Mezzich J E, Coffman G A, Goodpastor S M
Am J Psychiatry. 1982 May;139(5):591-6. doi: 10.1176/ajp.139.5.591.
The authors present a format that organizes DMS-III diagnoses according to its five axes. For each axis, it provides an ordered listing of several diagnostic categories, their qualification as principal or provisional diagnoses, and alternative categories to be ruled out. For each dimensional axis, the terms and codes of the scale are specified and arranged linearly. This format was used with 1,111 new patients who consecutively applied for care at a comprehensive psychiatric facility during a 6-month period. The authors report on the frequency of use of specific diagnostic categories and dimensional levels along provisional, and rule-out diagnoses were noted.
作者提出了一种根据《精神疾病诊断与统计手册》第三版(DMS - III)的五个轴来组织诊断的格式。对于每个轴,它提供了几个诊断类别的有序列表、它们作为主要或临时诊断的资格以及需要排除的替代类别。对于每个维度轴,都指定并按线性排列了量表的术语和代码。在6个月期间,这种格式被用于1111名新患者,这些患者连续在一家综合精神病治疗机构申请治疗。作者报告了特定诊断类别和维度水平在临时诊断中的使用频率,并记录了需要排除的诊断。