精神分裂症诊断方法的演变：从克雷佩林到《国际疾病分类第11版》
The Evolution of Approaches to Schizophrenia Diagnostics: from Kraepelin to ICD-11.
作者信息
Shmukler Alexander B
出版信息
Consort Psychiatr. 2021 May 25;2(2):65-70. doi: 10.17816/CP62. eCollection 2021.
Abstract
This article presents the evolution of views on schizophrenia diagnostics over the course of 150 years, beginning from the pre-Kraepelin period and ending with concepts developed in recent decades. Consideration is given to the merits and demerits of contemporary official classifications (DSM-5 and ICD-11) as well as to alternative approaches, particularly in relation to scientific research, and their prospects for development. Special attention is paid to the Research Domain Criteria Project (RDoC) of the National Institute of Mental Health (NIMH). Another promising area discussed in this paper relates to network analysis as a method for the investigation of psychotic disorders, particularly schizophrenia.
摘要
本文介绍了150年来精神分裂症诊断观点的演变，从克雷佩林之前的时期开始，到近几十年来形成的概念结束。文中考虑了当代官方分类（《精神疾病诊断与统计手册》第5版和《国际疾病分类》第11版）的优缺点，以及替代方法，特别是与科学研究相关的方法，及其发展前景。特别关注了美国国立精神卫生研究所（NIMH）的研究领域标准项目（RDoC）。本文讨论的另一个有前景的领域是网络分析，它作为一种研究精神障碍尤其是精神分裂症的方法。
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本文引用的文献
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2
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Int J Clin Pract. 2018 Jul;72(7):e13094. doi: 10.1111/ijcp.13094. Epub 2018 Apr 24.
3
Primary, Enduring Negative Symptoms: An Update on Research.主要、持久的阴性症状：研究进展更新。
Schizophr Bull. 2017 Jul 1;43(4):730-736. doi: 10.1093/schbul/sbx064.
4
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5
Defining psychosis: the evolution of DSM-5 schizophrenia spectrum disorders.定义精神病：DSM-5 精神分裂症谱系障碍的演变。
Curr Psychiatry Rep. 2013 Nov;15(11):409. doi: 10.1007/s11920-013-0409-9.
6
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Asian J Psychiatr. 2013 Aug;6(4):330-2. doi: 10.1016/j.ajp.2013.05.011. Epub 2013 Jun 14.
7
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8
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J Neurol. 2012 Sep;259(9):2012-3. doi: 10.1007/s00415-012-6461-2. Epub 2012 Mar 8.
9
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Nervenarzt. 2012 Mar;83(3):345-54. doi: 10.1007/s00115-011-3255-1.
10
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Indian J Psychiatry. 2010 Apr;52(2):191-2. doi: 10.4103/0019-5545.64591.
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