Zigmond A S, Sims A C
Br J Psychiatry. 1983 Apr;142:409-13. doi: 10.1192/bjp.142.4.409.
This study compares the diagnostic terminology used for 592 consecutive discharges from a psychiatric unit before and after teaching psychiatric trainees the use of the ICD-9 classificatory system. The results show a marked increase in specificity of diagnostic labels, with a decrease of diagnoses with the term 'not otherwise specified', and an increase in the diagnoses of organic psychoses, paranoid and hebephrenic schizophrenia and depressive neurosis. The implications of this for training about diagnosis, clinical practice and recording of data for national statistics are discussed.
本研究比较了在向精神科实习生教授国际疾病分类第九版（ICD - 9）分类系统的使用之前和之后，一个精神科单元连续592例出院病例所使用的诊断术语。结果显示诊断标签的特异性显著提高，“未另行规定”这一术语的诊断减少，器质性精神病、偏执型和青春型精神分裂症以及抑郁性神经症的诊断增加。文中讨论了这对于诊断培训、临床实践以及国家统计数据记录的意义。
