainnya mis.

Ggn Amnesia ok Trauma Capitis. Gangguan utama terjadi tiba-tiba, meninggalkan rumah atau tempat seseorang biasa bekerja, dengan ketidakmampuan untuk mengingat masa lalu. Confusion about personal identity or assumption of a new identity partial or complete. Bingung dengan identitasnya atau mengira identitas baru sebagian atau seluruhnya C. The disturbance does not occur exclusively during the course of dissociative identity disorder and is not due to direct physiologic effects of a substance e.

Gangguan semata-mata tidak timbul selama terjadinya disosiasi kekacauan identitas dan tidak ok efek fisiologis langsung dari substansi drug abuse, medikasi atau kondisi medik umum mis. Epilepsi lobus temporalis D. Gejala-gejala menyebabkan distress yang penting secara klinik atau kerusakkan sosial, masalah pekerjaan, atau daerah yang berhubungan dengan fungsi lainnya. Adanya pengalaman berulang atau menetap ybs meras terlepas dari proses mental atau tubuhnya seakan dari luar mengamati tubuhnya mis.

During the personalization experience, reality testing remains intact. Tes realitas tetap utuh selama pengalaman personalisasi.

The depersonalization causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Depersonalisasi diatas menyebabkan penderitaan atau hambatan yg bermakna klinis dlm bidang2 sosial, okupasional, atau fungsional penting lainnya The depersonalization experience does not occur exclusively during the course of another mental disorder, and is not due to the direct physiologic effects of a substance e.

Pengalaman Depersonalisasi ini tdk hanya terjadi selama perjalanan ggn2 mental lainnya spt Skizofrenia, Panik, Stres Akut, atau disosiatif lainnya dan tdk disebabkan oleh efek fisiologis lsg suatu zat penyalahgunaan obat, medikasi atau kondisi medis umum lainnya mis. Epilepsi Lobus Temporalis. Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate lubrication swelling response of sexual excitement.

Adanya ketidakmampuan menetap atau berulang mencapai atau mempertahankan aktifitas seksual sampai lengkap yaitu adanya rspons lubrikasi dari ransangan seksual. The disturbance causes marked distress or interpersonal difficulty. Ggn ini menyebabkan penderitaan nyata atau adanya kesulitan hubungan antarpersonal. The sexual dysfunction is not better accounted for by another Axis I disorder except another sexual dysfunction and is not due exclusively to the direct physiologic effects of a substance e.

Disfungsi seksual ini tdk dpt digolongkan pd ggn axis I lainnya kecuali disfungsi seksual lainnya dan tdk hanya disebabkan oleh efek fisiologis lsg suatu zat penyalahgunaan obat, medikasi atau kondisi medis umum. Persistent or recurrent delay in, or absense of, orgasm following a normal sexual excitement phase. Women exhibit wide variability in the type or intensity of stimulation that triggers orgasm. The diagnosis of female orgasmic disorder should be based on the clinician's judgement that the woman's orgasmic capacity is less than would be reasonable for her age, sexual experience, and the adequacy of sexual stimulation she receives.

Tertundanya atau tidak adanya orgasme setelah fase peransangan normal yg terjadi menetap atau berulang. Wanita menunjukan variasi yg luas dlm tipe atau stimulasi yg mencetus orgasme. Diagnosa berdasrkan penilaian klinikus bahwa kapasitas orgasmenya kurang dari yg diharapka berdasarkan umur, pengalaman seksual dan adekuatnya stimulasi seksual yg diterimanya. The orgasmic dysfunction is not better accounted for by another Axis I disorder except another sexual dysfunction and is not due exclusively to the direct physiologic effects of a substance e.

Disfungsi orgasmik tdk dpt digolongkan pd ggn axis I lainnya kecuali disfungsi seksual lainnya dan tdk hanya disebabkan oleh efek fisiologis lsg suatu zat penyalahgunaan obat, medikasi atau kondisi medis umum. Specify type: Lifelong type Acquired type Generalized type Situational type Due to psychological factors Due to combined factors.

Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate erection. Adanya ketidakmampuan menetap atau berulang mencapai atau mempertahankan aktifitas seksual sampai lengkap yaitu ereksi adekuat. The erectile dysfunction is not better accounted for by another Axis I disorder other than a sexual dysfunction and is not due exclusively to the direct physiologic efects of a substance e.

Disfungsi ereksi tdk dpt digolongkan pd ggn axis I lainnya selain disfungsi seksual lainnya dan tdk hanya disebabkan oleh efek fisiologis lsg suatu zat penyalahgunaan obat, medikasi atau kondisi medis umum. A strong and persistent cross-gender identification not rarely a desire for any perceived cultural advantages of being the other sex. In children, the disturbance is manifested by four or more of the following Identifikasi diri yg kuat dan menetap pd kelamin berbeda bukan hanya hasrat yg diterima budaya lokal menjadi kelamin berbeda.

Pd anak2 ggn ini tampil sbg 4 atau lebih hal2 berikut: 1. Repeatedly stated desire to be, or insistence that she or she is, the other sex mengungkapkan hasrat berulang2 atau memaksakan dirinya adalah jenis kelaminyg berbeda. In boys, preferences for cross-dressing or stimulating female attire; in girls, insistence on wearing only stereotypical masculine clothing pd anak laki-laki, adanya kesukaan memakai atau seakan2 memakai baju perempuan; pd anak perempuan, dia bersikeras memakai hanya pakaian stereotipik maskulin.

Strong and persistent preferences for cross-sex roles and makebelieve play or persistent fantasizes of being the other sex kesukaan yg kuat dan menetap berperan sbg kelamin lainnya dan permainan rekaannya atau fantasi menetap menjadi kelamin lainnya. Intense desire to participate in the stereotypical games and pastimes of the other sex hasrat yg kuat utk ikutserta dlm permainan2 stereotipik atau pengisia waktu luang dari kelamin berbeda.

Strong preference for playmates of the other sex hasrat yg kuat menjadi teman bermain kelamin lainnya. In adolescent and adults, the disturbance is manifested by symptoms such as a states desires to be the other sex, frequent passing as the other sex, desire to live or be treated as the other sex, of the conviction that he or she has the typical feelings and reactions of the other sex. Pada kelompok remaja dan dewasa, ggn berwujud sbg gejala2 hasrat pasti menjadi kelamin lain, sering menyamar sbg kelamin lainnya, berkehendak hidup atau diperlakukan sbg kelamin lainnya, atau adanya keyakinan bahwa ybs mempunyai perasaan tipikal dan reaksi2 kelamin lainnya.

Persistent discomfort with his other sex or sense inappropriateness in gender role of that sex. Ketidaknyamanan menetap dgn kelaminnya atau rasa tdk cocok dgn peran gender kelaminnya.

In children, the disturbance is manifested by any of the following; in boys, assertion that his penis or testes are disgusting or will disappear, assertion that it would be better not to have a penis, or aversion toward a rough and tumble play and rejection of male stereotypical toys, games and activities; in girls, rejection of urinating in a sitting position, assertion that she does no want to grow breast or menstruate, or marked aversion toward normative feminine clothing.

Pada anak2, ggn ini tampil sbg: salah satu dari berikut ini; anak laki-laki: menyatakan bhw penisnya menjijikan atau akan menghilang atau lebih baik tidak memilikinya, membenci permainan kasar, adu jotos dan menolak mainan2, permainan dan aktifitas stereotipik laki-laki; anak perempuan: menolak kencing posisi jongkok,menyatakan bhw dia memiliki atau akan bertumbuh penis bukan payudara, tdk akan mengalami haid atau kebencian nyata thd pakaian2 wanita.

In adolescents and adults, the disturbance is manifested by symptoms such as preoccupation with getting rid of primary and secondary sex characteristic e. Pada kelompok remaja dan dewasa, ditunjukan dgn gejala2 spt preokupasi dgn tdk mempunyai tanda sekunder kelaminnya spt permintaan terapi hormon, bedah atau prosedur lain yg merubah ciri seks dan atau stimulasi ciri2 kelamin lainnya atau percaya bhw dia dilahirkan dgn jenis kelamin yg salah.

The disturbance is not concurrent with a physical intersex condition Ggn ini tdk bersamaan dgn suatu kondis fisik interseks. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning Gangguan diatas menyebabkan penderitaan atau hambatan yg bermakna klinis dlm bidang2 sosial, okupasional, atau fungsional penting lainnya.

Lebih sering pada laki-laki yang menggunakan pakaian perempuan. Tidak pusing pada keinginan untuk merubah jenis kelamin Kenikmatan Masturbasi Psikoterapi seksual dengan biasanya internal, kondisi cara melihat dilakukan pada aversif aktivitas keadaan ini. Variasi lainnya melalui pembicaraan erotik lain Buang air kaprolalia , atau urin urofilia pada pasangannya atau suara mendesah Berhubungan badan dengan binatang Targanggunya Psikoterapi fase anal pada internal perkembangann ya dan klismafilia enema Lebih sering Modifikasi pada daerah prilaku, pedesaan psikoterapi internal.

Refusal to maintain body weight at or above a minimally normal weight for age and height e. Penolakan mempertahankan BB normal atau diatas BB minimal sesuai dgn umur dan tinggi badan kehilangan BB dipertahankan Specify type Tentukan tipe: Restricting type: during the current episode of anorexia nervosa, the person has not regularly engaged in binge-eating or purging behavior i.

Recurrent episodes for binge eating. An episode of binge eating is characterized by both of the following Adanya episode berulang binge eating yg dikarakterisir oleh kedua hal berikut: 1 eating, in a discrete period of time e.

Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise.

Perilaku kompensasi tidak sesuai yg berulang dgn maksud mencegah kenaikan BB spt meransang sendiri utk muntah, pemakaian salah laxantia,diuretic enema atau medikasi lainnya, berpuasa atau olahraga berlebihan C. The binge eating and inappropriate compensatory behaviors both occur , on average, at least twice a week for 3 months. Binge eating dan perilaku kompensasi tidak sesuai diatas rata2 dilakukan 2 kali seminggu dalam 3 bulan.

Self-evaluation is unduly influenced by body shape and weight. Penilaian sendiri dipengaruhi secara tidak wajar oleh bentuk dan berat badan E.

The disturbance does not occur exclusively during episodes of anorexia nervosa. Gangguan ini tidak hanya terjadi selama episode Anorexia Nervosa Specify type Tentukan tipe: Purging type : during the current episode of bulimia nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas Tipe pengosong perut: selama episode terakhir bulimia nervosa, ybs reguler melakukan meransang sendiri utk muntah, pemakaian salah laxantia,diuretic atau enema Nonpurging type : during the current episode of bulimia nervosa, the person has used other inappropriate compensatory behavior, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas Tipe bukan pengosong perut: selama episode terakhir bulimia nervosa, ybs melakukan perilaku kompensasi tidak sesuai lainnya spt berpuasa atau olahraga berlebihan tetapi tidak regular meransang sendiri utk muntah, pemakaian salah laxantia,diuretic atau enema From American Psychiatric Association.

Recurrent episode of binge eating. An episode of binge eating is characterized by both of the following Adanya episode berulang binge eating dimana satu episodenya dikarakterisir oleh kedua hal berikut: 1. The binge eating episodes are associated with three or more of the following episode2 binge eating berhubungan dgn 3 atau lebih hal berikut: 1.

Makan sendirian karena merasa malu dgn betapa banyak yg dimakannya 5. Marked distress regarding binge eating is present. Penderitaan yg nyata dgn adanya binge eating D.

The binge eating occurs, on averages, at least 2 days a week for 6 months. Binge eating rata2 terjadi sedikitnya 2 hari dalam seminggu selama 6 bulan Note: The method of determining frequency differs from that use for bulimia nervosa; future research should address whether the preferred method of setting a frequency threshold is counting the number of days on which binges occur or counting the number of episodes of binge eating.

The binge eating is not associated with the regular use of innappriate compensatory behaviors e. Binge eating tidak terkait dgn perilaku regular kompensasi tidak sesuai mengosongkan perut, olahraga berlebihan dantidak hanya terkadi selama perjalanan Anorexia Nervosa atau Bulimia nervosa From American Psychiatric Association. Several discrete episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of property Adanya bbrp episode dari kegagalan menahan impuls agresif yg mengakibatkan serangan serius thd org lain atau perusakan barang2.

The degree of aggressiveness expressed during the episodes is grossly out of proportion to any precipitating psychososcial stressors. Derajat keagresifan yg terjadi selama episode jelas melampaui proposi thd stressor psikososial pencetusnya. The aggressive episodes are not better accounted for by another mental disoreder e. Recurrent failure to resist impulses to steal objects that are not needed for personal use or to their monetary value.

Adanya kegagalan berulang menahan impuls utk mencuri benda yg tdk dibutuhkan ybs atau harganya. Increasing sense of tension immediately before commiting the theft Peningkatan perasaan ketegangan sesaat sebelum melakukan pencurian.

Pleasure, gratification, or relief at the time commiting the theft Adanya perasaan senang, puas atau lega saat melakukan pencurian. The stealing not commited to express anger or vengeance and it is not in response to delusion or hallucination Pencurian tdk dilakukan sbg ungkapan kemarahan, balas dendam dan bukan sbg respons dari suatu waham atau halusinasi.

The stealing is not better accounted for by conduct disorder, a manic episode, or antisocial personality Pencurian dimaksud tidak dapat digolonggkan sbg ggn kelakuan conduct , episode mania atau kepribadian antisosial. Deliberate and purposefull fire setting on more than one occasion Pembakaran yg disengaja atau direncanakan pada 1 ataulebih kesempatan.