Müssigbrodt H, Michels R, Malchow C P, Dilling H, Munk-Jørgensen P, Bertelsen A
WHO - Collaborating Center for Research and Training in Mental Health, Department of Psychiatry, Lübeck Medical University, Lübeck, Germany.
Psychopathology. 2000 Mar-Apr;33(2):94-9. doi: 10.1159/000029127.
On the background of some years of experience with ICD-10 psychiatric diagnoses in many countries of the world, an international comparison was performed to evaluate the frequency and use of the ICD-10 psychiatric diagnoses. For future revision of the ICD-10, it is important to know which diagnostic categories are either not used or are used possibly in an unspecific manner. Nineteen departments of psychiatry in 10 different countries took part in the study, presenting data on 33,857 treatment cases leading to a total of 25,470 ICD-10 main diagnoses. The analysis of data reveals that on a four-character level (Fxx.x), the 10 most often used diagnostic categories represent 40% of all main diagnoses, and 70% on a three-character level (Fxx.-). There are 32 specific diagnostic categories on a four-character level which are not used at all and 121 which are used less frequently than 0.1% in inpatient and outpatient treatment. The study shows that the ICD-10 classification is in use in a variety of treatment settings worldwide. Further results and limitations of this study are discussed against the background of transcultural differences.
基于多年来在世界许多国家使用国际疾病分类第十版（ICD - 10）进行精神科诊断的经验，开展了一项国际比较，以评估ICD - 10精神科诊断的频率和使用情况。对于ICD - 10的未来修订而言，了解哪些诊断类别未被使用或可能以不特定的方式被使用非常重要。来自10个不同国家的19个精神科部门参与了该研究，提供了33857例治疗病例的数据，得出了总共25470个ICD - 10主要诊断。数据分析显示，在四位编码水平（Fxx.x）上，最常使用的10个诊断类别占所有主要诊断的40%，在三位编码水平（Fxx.-）上占70%。在四位编码水平上有32个特定诊断类别根本未被使用，还有121个在住院和门诊治疗中的使用频率低于0.1%。该研究表明，ICD - 10分类在全球各种治疗环境中都有使用。本研究的进一步结果和局限性在跨文化差异的背景下进行了讨论。
