Goodkin Karl, Fernandez Francisco, Forstein Marshall, Miller Eric N, Becker James T, Douaihy Antoine, Cubano Luis, Santos Flavia H, Filho Nelson Silva, Zirulnik Jorge, Singh Dinesh
Department of Psychiatry & Neurosciences, Institute for Research in Psychiatry, University of South Florida, Tampa, FL, USA.
Neuropsychiatry (London). 2011 Oct 1;1(5):431-440. doi: 10.2217/npy.11.57.
HIV-associated neurocognitive disorders remain common in the current era of effective antiretroviral therapy. However, the severity at presentation of these disorders has been reduced, and the typical manifestations have changed. A revision of the American Academy of Neurology (AAN) criteria has been made on this basis, and a revision of the analogous criteria by the American Psychiatric Association will be forthcoming in the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5. This article compares the relevant sets of diagnostic criteria that will be employed. It is concluded that a greater degree of integration of the revised, HIV-specific AAN criteria for HIV-associated neurocognitive disorders with the criteria proposed for the DSM-5 would prove advantageous for research, clinical, educational and administrative purposes.
在当前有效的抗逆转录病毒治疗时代，与HIV相关的神经认知障碍仍然很常见。然而，这些障碍在发病时的严重程度已经降低，其典型表现也有所改变。在此基础上，美国神经病学学会（AAN）对相关标准进行了修订，美国精神病学协会也将在《精神疾病诊断与统计手册》（DSM）-5中对类似标准进行修订。本文比较了即将采用的相关诊断标准集。得出的结论是，将修订后的、针对与HIV相关神经认知障碍的HIV特异性AAN标准与DSM-5中提出的标准进行更大程度的整合，将在研究、临床、教育和管理方面具有优势。
