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[阿斯伯格综合征的诊断标准]

[Diagnostic criteria for Asperger syndrome].

作者信息

Tanaka Kyoko, Uchiyama Tokio

机构信息

Mashiki Hospital.

出版信息

Nihon Rinsho. 2007 Mar;65(3):470-4.

Abstract

The diagnostic criteria for Asperger syndrome (AS) are still controversial. ICD-10 and DSM-IV are usually used as a formal diagnostic criteria for AS. However, many papers point out there are many problems in ICD-10/DSM-IV. It is indicated that the diagnosis of AS using ICD-10/DSM-IV criteria is virtually impossible due to the rule of onset and precedence. ICD-10/DSM-IV criteria don't include core symptoms of AS, such as odd speech and limited intelligent interests reported by Hans Asperger. Most of the cases which are diagnosed as AS clinically meet the diagnostic criteria for autism or atypical autism(PDD-NOS) in ICD-10/DSM-IV. ICD-10/DSM-IV criteria is too narrow to diagnose AS. This causes much confusion and disadvantage for families, clinicians and researchers. We need to establish the clinically useful and reliable diagnostic criteria for AS.

摘要

阿斯伯格综合征(AS)的诊断标准仍存在争议。《国际疾病分类第十版》(ICD - 10)和《精神疾病诊断与统计手册第四版》(DSM - IV)通常被用作AS的正式诊断标准。然而,许多论文指出ICD - 10/DSM - IV存在诸多问题。有研究表明,由于发病规则和优先顺序,使用ICD - 10/DSM - IV标准实际上无法诊断AS。ICD - 10/DSM - IV标准未涵盖AS的核心症状,如汉斯·阿斯伯格所描述的奇特言语和有限的智力兴趣。临床上大多数被诊断为AS的病例符合ICD - 10/DSM - IV中自闭症或非典型自闭症(广泛性发育障碍未特定型,PDD - NOS)的诊断标准。ICD - 10/DSM - IV标准过于狭窄,无法诊断AS。这给家庭、临床医生和研究人员带来了诸多困惑和不利影响。我们需要建立对临床有用且可靠的AS诊断标准。

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