Montero I, Sanjuan J, Frades B
Acta Psychiatr Scand. 1986 Dec;74(6):536-41. doi: 10.1111/j.1600-0447.1986.tb06280.x.
The authors applied the DSM III diagnosis to 500 patients seen at a Consultation-Liaison psychiatric service. Compared with similar American studies there was a lower frequency of adjustment and somatoform disorders and a higher proportion of drug abuse cases. Several possible reasons for these differences are mentioned. Although the use of DSM III has clear advantages in a General Hospital context, important difficulties were found: the use of some diagnostic criteria, the absence of a code to relate Axes I and III, the poor systemization of scores in social Axes IV and V and the lack of a specific category for attempted suicide are but a few of the difficulties encountered. Finally, some modifications of DSM III are suggested in order to improve its clinical usefulness.
作者将《精神疾病诊断与统计手册》第三版（DSM III）的诊断标准应用于500名在会诊-联络精神科就诊的患者。与美国的类似研究相比，适应障碍和躯体形式障碍的发生率较低，而药物滥用病例的比例较高。文中提到了造成这些差异的几个可能原因。虽然在综合医院环境中使用DSM III有明显优势，但也发现了一些重要困难：某些诊断标准的使用、缺乏将轴I和轴III相关联的编码、社会轴IV和V评分的系统化不足以及缺乏针对自杀未遂的特定类别，这些只是所遇到困难中的一部分。最后，为提高其临床实用性，建议对DSM III进行一些修改。
