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DSM-5 项目中的神经认知障碍——个人评论。

Neurocognitive disorders in DSM 5 project - personal comments.

机构信息

University of Medicine and Pharmacy "Carol Davila" Bucharest, Faculty of Medicine, Department of Neurology, Romania.

出版信息

J Neurol Sci. 2012 Nov 15;322(1-2):17-9. doi: 10.1016/j.jns.2012.07.067. Epub 2012 Aug 19.

Abstract

The actual criteria for diagnosis of dementia have many shortages, due to the fact that both DSM 4 and ICD 10 criteria are essentially based on the typical evolution of Alzheimer's disease, which is the most frequent, but not the only one cause of dementia in the general population. In the new project of DSM-5, proposed for public debate by the American Psychiatric Association (APA), new criteria for neurocognitive disorders are defined which seem more suitable to cover in a much more appropriate way all the entities potentially leading to dementia. In our view, these new criteria are also in line with the updated knowledge about these diseases as they are reflected in the recent publications and recommendations of international experts and medical associations.

摘要

痴呆症的实际诊断标准存在诸多不足,因为 DSM-4 和 ICD-10 标准本质上都是基于最常见但并非唯一导致一般人群痴呆症的阿尔茨海默病的典型演变。在由美国精神病学协会(APA)提出公开讨论的 DSM-5 新项目中,定义了神经认知障碍的新标准,这些标准似乎更适合以更恰当的方式涵盖所有潜在导致痴呆症的实体。在我们看来,这些新标准也与最近国际专家和医学协会的出版物和建议中反映的这些疾病的最新知识相符。

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