[精神病学诊断系统的修订过程：国际疾病分类第11版（ICD - 11）与精神疾病诊断与统计手册第5版（DSM - 5）之间的差异]

[The revision process of diagnostic systems in psychiatry: differences between ICD-11 and DSM-5].

作者信息

Sampogna Gaia, Del Vecchio Valeria, Giallonardo Vincenzo, Luciano Mario, Perris Francesco, Saviano Pasquale, Zinno Francesca, Fiorillo Andrea

机构信息

Dipartimento di Psichiatria, Università della Campania "L. Vanvitelli", Napoli.

UOSM Nola, DSM ASL NA 3 Sud, Nola (Napoli).

出版信息

Riv Psichiatr. 2020 Nov-Dec;55(6):323-330. doi: 10.1708/3503.34889.

DOI:10.1708/3503.34889

PMID:33349724

Abstract

The two main classification systems in psychiatry are represented by the Diagnostic and Statistical Manual of Mental Disorders (DSM) and by the International Classification of Diseases (ICD). The last version of the DSM has been published in 2013 by the American Psychiatric Association and it has been translated in Italian in 2014. The eleventh revision of the ICD by the World Health Organization has been completed in 2018, approved by the WHO General Assembly in 2019 and it is going to be translated in several languages. Although authors of the last editions of both manuals aimed to the harmonization, several differences still persist. In particular, the DSM has the global aim to be used in the scientific research settings, while the ICD aims to improve the clinical utility of the different diagnoses in the clinical practice. In the near future, all these features should be taken carefully in consideration in order to promote a real integration and harmonization between the two diagnostic systems.

摘要

精神病学中的两个主要分类系统分别由《精神疾病诊断与统计手册》（DSM）和《国际疾病分类》（ICD）代表。DSM的最新版本于2013年由美国精神病学协会出版，并于2014年被翻译成意大利语。世界卫生组织对ICD的第十一次修订已于2018年完成，2019年获得世界卫生组织大会批准，并且即将被翻译成多种语言。尽管这两本手册最新版本的作者都致力于协调统一，但仍存在一些差异。特别是，DSM的总体目标是用于科研环境，而ICD旨在提高不同诊断在临床实践中的临床实用性。在不久的将来，所有这些特征都应得到认真考虑，以促进这两种诊断系统之间的真正整合与协调统一。