Biedermann Falko, Fleischhacker W Wolfgang
Department of Psychiatry and Psychotherapy,Medical University of Innsbruck,Innsbruck,Austria.
CNS Spectr. 2016 Aug;21(4):349-54. doi: 10.1017/S1092852916000316. Epub 2016 Jul 15.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) was published by the American Psychiatric Association (APA) in 2013, and the Work Group on the Classification of Psychotic disorders (WGPD), installed by the World Health Organization (WHO), is expected to publish the new chapter about schizophrenia and other primary psychotic disorders in 2017. We reviewed the available literature to summarize the major changes, innovations, and developments of both manuals. If available and possible, we outline the theoretical background behind these changes. Due to the fact that the development of ICD-11 has not yet been completed, the details about ICD-11 are still proposals under ongoing revision. In this ongoing process, they may be revised and therefore have to be seen as proposals. DSM-5 has eliminated schizophrenia subtypes and replaced them with a dimensional approach based on symptom assessments. ICD-11 will most likely go in a similar direction, as both manuals are planned to be more harmonized, although some differences will remain in details and the conceptual orientation. Next to these modifications, ICD-11 will provide a transsectional diagnostic criterion for schizoaffective disorders and a reorganization of acute and transient psychotic and delusional disorders. In this manuscript, we will compare the 2 classification systems.
《精神疾病诊断与统计手册》第五版（DSM - 5）由美国精神病学协会（APA）于2013年出版，世界卫生组织（WHO）设立的精神病性障碍分类工作组（WGPD）预计在2017年发布关于精神分裂症及其他原发性精神病性障碍的新章节。我们回顾了现有文献，以总结这两本手册的主要变化、创新及进展。如有可能，我们概述了这些变化背后的理论背景。由于国际疾病分类第11版（ICD - 11）的制定尚未完成，ICD - 11的详细内容仍为正在修订中的提案。在这个持续的过程中，它们可能会被修订，因此必须被视为提案。DSM - 5已取消精神分裂症亚型，并代之以基于症状评估的维度方法。ICD - 11很可能会朝着类似的方向发展，因为两本手册计划更加协调一致，尽管在细节和概念取向方面仍会存在一些差异。除了这些修改，ICD - 11将为分裂情感性障碍提供一个横断面诊断标准，并对急性和短暂性精神病性及妄想性障碍进行重新组织。在本手稿中，我们将比较这两种分类系统。
