Clair Anne-Hélène
Institut du Cerveau, et Sorbonne Université, Paris, France.
Rev Prat. 2020 Sep;70(7):774-776.
Classification of obsessive-compulsive disorder : evolution in the DSM V. Obsessive-compulsive disorder (OCD) criteria were first described in the third edition of Diagnostic and statistical manual of mental disorders (DSM), in the 1980's. OCD was then classified as an anxious disorder. Today, a new group in DSM-V included OCD and other closed disorders, called "OCD and related disorders". In this new edition, hoarding, before considered as a symptom of OCD, was isolated in a new disorder called hording disorder. This new family also includes body dysmorphic disorder, trichotillomania and skin picking disorder. Criteria of OCD itself are preserved. In DSM-V it was also added the possibility to specify the degree of insight of the patient, and if tics are or were associated with OCD.
《精神疾病诊断与统计手册》第五版中的演变。强迫症（OCD）标准最早于20世纪80年代在《精神疾病诊断与统计手册》（DSM）第三版中被描述。当时，强迫症被归类为焦虑症。如今，《精神疾病诊断与统计手册》第五版中的一个新类别包括强迫症和其他相关障碍，称为“强迫症及相关障碍”。在这个新版本中，囤积行为以前被视为强迫症的一种症状，现在被单独列为一种名为囤积障碍的新疾病。这个新类别还包括躯体变形障碍、拔毛癖和皮肤搔抓障碍。强迫症本身的标准得以保留。在《精神疾病诊断与统计手册》第五版中，还增加了明确患者自知力程度以及抽动是否与强迫症相关的可能性。
