Bell Carl C, Sowers Wesley, Thompson Kenneth S
University of Illinois at Chicago, 8704 S. Constance Ave., Chicago, IL 60617, USA.
Psychiatr Serv. 2008 Jun;59(6):687-9. doi: 10.1176/ps.2008.59.6.687.
The authors report on a survey of the American Association of Community Psychiatrists (AACP) about improving DSM-IV.
An anonymous survey was sent to 600 psychiatrists of the AACP via Survey Monkey technology.
Respondents (N=152) answered questionnaires regarding the general features of DSM-IV. Reliable interclinician communication was valued most highly. A majority of respondents (92%) reported using axis 1, 75% used axes 2 and 3, and approximately 50% used axes 4 and 5. AACP members were less keen on using the tool to inform patient management planning. Least valued were usefulness for a national statistical base or to indicate prognosis.
AACP respondents' views suggest modification to the DSM system to improve clinical utility. Most favored fewer than 100 diagnostic categories. Many were concerned about the current systems' cultural sensitivity and accessibility to patients. These considerations should guide DSM-V deliberations.
作者报告了一项关于美国社区精神病医生协会（AACP）对改进《精神疾病诊断与统计手册》第四版（DSM-IV）的调查。
通过Survey Monkey技术向600名AACP的精神病医生发送了一份匿名调查问卷。
受访者（N = 152）回答了关于DSM-IV一般特征的问卷。可靠的临床医生间沟通被认为是最重要的。大多数受访者（92%）报告使用轴I，75%使用轴II和轴III，约50%使用轴IV和轴V。AACP成员不太热衷于使用该工具来指导患者管理计划。最不受重视的是其对国家统计基础或预后指示的有用性。
AACP受访者的观点表明，应对DSM系统进行修改以提高临床实用性。大多数人赞成诊断类别少于100种。许多人担心当前系统的文化敏感性以及患者对其的可及性。这些考虑因素应指导《精神疾病诊断与统计手册》第五版（DSM-V）的审议。
