《国际疾病分类第11版》中与压力特别相关的疾病
Disorders Specifically Associated With Stress in ICD-11.
作者信息
Maercker Andreas, Eberle David J
机构信息
Department of Psychology, Division of Psychopathology and Clinical Intervention, University of Zurich, Zurich, Switzerland.
出版信息
Clin Psychol Eur. 2022 Dec 15;4(Spec Issue):e9711. doi: 10.32872/cpe.9711. eCollection 2022 Dec.
BACKGROUND
After almost three decades of ICD-10 use for diagnostic purposes, the World Health Organization has conducted a systematic and elaborate evaluation to revise the classification of mental disorders in this system. This revision resulted in the 11th version (ICD-11), introduced in 2022. As one new feature, the ICD-11 forms a new grouping of mental disorders specifically associated with stress.
METHOD
The current review presents an overview of the diagnostic features and cultural specifications of disorders specifically associated with stress. This grouping includes posttraumatic stress disorder and complex posttraumatic stress disorder, prolonged grief disorder, adjustment disorder, as well as two diagnoses for children, reactive attachment disorder and disinhibited social engagement disorder.
RESULTS
Overall, there is evidence for the improved clinical utility and applicability of these disorders. The disorders have been defined in a parsimonious way by few features, but they suffice for scientific purposes as well.
CONCLUSION
However, more research is needed to evaluate assessments for the diagnoses and diagnostic features in the ICD-11.
背景
在使用国际疾病分类第十版（ICD - 10）进行诊断近三十年后，世界卫生组织进行了系统而详尽的评估，以修订该系统中的精神障碍分类。此次修订产生了于2022年推出的第十一版（ICD - 11）。作为一项新特性，ICD - 11形成了一组专门与压力相关的精神障碍新分类。
方法
本综述概述了与压力特别相关的障碍的诊断特征和文化规范。这一分类包括创伤后应激障碍和复杂性创伤后应激障碍、持续性悲伤障碍、适应障碍，以及针对儿童的两种诊断，即反应性依恋障碍和脱抑制性社会参与障碍。
结果
总体而言，有证据表明这些障碍的临床实用性和适用性有所提高。这些障碍通过少数特征以简洁的方式进行了定义，但它们也足以满足科学目的。
结论
然而，需要更多研究来评估ICD - 11中这些诊断和诊断特征的评估方法。
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