临床和研究背景下的《精神疾病诊断与统计手册》类别及维度
DSM categories and dimensions in clinical and research contexts.
作者信息
Kraemer Helena Chmura
机构信息
Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94301, USA.
出版信息
Int J Methods Psychiatr Res. 2007;16 Suppl 1(Suppl 1):S8-S15. doi: 10.1002/mpr.211.
Abstract
An enhancement to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) is currently under consideration, one that would enhance both the reliability and validity of the Diagnostic and Statistical Manual (DSM) diagnoses: the addition of a dimensional adjunct to each of the traditional categorical diagnoses of the DSM. We first review the history and context of this proposal and define the concepts on which this dimensional proposal is based. The advantages of dimensional measures over categorical measures have long been known, but we here illustrate what is known with a theoretical and a practical demonstration of the potential effects of this addition. Possible objections to the proposal are discussed, concluding with some general criteria for implementing this proposal.
摘要
目前正在考虑对《精神疾病诊断与统计手册》第五版（DSM-V）进行一项改进，该改进将提高《精神疾病诊断与统计手册》（DSM）诊断的可靠性和有效性：在DSM的每个传统分类诊断中增加一个维度辅助诊断。我们首先回顾这一提议的历史和背景，并定义这一维度提议所基于的概念。维度测量相对于分类测量的优势早已为人所知，但我们在此通过理论和实际演示来说明这一增加可能产生的潜在影响。我们还讨论了对该提议可能的反对意见，并以实施该提议的一些一般标准作为结论。
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