关于《精神疾病诊断与统计手册》第5版中神经认知障碍标准应用于与HIV相关神经认知障碍的提议的观点。
A perspective on the proposal for neurocognitive disorder criteria in DSM-5 as applied to HIV-associated neurocognitive disorders.
作者信息
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
机构信息
Department of Psychiatry & Neurosciences, Institute for Research in Psychiatry, University of South Florida, Tampa, FL, USA.
出版信息
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。
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