女性性障碍/性功能障碍定义、命名和分类的演变：DSM、ICSM、ISSWSH 和 ICD 回顾。
The Evolution of the Female Sexual Disorder/Dysfunction Definitions, Nomenclature, and Classifications: A Review of DSM, ICSM, ISSWSH, and ICD.
机构信息
Departments of Psychiatry and Medicine, Weill Cornell Medical College, New York, NY, USA.
Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland.
出版信息
Sex Med Rev. 2021 Jan;9(1):36-56. doi: 10.1016/j.sxmr.2020.05.001. Epub 2020 Aug 13.
INTRODUCTION
The 2 most well-known classification systems that include sexual medicine diagnoses are the International Classification of Diseases and Statistics (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM). Sexual medicine experts from international societies representing an array of disciplines have revised and redefined female sexual dysfunctions (FSDs) to reflect current scientific evidence and the state of the art.
AIM
To summarize the evidence and interactive and chronological process by which sexual medicine societies' consensus groups developed the current nomenclature, classifications, and definitions for FSDs.
METHODS
We review the contributions and collaborations of the Fourth International Consultation in Sexual Medicine (ICSM), the International Society for the Study of Women's Sexual Health (ISSWSH), and the World Association of Sexual Health in conjunction with the World Health Organization.
MAIN OUTCOME MEASURES
The ICSM and ISSWSH diagnostic systems are contrasted with the DSM classification. We discuss innovations and strengths; relevant evidence regarding epidemiology, etiology, and risk factors; and key differences. We describe how sexual medicine expertise informed FSD codes in the ICD-11 classification.
RESULTS
ICSM and ISSWSH published evidence-based guidelines on the definitions, nomenclature, and diagnostic criteria for FSD that diverge from the DSM psychiatric compendia. These definitions and nomenclature recommend the separation of female sexual desire and arousal disorders, elaborate on subtypes of arousal problems, broaden the scope of sexual pain definitions, and provide a greater understanding of etiologies and risk factors for FSDs.
CONCLUSIONS
These collaborations among sexual medicine experts and their role in the ICD-11 development process provide confidence that the ICD-11 Sexual Dysfunction codes are based on current scientific evidence for diagnosing and coding FSDs in clinical settings worldwide, can serve as endpoints in clinical trials, and will provide specificity for treatment outcomes for FSD therapies. Parish SJ, Cottler-Casanova S, Clayton AH, et al. The Evolution of the Female Sexual Disorder/Dysfunction Definitions, Nomenclature, and Classifications: A Review of DSM, ICSM, ISSWSH, and ICD. Sex Med 2021;9:36-56.
简介
包含性医学诊断的两个最著名的分类系统是国际疾病分类和统计（ICD）和精神障碍诊断与统计手册（DSM）。代表一系列学科的国际社会的性医学专家对女性性功能障碍（FSD）进行了修订和重新定义，以反映当前的科学证据和最新技术状态。
目的
总结性医学学会共识小组制定当前 FSD 命名法、分类和定义的证据以及互动和时间顺序过程。
方法
我们回顾了第四次国际性行为医学咨询（ICSM）、国际女性性健康研究学会（ISSWSH）和世界性行为健康协会与世界卫生组织的合作贡献。
主要观察结果
ICSM 和 ISSWSH 诊断系统与 DSM 分类相对比。我们讨论了创新和优势；相关的流行病学、病因学和危险因素证据；以及主要差异。我们描述了性医学专业知识如何为 ICD-11 分类中的 FSD 代码提供信息。
结果
ICSM 和 ISSWSH 发布了基于证据的女性性功能障碍定义、命名法和诊断标准指南，与 DSM 精神病学摘要不同。这些定义和命名法建议将女性性欲和唤起障碍分开，详细说明唤起问题的亚型，扩大性疼痛定义的范围，并更好地了解 FSD 的病因和危险因素。
结论
这些性医学专家之间的合作及其在 ICD-11 发展过程中的作用使人们相信，ICD-11 性功能障碍代码是基于全球临床环境中诊断和编码 FSD 的当前科学证据，可作为临床试验的终点，并为 FSD 治疗的治疗结果提供特异性。 Parish SJ，Cottler-Casanova S，Clayton AH，et al. 女性性功能障碍/功能障碍定义、命名法和分类的演变：DSM、ICSM、ISSWSH 和 ICD 的回顾。性医学 2021；9：36-56。
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