Mezzich J E, Fabrega H, Coffman G A, Haley R
Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, PA 15213.
Am J Psychiatry. 1989 Feb;146(2):212-9. doi: 10.1176/ajp.146.2.212.
This study examined certain nosological features of DSM-III axis I diagnostic categories and subcategories as applied to 11,292 general psychiatric patients presenting for care, using a semistructured assessment procedure. The most frequently used major categories were affective, substance use, childhood-onset, and adjustment disorders. Secondary diagnoses were given to 26% of the patients. Male patients predominated in the categories of impulse-control, psychosexual, and substance use disorders, and female patients predominated in the categories of anxiety, affective, and somatoform disorders. Of the 329 five-digit subcategories available in DSM-III, 296 (90%) were actually used. Sixteen percent of the patients were given unspecific primary diagnoses.
本研究采用半结构化评估程序，对11292名前来就诊的普通精神科患者应用《精神疾病诊断与统计手册》第三版（DSM-III）轴I诊断类别和子类别中的某些疾病学特征进行了研究。最常用的主要类别为情感障碍、物质使用障碍、儿童期起病的障碍和适应障碍。26%的患者有二级诊断。男性患者在冲动控制障碍、性心理障碍和物质使用障碍类别中占多数，女性患者在焦虑障碍、情感障碍和躯体形式障碍类别中占多数。在DSM-III中可用的329个五位数字子类别中，实际使用了296个（90%）。16%的患者被给予非特异性的主要诊断。
