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[《精神疾病诊断与统计手册》第五版中的双相及相关障碍和抑郁障碍]

[Bipolar and related disorders and depressive disorders in DSM-5].

作者信息

Łojko Dorota, Suwalska Aleksandra, Rybakowski Janusz

出版信息

Psychiatr Pol. 2014 Mar-Apr;48(2):245-60.

PMID:25016763
Abstract

In 2013, a version of the Diagnostic and Statistical Manual of Mental Disorders (DSM), having number 5, was published. The DSM is a textbook which aims to present diagnostic criteria for each psychiatric disorder recognized by the U.S. healthcare system. The DSM-5 comprises the most updated diagnostic criteria of psychiatric disorders as well as their description, and provides a common language for clinicians to communicate about the patients. Diagnostic criteria of the DSM-5 have been popular all over the world, including countries where the ICD-10 classification is obligatory, and are widely used for clinical and neurobiological research in psychiatry. In this article, two chapters of the DSM-5 pertained to mood (affective) disorders are presented, such as "Bipolar and related disorders" and "Depressive disorders" replacing the chapter titled "Mood disorders" in the previous version of DSM-IV. The aim of this article is to discuss a structure of new classification, to point out differences compared with previous version (DSM-IV). New diagnostic categories, such as e.g. disruptive mood dysregulation disorder or premenstrual dysphoric disorder were depicted as well as some elements of dimensional approach to mood disorders were presented.

摘要

2013年,《精神疾病诊断与统计手册》(DSM)第5版出版。DSM是一本教科书,旨在为美国医疗系统认可的每种精神障碍提供诊断标准。《精神疾病诊断与统计手册》第5版包含了精神障碍的最新诊断标准及其描述,并为临床医生提供了一种关于患者交流的通用语言。《精神疾病诊断与统计手册》第5版的诊断标准在全世界都很流行,包括那些强制使用国际疾病分类第10版(ICD - 10)的国家,并且广泛应用于精神病学的临床和神经生物学研究。在本文中,呈现了《精神疾病诊断与统计手册》第5版中与心境(情感)障碍相关的两章内容,如“双相及相关障碍”和“抑郁障碍”,取代了DSM - IV旧版中的“心境障碍”一章。本文的目的是讨论新分类的结构,指出与旧版(DSM - IV)相比的差异。文中还描述了新的诊断类别,如破坏性心境失调障碍或经前烦躁障碍,并介绍了心境障碍维度方法的一些要素。

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