Blanz B, Amorosa H, Schmidt M H
Department of Child Psychiatry, Central Institute for Mental Health, Mannheim, FRG.
Pharmacopsychiatry. 1990 Jun;23 Suppl 4:173-6. doi: 10.1055/s-2007-1014560.
Of the numerous changes made in the classification of psychiatric disorders in children and adolescents in ICD-10 the most important are described. In an evaluation of the revised scheme, 7 raters from 2 facilities classified 40 case histories with both ICD-10 and ICD-9 codes. For ICD-10 and 4 character codes the level of agreement was 56% (ICD-9: 60%). As expected, 3-character codes yielded better agreement (ICD-10: 71%; ICD-9: 72%). Within-facility agreement was roughly the same for each. The lowest levels of agreement for a given category were for mixed disorders of conduct and emotions (F92) and depressive disorders (F31, F43). The reasons for this are discussed.
本文描述了《国际疾病分类第10版》（ICD - 10）中儿童和青少年精神障碍分类所做的众多更改中最重要的部分。在对修订方案的评估中，来自2个机构的7名评估人员对40份病例史同时使用ICD - 10和ICD - 9编码进行分类。对于ICD - 10和4位字符编码，一致率为56%（ICD - 9为60%）。正如预期的那样，3位字符编码的一致性更好（ICD - 10为71%；ICD - 9为72%）。每个机构内部的一致性大致相同。特定类别中一致性最低的是品行与情绪混合障碍（F92）和抑郁障碍（F31、F43）。文中讨论了其原因。
