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《精神疾病诊断与统计手册》在临床实践中的应用方式。

How the DSM Is Used in Clinical Practice.

作者信息

First Michael B, Erlich Matthew D, Adler David A, Leong Shirley, Dixon Lisa B, Oslin David W, Goldman Beth, Koh Steve, Levine Bruce, Berlant Jeffrey L, Siris Samuel G

机构信息

Psychopathology Committee of the Group for the Advancement of Psychiatry, New York, New York.

MIRECC, Corporal Michael J. Crescenz Veteran Affairs Medical Center, Philadelphia, Pennsylvania.

出版信息

J Nerv Ment Dis. 2019 Mar;207(3):157-161. doi: 10.1097/NMD.0000000000000953.

Abstract

Despite widespread use, how clinicians use the DSM in psychiatric practice is not well understood. Recognizing public and professional attitudes toward the DSM are integral to future DSM development, to assess a commonly held assumption such as that the DSM is used primarily for coding, and to assess its clinical utility. A convenience sample of Psychiatric Times readers was surveyed to assess the DSM's use in clinical practice. A total of 394 behavioral health care practitioners fully completed the online survey. Results suggest that the DSM, beyond administrative and billing use, is used for communication with health care providers, for teaching diagnoses to trainees, and, importantly, as an educational tool to inform patients and caregivers alike.

摘要

尽管《精神疾病诊断与统计手册》(DSM)被广泛使用,但临床医生在精神科实践中如何使用它却并未得到充分理解。认识到公众和专业人士对DSM的态度对于其未来的发展、评估诸如DSM主要用于编码这样的普遍假设以及评估其临床效用而言至关重要。对《精神科时报》的读者进行了一项便利抽样调查,以评估DSM在临床实践中的使用情况。共有394名行为健康护理从业者完整地完成了在线调查。结果表明,除了行政和计费用途外,DSM还用于与医疗保健提供者沟通、向实习生传授诊断方法,并且重要的是,作为一种教育工具,向患者及其护理人员提供信息。

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