性别不一致：使用 ICD-10 和 DSM-5 诊断标准的比较研究。
Gender incongruence: a comparative study using ICD-10 and DSM-5 diagnostic criteria.
机构信息
Programa de Identidade de Gênero, Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Direção de Epidemiologia e Investigação Social, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, CDMX, Mexico.
出版信息
Braz J Psychiatry. 2017 Oct 2;40(2):174-180. doi: 10.1590/1516-4446-2016-2224. Print 2018 Apr-June.
OBJECTIVE
To compare the presence of criteria listed in the DSM-5 and ICD-10 diagnostic manuals in a Brazilian sample of transgender persons seeking health services specifically for physical transition.
METHODS
This multicenter cross-sectional study included a sample of 103 subjects who sought services for gender identity disorder in two main reference centers in Brazil. The method involved a structured interview encompassing the diagnostic criteria in the two manuals.
RESULTS
The results revealed that despite theoretical disagreement about the criteria, the manuals overlap regarding diagnosis confirmation; the DSM-5 was more inclusive (97.1%) than the ICD-10 (93.2%) in this population.
CONCLUSIONS
Although there is no consensus on diagnostic criteria on transgenderism in the diversity of social and cultural contexts, more comprehensive diagnostic criteria are evolving due to society's increasing inclusivity.
目的
比较《精神障碍诊断与统计手册》第五版（DSM-5）和《国际疾病分类》第十版（ICD-10）诊断手册中列出的标准在巴西寻求专门进行身体转变的 transgender 人群中的存在情况。
方法
这项多中心横断面研究纳入了巴西两个主要参考中心中因性别认同障碍寻求服务的 103 名受试者。该方法涉及一项结构化访谈，涵盖了两个手册中的诊断标准。
结果
结果表明，尽管在标准方面存在理论分歧，但在诊断确认方面，手册之间存在重叠；在该人群中，DSM-5 比 ICD-10 更具包容性（97.1%对 93.2%）。
结论
尽管在多样性的社会和文化背景下，跨性别者的诊断标准尚未达成共识，但由于社会的包容性不断增强，更全面的诊断标准正在不断发展。
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