Hwu H G, Chen C C, Strauss J S, Tan K L, Tsuang M T, Tseng W S
Department of Psychiatry, Medical College, National Taiwan University, Taipei, Republic of China.
Acta Psychiatr Scand. 1988 Jan;77(1):87-97. doi: 10.1111/j.1600-0447.1988.tb05083.x.
Data from the Taipei Center of the International Pilot Study of Schizophrenia were reanalyzed using the ICD-9 and DSM-III diagnoses at 7-year follow-up. Patients diagnosed as schizophrenic according to DSM-III were shown to be a more homogeneous group in terms of their clinical manifestations, social functions and family psychiatric history than those defined as schizophrenic by ICD-9. The discordant cases of ICD-9 schizophrenia and DSM-III affective disorders were found to be different from the concordant schizophrenic group, but similar to the concordant group of affective disorders diagnosed by ICD-9 and DSM-III. Thirty-five per cent of mood-incongruent psychotic major depressive disorders defined by DSM-III at initial evaluation were diagnosed as schizophrenia at 7-year follow-up.
对精神分裂症国际试点研究台北中心的数据进行了重新分析，采用国际疾病分类第九版（ICD - 9）和精神疾病诊断与统计手册第三版（DSM - III）在7年随访时的诊断标准。结果显示，根据DSM - III诊断为精神分裂症的患者，在临床表现、社会功能和家族精神病史方面，比那些根据ICD - 9定义为精神分裂症的患者更为同质。发现ICD - 9精神分裂症与DSM - III情感障碍的不一致病例与一致的精神分裂症组不同，但与ICD - 9和DSM - III诊断的一致情感障碍组相似。在初始评估时根据DSM - III定义的35%的心境不和谐的重度精神病性抑郁症在7年随访时被诊断为精神分裂症。
