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主席演讲:强迫相关障碍与强迫症有关吗?对 DSM-5 新分类的批判性观察。

Presidential Address: Are the Obsessive-Compulsive Related Disorders Related to Obsessive-Compulsive Disorder? A Critical Look at DSM-5's New Category.

机构信息

University of North Carolina at Chapel Hill.

出版信息

Behav Ther. 2018 Jan;49(1):1-11. doi: 10.1016/j.beth.2017.06.002. Epub 2017 Jun 15.

DOI:10.1016/j.beth.2017.06.002
PMID:29405915
Abstract

The 5 edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) includes a new class of obsessive-compulsive and related disorders (OCRDs) that includes obsessive-compulsive disorder (OCD) and a handful of other putatively related conditions. Although this new category promises to raise awareness of underrecognized and understudied problems, the empirical validity and practical utility of this new DSM category is questionable. This article critically examines the arguments underlying the new OCRD class, illuminates a number of problems with this class, and then discusses implications for clinicians and researchers.

摘要

《精神障碍诊断与统计手册(第五版)》(DSM-5)纳入了一类新的强迫症及相关障碍(OCRD),包括强迫症(OCD)和其他一些据称与之相关的病症。尽管这一新分类有望提高对一些认识不足和研究不够的问题的认识,但该 DSM 新分类的实证效度和实际效用仍存在疑问。本文批判性地审查了新的 OCRD 分类所依据的论点,阐明了该分类存在的一些问题,然后讨论了其对临床医生和研究人员的影响。

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