American Psychiatric Association, Division of Research, Arlington, VA, USA.
World Psychiatry. 2013 Jun;12(2):92-8. doi: 10.1002/wps.20050.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) marks the first significant revision of the publication since the DSM-IV in 1994. Changes to the DSM were largely informed by advancements in neuroscience, clinical and public health need, and identified problems with the classification system and criteria put forth in the DSM-IV. Much of the decision-making was also driven by a desire to ensure better alignment with the International Classification of Diseases and its upcoming 11th edition (ICD-11). In this paper, we describe select revisions in the DSM-5, with an emphasis on changes projected to have the greatest clinical impact and those that demonstrate efforts to enhance international compatibility, including integration of cultural context with diagnostic criteria and changes that facilitate DSM-ICD harmonization. It is anticipated that this collaborative spirit between the American Psychiatric Association (APA) and the World Health Organization (WHO) will continue as the DSM-5 is updated further, bringing the field of psychiatry even closer to a singular, cohesive nosology.
《精神障碍诊断与统计手册》第五版（DSM-5）标志着自 1994 年 DSM-IV 以来该出版物的首次重大修订。DSM 的修订主要是基于神经科学、临床和公共卫生需求的进步，以及对 DSM-IV 中提出的分类系统和标准存在问题的认识。许多决策也受到确保与国际疾病分类及其即将推出的第 11 版（ICD-11）更好地对齐的愿望的驱动。本文描述了 DSM-5 中的一些选定修订，重点介绍了预计对临床影响最大的变化，以及旨在增强国际兼容性的变化，包括将文化背景纳入诊断标准以及有助于 DSM-ICD 协调的变化。预计随着 DSM-5 的进一步更新，美国精神病学协会（APA）和世界卫生组织（WHO）之间的这种合作精神将继续下去，使精神病学领域更接近单一、连贯的分类学。
