Department of Psychiatry, C. S. M. Medical University, Lucknow - 226 003, UP, India.
Indian J Psychiatry. 2009 Oct-Dec;51(4):310-9. doi: 10.4103/0019-5545.58302.
A classification is as good as its theory. As the etiology of psychiatric disorders is still not clearly known, we still define them categorically by their clinical syndrome. There are doubts if they are valid discrete disease entities and if dimensional models are better to study them. We have come a long way till ICD-10 and DSM-IV, but there are shortcomings. With advances in genetics and neurobiology in the future, classification of psychiatric disorders should improve further. The concept, evolution, current status and challenges facing psychiatric classification are discussed in this review.
分类与理论一样重要。由于精神障碍的病因仍不清楚,我们仍然根据其临床综合征对其进行分类。人们怀疑它们是否是有效的离散疾病实体,以及维度模型是否更适合研究它们。从 ICD-10 到 DSM-IV,我们已经取得了很大的进展,但也存在一些缺陷。随着遗传学和神经生物学的未来发展,精神障碍的分类应该会进一步改善。本文讨论了精神疾病分类的概念、演变、现状和面临的挑战。