Łojko Dorota, Suwalska Aleksandra, Rybakowski Janusz
Psychiatr Pol. 2014 Mar-Apr;48(2):245-60.
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.
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。