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[抑郁症的发病机制、分类及诊断标准]

[Pathogenesis, classification, diagnostic criteria for depression].

作者信息

Aoki Kimiyoshi, Kasahara Hiroo

机构信息

Department of Psychiatry, The Jikei University School of Medicine, Kashiwa Hospital.

出版信息

Nihon Rinsho. 2007 Sep;65(9):1569-77.

Abstract

There is the concern that adaptation range of depression is enlarged, because operation diagnosis methods of ICD-10 and DSM-IV-TR spread in a clinic of psychiatry. On the other hand, clinical condition of depressive state may diversify. This is a review of the pathogenesis, classification and diagnostic criteria of depression. In the pathogenesis, we discussed about the biological origin (a neurotransmitter-related model, a neuroendocrine model et al) and the psychosocial origin with focus on a historic flow and recent knowledge of the pathogenetic theory. In the classification and diagnostic criteria, we mainly explained the points to notice and the problems on ICD-10 and DSM-IV-TR. It is necessity to arise the problem such as clinical symptoms are inconsistent with the classification and diagnostic criteria of ICD-10 and DSM-IV-TR, because all the pathogenesis is not elucidated now. A development of the classification and criteria of depression is expected in future by scientific elucidation advancing.

摘要

有人担心,由于ICD - 10和DSM - IV - TR的操作诊断方法在精神病诊所中广泛应用,抑郁症的适应范围被扩大。另一方面,抑郁状态的临床情况可能会多样化。这是一篇关于抑郁症发病机制、分类和诊断标准的综述。在发病机制方面,我们讨论了生物学起源(神经递质相关模型、神经内分泌模型等)和心理社会起源,重点关注发病理论的历史沿革和最新知识。在分类和诊断标准方面,我们主要解释了ICD - 10和DSM - IV - TR的注意要点和问题。由于目前尚未阐明所有的发病机制,因此有必要提出诸如临床症状与ICD - 10和DSM - IV - TR的分类及诊断标准不一致等问题。随着科学阐释的推进,预计未来抑郁症的分类和标准会有所发展。

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