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[物质所致障碍:迈向《精神疾病诊断与统计手册》第五版及《国际疾病分类》第11版]

[Substance-induced disorders: moving towards DSM-V and ICD-11].

作者信息

Schmidt L G

机构信息

Psychiatrische Klinik und Poliklinik, Johannes Gutenberg-Universität Mainz, Untere Zahlbacher Strasse 8, 55131 Mainz.

出版信息

Fortschr Neurol Psychiatr. 2006 Nov;74(11):634-42. doi: 10.1055/s-2005-919079. Epub 2006 Jan 2.

Abstract

The development of substance abuse disorders (SUD) for DSM-V is put into perspective according to an expert meeting organized by APA and chaired by M.A. Schuckit and J.B. Saunders. Substantial compatibility with ICD-11 of WHO was expected to be achieved. A dependence syndrome, a non-dependence category as well as a subthreshold condition is supposed to be included in the SUD section in DSM-V. Categorical criteria will possibly be supplemented by dimensions conceptualized as quantitative formulations of criteria content. General and substance-specific criteria may be included for dependence. The comorbidity problem requires more research to separate substance-induced from substance-independent mental disorders in patients with SUDs. It was an open discussion, whether the aim to include biological criteria for better defining of SUDs will be achieved in DSM-V.

摘要

根据美国心理学会组织并由M.A. 舒基特和J.B. 桑德斯主持的一次专家会议,对《精神疾病诊断与统计手册》第五版(DSM-V)中物质使用障碍(SUD)的发展情况进行了审视。预计将与世界卫生组织的《国际疾病分类》第11版(ICD-11)达成实质性兼容。DSM-V的SUD部分应纳入一种依赖综合征、一个非依赖类别以及一种阈下状况。分类标准可能会辅以被概念化为标准内容定量表述的维度。依赖可能包括一般标准和特定物质标准。共病问题需要更多研究,以区分患有SUD的患者中由物质引起的精神障碍和与物质无关的精神障碍。对于在DSM-V中是否能够实现纳入生物学标准以更好地定义SUD这一目标,进行了一次开放性讨论。

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