Mellsop Graham, Dutu Gaelle, Robinson Gail
Waikato Clinical School, Waikato Hospital, Private Bag 3200, Hamilton, New Zealand.
Aust N Z J Psychiatry. 2007 Feb;41(2):157-65. doi: 10.1080/00048670601109931.
The present accepted classificatory systems (ICD-10 and DSM-IV) represent the culmination of 100 years of post-Kraepelinian evolution. The present paper reports on a study to ascertain the views of New Zealand psychiatrists on their requirements of a classificatory system, and their opinions on those currently in use.
An anonymous postal survey of 542 psychiatrists and trainees was undertaken in New Zealand.
A total of 235 questionnaires were returned, completed. New Zealand psychiatrists primarily use DSM-IV and do so because that is what they were taught on. They make relatively limited use of the multiaxiality. The purposes of classificatory systems that they value most highly are reliable interclinician communication, and to inform patient management planning. The two purposes they valued least were usefulness for a national statistical base, or to indicate prognosis.
New Zealand psychiatrists' views are consistent with some of the stated objectives of ICD-10 and DSM-IV, but there is significant diversity in the former and over-ambition in the latter, with much to be resolved.
目前公认的分类系统（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]）代表了克雷佩林之后100年演变的成果。本文报告了一项研究，旨在确定新西兰精神科医生对分类系统的要求以及他们对现行分类系统的看法。
在新西兰对542名精神科医生和实习医生进行了匿名邮寄调查。
共收回并完成了235份问卷。新西兰精神科医生主要使用DSM - IV，原因是他们在学习过程中接触到的就是这个系统。他们对多轴诊断的使用相对有限。他们最看重的分类系统的目的是临床医生之间可靠的沟通以及为患者管理计划提供信息。他们最不看重的两个目的是对国家统计基础的有用性或用于指示预后。
新西兰精神科医生的观点与ICD - 10和DSM - IV的一些既定目标一致，但前者存在显著差异，后者则野心过大，有许多问题有待解决。
