Department of Child and Adolescent Psychiatry, Saarland University Hospital, 66421 Homburg, Germany.
Eur Child Adolesc Psychiatry. 2011 Feb;20(2):83-8. doi: 10.1007/s00787-010-0152-2. Epub 2011 Jan 11.
Elimination disorders are common in childhood and adolescence. Enuresis is defined as wetting from the age of 5 years and encopresis as soiling from 4 years onwards--after excluding organic causes. In the past few decades, many subtypes of elimination disorders have been identified with different symptoms, aetiologies and specific treatment options. The DSM-IV criteria no longer reflect this wealth of research data and a revision is needed. Classification systems of the International Children's Incontinence Society (ICCS) for enuresis and urinary incontinence and the ROME-III criteria for functional gastrointestinal disorders offer new and relevant suggestions for both clinical and research purposes. These are presented and discussed. Integration of these into DSM-5 is highly recommended.
排泄障碍在儿童和青少年中很常见。遗尿定义为 5 岁以后的湿尿，而遗粪则定义为 4 岁以后的粪便污染——排除器质性原因。在过去的几十年中，已经确定了许多不同症状、病因和特定治疗选择的排泄障碍亚型。DSM-IV 标准不再反映这些丰富的研究数据，需要进行修订。国际儿童尿失禁协会 (ICCS) 的遗尿和尿失禁分类系统以及功能性胃肠疾病的 ROME-III 标准为临床和研究目的提供了新的相关建议。本文介绍并讨论了这些标准。强烈建议将这些标准纳入 DSM-5。
