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根据国际疾病分类第11版(ICD - 11)和精神疾病诊断与统计手册第5版(DSM - 5)的强迫及相关障碍:简要探讨新的强迫障碍、嗅觉参照障碍和疑病症

[Obsessive-compulsive and related disorders according to ICD-11 and DSM-5 : With brief consideration of the new obsessive-compulsive disorders olfactory reference disorder and hypochondriasis].

作者信息

Zaudig M

机构信息

Psychotherapeutisches Gesundheitszentrum München, Lindwurmstr. 83, 80337, München, Deutschland.

出版信息

Nervenarzt. 2022 Jul;93(7):661-669. doi: 10.1007/s00115-022-01341-y. Epub 2022 Jun 20.

Abstract

This article summarizes the current state of research with respect to the new obsessive-compulsive and related disorders (OCRD) grouping according to the International Statistical Classification of Diseases and Related Health Problems (ICD-11) and the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The ICD-11 grouping of OCRD is based on common clinical features, such as repetitive undesired thoughts and repetitive behavior and is supported by the literature and empirical data from the fields of imaging and genetics. The disorders in this grouping in ICD-11 include obsessive-compulsive disorder, pathological hoarding, body dysmorphic disorder, trichotillomania, excoriation disorder, and as new disorders differing to DSM‑5, hypochondriasis, olfactory reference disorder and Tourette syndrome. The aim of the OCRD grouping is an improvement of the diagnostics and appropriate treatment strategies as well as a further stimulation of research. The new disorders olfactory reference disorder and hypochondriasis are presented and discussed.

摘要

本文根据《国际疾病和相关健康问题统计分类》(ICD - 11)和《精神疾病诊断与统计手册》(DSM - 5),总结了关于新的强迫及相关障碍(OCRD)分组的研究现状。ICD - 11中OCRD的分组基于常见临床特征,如反复出现的不良想法和重复行为,并得到了影像学和遗传学领域文献及实证数据的支持。ICD - 11中该分组的障碍包括强迫症、病理性囤积、躯体变形障碍、拔毛癖、皮肤搔抓障碍,以及与DSM - 5不同的新障碍,即疑病症、嗅觉参照障碍和抽动秽语综合征。OCRD分组的目的是改善诊断和适当的治疗策略,并进一步推动研究。文中对新障碍嗅觉参照障碍和疑病症进行了介绍和讨论。

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