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关于精神分裂症更名:阳性与阴性症状障碍(PND)

Towards a name change of schizophrenia: Positive and Negative Symptoms Disorder (PND).

作者信息

Leucht Stefan, Yurtseven Deniz S, Priller Josef, Davis John M, van Os Jim, Sommer Iris E C

机构信息

Department of Psychiatry and Psychotherapy, School of Medicine and Health, Technical University of Munich, TUM University Hospital Rechts der Isar, Ismaningerstrasse 22, 81675, Munich, Germany.

German Center for Mental Health (DZPG), Partner Site Munich/Augsburg, Germany.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2025 May 19. doi: 10.1007/s00406-025-02018-8.

DOI:10.1007/s00406-025-02018-8
PMID:40387871
Abstract

We propose renaming schizophrenia to Positive and Negative Symptoms Disorder (PND) to reduce stigma, enhance clarity, and align with current diagnostic criteria. The term reflects core symptom domains, is translatable, ICD compatible, and avoids misleading associations. If cognitive deficits should be part of the name, it would be Positive, Negative, Cognitive Symptoms disorder. Stakeholder input and linguistic evaluation are essential for successful implementation and global acceptance.

摘要

我们提议将精神分裂症重新命名为阳性和阴性症状障碍(PND),以减少污名化、提高清晰度,并与当前的诊断标准保持一致。该术语反映了核心症状领域,具有可翻译性、与国际疾病分类(ICD)兼容,且避免了误导性关联。如果认知缺陷应包含在名称中,那么它将是阳性、阴性、认知症状障碍。利益相关者的意见和语言评估对于成功实施和全球接受至关重要。

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本文引用的文献

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JAMA Psychiatry. 2024 Nov 1;81(11):1149-1158. doi: 10.1001/jamapsychiatry.2024.2652.
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Cognitive impairment in schizophrenia: aetiology, pathophysiology, and treatment.精神分裂症认知障碍:病因、发病机制与治疗。
Mol Psychiatry. 2023 May;28(5):1902-1918. doi: 10.1038/s41380-023-01949-9. Epub 2023 Jan 23.
3
The neurobiological characterization of distinct cognitive subtypes in early-phase schizophrenia-spectrum disorders.
致编辑的信:关于“精神分裂症更名:阳性和阴性症状障碍(PND)”
Eur Arch Psychiatry Clin Neurosci. 2025 Sep 9. doi: 10.1007/s00406-025-02107-8.
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Towards a name change of schizophrenia: is it really necessary?关于精神分裂症更名:真的有必要吗?
Eur Arch Psychiatry Clin Neurosci. 2025 Sep 9. doi: 10.1007/s00406-025-02105-w.
早期精神分裂症谱系障碍中不同认知亚型的神经生物学特征。
Schizophr Res. 2022 Mar;241:228-237. doi: 10.1016/j.schres.2022.02.006. Epub 2022 Feb 14.
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Are we ready for a name change for schizophrenia? A survey of multiple stakeholders.我们是否准备好为精神分裂症更改名称?对多方利益相关者的调查。
Schizophr Res. 2021 Dec;238:152-160. doi: 10.1016/j.schres.2021.08.034. Epub 2021 Oct 20.
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Creativity and schizophrenia spectrum disorders across the arts and sciences.艺术与科学领域中的创造力与精神分裂症谱系障碍。
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