Lee Myeong Hun, Kim Yunna, Cho Seung-Hun
Department of Clinical Korean Medicine, Graduate School, Kyung Hee University, Seoul, Korea.
College of Korean Medicine, Kyung Hee University, Seoul, Korea.
J Pharmacopuncture. 2017 Dec;20(4):230-234. doi: 10.3831/KPI.2017.20.028. Epub 2017 Nov 21.
Neurasthenia is a disease which consists of increased fatigue or bodily weakness and exhaustion plus pantalgia, dizziness, headache and other symtoms relevant to autonomic nerve dysfunction. There are plenty of studies investigating the history of diagnostic criteria of neurasthenia, which is influenced by diverse cultural(or social) environment. The obejective of this study is to provide review of the previous studys on the changes of neurasthenia diagnoses in the context of local area to find meanings of these transition and improve health care for psychiatric patient.
Literature review was conducted on studies demonstrating diagnostic criteria of neurasthenia with cultural(or social) environment. We investigated the literature reviews or observative studies which described alteration of diagnostic criteria of neurasthenia and assessed its significance. After selecting eligible studies, the authors read the articles and summarized the meaningful contents those were significant in clinical practice.
Transformation of Chinese Classification of Mental Disorder(CCMD) integrated with internationally utilized DSM-IV or ICD-10 is controversial about its significance in that it had limited effect on public health care due to the variables of sociocultural context, but primarily differentiated neurasthenia from other disorders. The latter one can be the directing point of the diagnostic criteria of other culture-bound diseases, which is the traits of not outstanding mood(or affect) than other neurotic disorders.
As diagnostic criteria of neurasthenia varies, the significance of this variation is controversial, but could be the paragon of other culture-bound diseases.
神经衰弱是一种以疲劳或身体虚弱、精力耗竭，以及全身疼痛、头晕、头痛和其他与自主神经功能障碍相关症状为特征的疾病。有大量研究探讨了神经衰弱诊断标准的历史，其受到不同文化（或社会）环境的影响。本研究的目的是回顾以往关于局部地区神经衰弱诊断变化的研究，以发现这些转变的意义，并改善对精神科患者的医疗护理。
对显示神经衰弱诊断标准与文化（或社会）环境关系的研究进行文献综述。我们调查了描述神经衰弱诊断标准变化并评估其意义的文献综述或观察性研究。在选择符合条件的研究后，作者阅读文章并总结在临床实践中有意义的内容。
与国际通用的《精神疾病诊断与统计手册》第四版（DSM-IV）或《国际疾病分类》第十版（ICD-10）相结合的中国精神障碍分类（CCMD）的转变，其意义存在争议，因为由于社会文化背景的变量，它对公共卫生保健的影响有限，但主要是将神经衰弱与其他疾病区分开来。后者可能是其他文化相关疾病诊断标准的指导要点，即其情绪（或情感）特征不如其他神经症突出。
由于神经衰弱的诊断标准各不相同，这种变化的意义存在争议，但可能成为其他文化相关疾病的典范。
