Department of Psychiatry, University of Cape Town, Cape Town, South Africa.
Depress Anxiety. 2010 Jun;27(6):495-506. doi: 10.1002/da.20699.
In DSM-III, DSM-III-R, and DSM-IV, obsessive-compulsive disorder (OCD) was classified as an anxiety disorder. In ICD-10, OCD is classified separately from the anxiety disorders, although within the same larger category as anxiety disorders (as one of the "neurotic, stress-related, and somatoform disorders"). Ongoing advances in our understanding of OCD and other anxiety disorders have raised the question of whether OCD should continue to be classified with the anxiety disorders in DSM-V. This review presents a number of options and preliminary recommendations to be considered for DSM-V. Evidence is reviewed for retaining OCD in the category of anxiety disorders, and for moving OCD to a separate category of obsessive-compulsive (OC)-spectrum disorders, if such a category is included in DSM-V. Our preliminary recommendation is that OCD be retained in the category of anxiety disorders but that this category also includes OC-spectrum disorders along with OCD. If this change is made, the name of this category should be changed to reflect this proposed change.
在 DSM-III、DSM-III-R 和 DSM-IV 中，强迫症（OCD）被归类为焦虑障碍。在 ICD-10 中，OCD 与焦虑障碍分开分类，尽管它们属于同一大类，即焦虑障碍（作为“神经症、应激相关和躯体形式障碍”之一）。我们对 OCD 和其他焦虑障碍的理解不断深入，这引发了一个问题，即 OCD 是否应该继续在 DSM-V 中与焦虑障碍一起分类。本综述提出了一些供 DSM-V 考虑的选择和初步建议。本文回顾了将 OCD 保留在焦虑障碍类别中的证据，以及如果在 DSM-V 中包括 OCD 谱系障碍这一单独类别，将 OCD 移至该类别的证据。我们的初步建议是将 OCD 保留在焦虑障碍类别中，但该类别也应包括 OCD 谱系障碍。如果进行此更改，则应更改该类别的名称，以反映此拟议更改。
