Rehabilitation Unit, "Santa Maria alle Fonti" Medical Center, Don Carlo Gnocchi ONLUS Foundation, Salice Terme (PV), Italy.
Ital J Pediatr. 2010 Jan 29;36:10. doi: 10.1186/1824-7288-36-10.
A number of studies have shown that current classification systems (ICD 10, DSM IV TR) have limitation when applied to autistic children and the category PDD NOS (DSM IV TR) has in particular been criticized. To check the possible usefulness of other classification systems to better describe patient's functioning, we retrospectively studied 84 patients, seen consecutively in our Child Neurology and Psychiatry Department (excluding only those presenting for another disease even if with clinical signs of a PDD).
We tried to classify them according to ICD 10, DSM IV TR, CFTMEA-R, "operational classification" (Manzano and Palacio) and de Ajuriaguerra's classification.
We found a good correspondence between DSM IV TR and ICD 10 and the use of psychodynamic classification systems (in particular CFTMEA-R) was useful to differentiate clinical subtypes collected under the PDD NOS etiquette according to DSM IV TR.
To rationalize research efforts and find better tailored therapies, we need to improve PDD classification systems, using contributions coming from every field of child psychiatry and neurology: it's possible that 0-3 Classification could help this.
多项研究表明，目前的分类系统（ICD-10、DSM-IV-TR）在应用于自闭症儿童时存在局限性，特别是 PDD-NOS 类别（DSM-IV-TR）受到了批评。为了检查其他分类系统在更好地描述患者功能方面的可能有用性，我们回顾性研究了 84 名连续在我们儿童神经科和精神科就诊的患者（仅排除那些因其他疾病就诊但具有 PDD 临床特征的患者）。
我们试图根据 ICD-10、DSM-IV-TR、CFTMEA-R、“操作性分类”（Manzano 和 Palacio）和 de Ajuriaguerra 的分类对他们进行分类。
我们发现 DSM-IV-TR 和 ICD-10 之间存在良好的一致性，使用精神动力学分类系统（特别是 CFTMEA-R）有助于根据 DSM-IV-TR 区分 PDD-NOS 分类下收集的临床亚型。
为了合理化研究工作并找到更适合的治疗方法，我们需要改进 PDD 分类系统，利用儿童精神病学和神经病学各个领域的贡献：0-3 分类系统可能会有所帮助。
