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Asian J Psychiatr. 2014 Feb;7(1):83-5. doi: 10.1016/j.ajp.2013.11.011. Epub 2013 Dec 2.
The DSM-5 lists 13 psychotic disorders and introduces modest but significant changes in their diagnosis. Asian Americans bring unique issues to the assessment, diagnosis and treatment of these disorders. They may exhibit greater prevalence of culturally influenced psychosis-like experiences that may or may not constitute a pathological condition such as psychosis risk syndrome or attenuated psychosis. Acute psychotic disorders with good prognosis may be more prevalent in Asians and may sometimes be misdiagnosed as schizophrenia or schizoaffective disorder. Catatonic disorders are also more prevalent in Asians, and are likely to receive more appropriate labeling with DSM-5. The expanded cultural formulation in DSM-5 is a progressive step but its benefits might be limited by lack of culturally trained clinicians and/or limited time for assessment. There is a dearth of systematic data on psychotic disorders in Asian Americans and it is hoped that the DSM-5 will stimulate this much needed research.
DSM-5 列出了 13 种精神病障碍，并对其诊断标准进行了适度但显著的修改。亚裔美国人在评估、诊断和治疗这些障碍时带来了独特的问题。他们可能表现出更多的文化影响的类精神病体验，这些体验可能构成一种病理状态，如精神病风险综合征或轻度精神病，也可能不构成病理状态。预后良好的急性精神病障碍在亚洲人中更为常见，有时可能被误诊为精神分裂症或分裂情感障碍。紧张症在亚洲人中也更为常见，并且可能更符合 DSM-5 的诊断。DSM-5 中扩展的文化形成是一个进步的步骤，但由于缺乏受过文化训练的临床医生和/或评估时间有限，其益处可能会受到限制。关于亚裔美国人精神病障碍的系统数据匮乏，希望 DSM-5 将激发这种急需的研究。
