Van Assche L, Persoons P, Vandenbulcke M
Tijdschr Psychiatr. 2014;56(3):211-6.
The APA published the DSM-5 in May, 2013. When compared to dsm-iv, the latest edition incorporates many changes, some relating to neurocognitive disorders.
To review critically the new DSM-5 alterations and adjustments relating to neurocognitive disorders.
We compared the relevant chapters in DSM-IV-TR and DSM-5 and we searched the literature for articles involving discussions about cognitive disorders in DSM-5.
With regard to differential diagnosis of neurocognitive disorders, DSM-5 has more in common with current clinical practice than does the DSM-IV. DSM-5 names ten etiological subtypes for which the diagnostic criteria are based on recent scientific research. However, some researchers and clinicians have reservations about using the term 'major neurocognitive disorder' instead of 'dementia', and are reluctant to make a distinction between 'mild' and 'major' cognitive disorders.
The alterations and adjustments that appear in DSM-5 in relation to neurocognitive disorders may well mean progress for clinicians and researchers but they will inevitably require greater investment.
美国精神病学协会于2013年5月发布了《精神疾病诊断与统计手册》第五版（DSM - 5）。与第四版相比，最新版本有诸多变化，其中一些与神经认知障碍有关。
批判性地回顾《精神疾病诊断与统计手册》第五版中与神经认知障碍相关的新变化和调整。
我们比较了《精神疾病诊断与统计手册》第四版修订版（DSM - IV - TR）和第五版中的相关章节，并在文献中搜索涉及《精神疾病诊断与统计手册》第五版中认知障碍讨论的文章。
在神经认知障碍的鉴别诊断方面，与DSM - IV相比，DSM - 5与当前临床实践有更多的共同之处。DSM - 5列出了十种病因亚型，其诊断标准基于近期的科学研究。然而，一些研究人员和临床医生对于使用“重度神经认知障碍”而非“痴呆”这一术语有所保留，并且不愿意区分“轻度”和“重度”认知障碍。
《精神疾病诊断与统计手册》第五版中与神经认知障碍相关的变化和调整对临床医生和研究人员而言可能意味着进步，但不可避免地需要更多投入。
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