某女，24岁，病程4年，在这4年里的大多数时间里，感到心情沉重、沮丧，感觉周围事物一片黯淡，对工作无兴趣，无热情，常感到精神不振、疲乏、能力降低等，自我评价较低，期间无超过2周的完全缓解，从来没有过兴奋话多现象，工作、学习和社会功能无明显受损，并且自觉有问题，主动要求治疗。
如果该患者伴随有反复出现的自杀念头，社会功能显著受损，难以维持正常的工作和学习，且对病情无认识，无求治欲望，则可诊断为（）。
A.抑郁发作
B.环性心境障碍
C.恶劣心境障碍
D.分裂症
E.以上都不对
参考答案：A
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| Several years ago, a farmer owned some land along the sea. He advertised(征聘) for workers, but no one wanted to work for him. Most people didn't want to work there 1 they didn't like the bad storms. Finally, a 2 man, who looked weak and more than fifty years old, came to see the farmer. "Are you a good farmhand?" the farmer asked him. "Well, I 3 sleep well when the wind blows." answered the little man. Although the answer was strange, the farmer let the man stay to work. The little man worked 4 around the farm, busy from morning till evening. The farmer felt very pleased with his work. Then one night the wind began to blow strongly. Jumping out of the bed, the farmer 5 into the little man's room. He shook the little man and cried, "Get up! A 6 is coming!" The little man said slowly, "No sir, I told you-I can ____37___ well when the wind blows." The farmer was very angry, but he had to hurry outside to get ready for the storm. To his 8 , everything was ready outside. 9 could be blown away. The farmer 10 what the man meant, so he returned to his bed to sleep while the wind was still blowing. | |||
| ( )1. A. so ( )2. A. big ( )3. A. can ( )4. A. well ( )5. A. walked ( )6. A. man ( )7. A. work ( )8. A. anger ( )9. A. Everything ( )10.A. understood | B. but B. little B. must B. badly B. rushed B. dog B. play B. pride B. Something B. preferred | C. because C. young C. need C. loudly C. moved C. ship C. sleep C. surprise C. Anything C. heard | D. although D. strong D. should D. clearly D. drove D. storm D. listen D. confidence D. Nothing D. did |