Agitated "unipolar" depression is a clinical entity characterized by excitement together with depressed mood during the same episode. The clinical picture of agitated "unipolar" depression is characterized by a depressed and anxious mood with inner, psychic agitation, whereas motor agitation may or may not be present. Some investigators have conceptualized this disorder as a mixed affective state, laying on the bipolar disorder spectrum, but controversies still persist. The diagnosis of agitated "unipolar" depression has important prognostic and therapeutic implications, with many clinicians reporting difficulties to adequately diagnose and treat it.

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躁动性抑郁的诊断，临床特征和治疗意义

躁动性“单极”抑郁症是一种临床个体，其特征在于同一发作期间的兴奋以及抑郁的情绪。躁动性“单极”抑郁症的临床特征是情绪低落和焦虑，并带有内在的，精神上的躁动，而运动躁狂可能会或可能不会出现。一些研究者将这种疾病概念化为双相情感障碍谱系中的一种混合的情感状态，但争议仍然存在。躁动性“单相”抑郁症的诊断具有重要的预后和治疗意义，许多临床医生报告称难以充分诊断和治疗它。