精神病学中的分类：在精神分裂症和抑郁症中有效果吗？
Classification in psychiatry: Does it deliver in schizophrenia and depression?
机构信息
University of Auckland, New Zealand.
出版信息
Int J Ment Health Syst. 2007 Dec 3;1(1):7. doi: 10.1186/1752-4458-1-7.
Abstract
BACKGROUND
In the context of ongoing work to develop the next iteration of psychiatric classification systems, we briefly review the performance of current systems against their own stated objectives, for two major diagnostic groupings.
DISCUSSION
In the major groupings of schizophrenia and depression, experience over the last 50 years has highlighted particular inadequacies in the utility and validity of available classifications.
SUMMARY
Advances in psychiatric knowledge and practice notwithstanding, present classification systems would be enhanced by the incorporation of dimensional components. Minor tinkering with current systems will reflect only a missed opportunity. Improving classification will facilitate quality improvement of mental health systems.
摘要
背景
在不断努力开发下一代精神科分类系统的背景下，我们简要回顾了当前系统针对其自身既定目标的表现，涵盖了两个主要诊断分组。
讨论
在精神分裂症和抑郁症这两个主要分组中，过去 50 年的经验突显了现有分类在实用性和有效性方面的特别不足之处。
总结
尽管精神科知识和实践有所进步，但目前的分类系统通过纳入维度成分将会得到增强。对现有系统的微小调整只会错失良机。改善分类将有助于提高精神卫生系统的质量。
相似文献
1
Classification in psychiatry: Does it deliver in schizophrenia and depression?精神病学中的分类：在精神分裂症和抑郁症中有效果吗？
Int J Ment Health Syst. 2007 Dec 3;1(1):7. doi: 10.1186/1752-4458-1-7.
2
Refinement of diagnosis and disease classification in psychiatry.精神病学中诊断与疾病分类的细化
Eur Arch Psychiatry Clin Neurosci. 2008 Mar;258 Suppl 1:6-11. doi: 10.1007/s00406-007-1003-0.
3
[Diagnostic structured interviews in child and adolescent's psychiatry].[儿童和青少年精神病学中的诊断性结构化访谈]
Encephale. 2004 Mar-Apr;30(2):122-34. doi: 10.1016/s0013-7006(04)95422-x.
4
[Schizophrenia diagnostic announcement in a French psychiatric unit].[法国一家精神病科的精神分裂症诊断公告]
Encephale. 2005 Jul-Aug;31(4 Pt 1):449-55. doi: 10.1016/s0013-7006(05)82406-6.
5
[The new international psychiatric classification system, ICD-10. II. New classification systems in psychiatry].[新的国际精神疾病分类系统，ICD - 10。二、精神病学中的新分类系统]
Cas Lek Cesk. 1994 Oct 10;133(19):592-5.
6
Classifying psychosis--challenges and opportunities.精神分裂症的分类——挑战与机遇。
Int Rev Psychiatry. 2012 Dec;24(6):538-48. doi: 10.3109/09540261.2012.737313.
7
The role of mental health service research in promoting effective treatment for adults with schizophrenia*.心理健康服务研究在促进对成年精神分裂症患者进行有效治疗方面的作用*
J Ment Health Policy Econ. 1998 Dec 1;1(4):199-204. doi: 10.1002/(sici)1099-176x(199812)1:4<199::aid-mhp22>3.0.co;2-z.
8
Right care, first time: a highly personalised and measurement-based care model to manage youth mental health.精准医疗，首次就诊：高度个性化和基于评估的青少年心理健康管理医疗模式。
Med J Aust. 2019 Nov;211 Suppl 9:S3-S46. doi: 10.5694/mja2.50383.
9
Historical development of psychiatric classification and mental illness.精神疾病分类与精神疾病的历史发展
Br J Nurs. 2008;17(14):890-4. doi: 10.12968/bjon.2008.17.14.30655.
10
Psychosis and schizophrenia: effects of changes in psychiatric classifications on clinical and theoretical approaches to mental illness.精神病与精神分裂症：精神疾病分类变化对精神疾病临床及理论研究方法的影响
Hist Cienc Saude Manguinhos. 2016 Oct-Dec;23(4):941-963. doi: 10.1590/S0104-59702016005000018. Epub 2016 Aug 15.
引用本文的文献
1
Further validation of the Cognitive Biases Questionnaire for psychosis.进一步验证精神病认知偏差问卷。
BMC Psychiatry. 2022 Aug 19;22(1):560. doi: 10.1186/s12888-022-04203-8.
2
The psychosis continuum and categorical versus dimensional diagnostic approaches.精神病连续体以及分类诊断与维度诊断方法
Curr Psychiatry Rep. 2009 Jun;11(3):179-84. doi: 10.1007/s11920-009-0028-7.
本文引用的文献
1
Introduction to the special section: Myelin and oligodendrocyte abnormalities in schizophrenia.特刊介绍：精神分裂症中的髓鞘和少突胶质细胞异常
Int J Neuropsychopharmacol. 2007 Aug;10(4):499-502. doi: 10.1017/S1461145706007449.
2
Releasing psychiatry from the constraints of categorical diagnosis.将精神病学从分类诊断的束缚中解放出来。
Australas Psychiatry. 2007 Feb;15(1):3-5; discussion 6-8. doi: 10.1080/10398560601083134.
3
Managing the acute psychotic episode.处理急性精神病发作
BMJ. 2007 Mar 31;334(7595):686-92. doi: 10.1136/bmj.39148.668160.80.
4
Diagnostic stability of psychiatric disorders in clinical practice.临床实践中精神障碍的诊断稳定性
Br J Psychiatry. 2007 Mar;190:210-6. doi: 10.1192/bjp.bp.106.024026.
5
Rationale for a trial of immunosuppressive therapy in acute schizophrenia.急性精神分裂症免疫抑制治疗试验的理论依据。
Mol Psychiatry. 2007 May;12(5):424-31. doi: 10.1038/sj.mp.4001959. Epub 2007 Jan 23.
6
The feasibility and need for dimensional psychiatric diagnoses.维度精神病学诊断的可行性与必要性。
Psychol Med. 2006 Dec;36(12):1671-80. doi: 10.1017/S003329170600821X. Epub 2006 Aug 15.
7
The structure of common DSM-IV and ICD-10 mental disorders in the Australian general population.澳大利亚普通人群中常见的《精神疾病诊断与统计手册》第四版（DSM-IV）和《国际疾病分类》第十版（ICD-10）精神障碍的结构。
Psychol Med. 2006 Nov;36(11):1593-600. doi: 10.1017/S0033291706008452. Epub 2006 Aug 2.
8
Clinical staging of psychiatric disorders: a heuristic framework for choosing earlier, safer and more effective interventions.精神疾病的临床分期：一个用于选择更早、更安全且更有效干预措施的启发式框架。
Aust N Z J Psychiatry. 2006 Aug;40(8):616-22. doi: 10.1080/j.1440-1614.2006.01860.x.
9
Environmental factors in schizophrenia: the role of migrant studies.精神分裂症中的环境因素：移民研究的作用。
Schizophr Bull. 2006 Jul;32(3):405-8. doi: 10.1093/schbul/sbj076. Epub 2006 May 12.
10
Categories, dimensions and prototypes: critical issues for psychiatric classification.类别、维度与原型：精神疾病分类的关键问题
Psychopathology. 2005 Jul-Aug;38(4):201-5. doi: 10.1159/000086092.
Zotero 插件