Centro de Investigación en Epidemiología Clínica y Medicina Basada en Evidencias, Facultad de Medicina Humana, Universidad de San Martín de Porres, Lima, Perú; DEIDAE de Adultos y Adultos Mayores, Instituto Nacional de Salud Mental «Honorio Delgado-Hideyo Noguchi», Lima, Perú.
Rev Psiquiatr Salud Ment (Engl Ed). 2020 Apr-Jun;13(2):95-104. doi: 10.1016/j.rpsm.2020.01.001. Epub 2020 Apr 23.
The conceptualization of schizophrenia has changed from its initial conception in the 19th century to the recent publication of the ICD-11. The changes incorporated in this latest version were made based on the evaluation of the current ICD, the available scientific evidence, and the consensus reached by its developers. In this paper we describe the conceptualization changes (diagnostic criteria and specifiers) of ICD-11 schizophrenia with respect to those of ICD-10 and DSM-5. The changes found are discussed based on the scientific literature published in Medline, Scopus and Scielo until July 2019 and the information on the Wordl Health Organization and American Psychiatric Association websites. Given that the diagnosis of schizophrenia is based on the diagnostic criteria of the diagnostic classification systems, it is important to know the changes made in its conceptualization and the evidence supporting such modifications.
精神分裂症的概念已经从 19 世纪的最初概念发展到最近发布的 ICD-11。此次最新版本中纳入的变更基于对当前 ICD 的评估、现有科学证据以及其开发者达成的共识。在本文中，我们将描述 ICD-11 精神分裂症的概念化变化（诊断标准和特征）与 ICD-10 和 DSM-5 的变化。基于 2019 年 7 月之前在 Medline、Scopus 和 Scielo 上发表的科学文献以及世界卫生组织和美国精神病学协会网站上的信息，对所发现的变化进行了讨论。鉴于精神分裂症的诊断是基于诊断分类系统的诊断标准，因此了解其概念化方面的变化以及支持这些修改的证据非常重要。
