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神经科学能否被纳入《精神疾病诊断与统计手册》第五版?

Can neuroscience be integrated into the DSM-V?

作者信息

Hyman Steven E

机构信息

Harvard University, Massachusetts Hall, Cambridge, Massachusetts 02138, USA.

出版信息

Nat Rev Neurosci. 2007 Sep;8(9):725-32. doi: 10.1038/nrn2218.

Abstract

To date, the diagnosis of mental disorders has been based on clinical observation, specifically: the identification of symptoms that tend to cluster together, the timing of the symptoms' appearance, and their tendency to resolve, recur or become chronic. The Diagnostic and Statistical Manual of Mental Disorders and the International Classification of Disease, the manuals that specify these diagnoses and the criteria for making them, are currently undergoing revision. It is thus timely to ask whether neuroscience has progressed to the point that the next editions of these manuals can usefully incorporate information about brain structure and function.

摘要

迄今为止,精神障碍的诊断一直基于临床观察,具体而言:识别倾向于聚集在一起的症状、症状出现的时间,以及它们缓解、复发或变为慢性的倾向。《精神障碍诊断与统计手册》和《国际疾病分类》这两本规定了这些诊断及其标准的手册目前正在修订。因此,现在正是时候来探讨神经科学是否已经发展到下一版的这些手册能够有效地纳入有关脑结构和功能信息的程度。

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