Armenteros J L, Fennelly B W, Hallin A, Adams P B, Pomerantz P, Michell M, Sanchez L E, Campbell M
Department of Psychiatry, New York University Medical Center, New York 10016, USA.
Psychopharmacol Bull. 1995;31(2):383-7.
The DSM-III-R, DSM-IV, and ICD-10 criteria were tested in hospitalized adolescents diagnosed with schizophrenia and other psychotic disorders employing a retrospective chart review. The charts of 111 patients, ages 11 to 17 years, representing consecutive admissions to Bellevue Hospital Center over a period of 18 months were reviewed. Thirty patients had a clinical diagnosis of schizophrenia or other psychotic disorders on admission and were selected for the present study. The 30 patients were independently rediagnosed using the criteria of DSM-III-R, DSM-IV, and ICD-10. Schizophrenia was diagnosed clinically in 6 patients, 10 met DSM-III-R criteria, 9 met DSM-IV criteria, and 12 met the ICD-10 criteria. Agreement for schizophrenia was high across the diagnostic systems. The clinical diagnosis of psychotic disorder, not otherwise specified (NOS) was overinclusive. The mean number of psychotic symptoms per subject was 2.66 (range 1-6). We found no significant relationship between the frequency or type of symptoms and the age or gender of subjects.
采用回顾性病历审查方法，对诊断为精神分裂症和其他精神障碍的住院青少年患者进行了《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）、《精神疾病诊断与统计手册》第四版（DSM-IV）和《国际疾病分类》第十版（ICD-10）标准测试。对111例年龄在11至17岁之间、在18个月内连续入住贝尔维尤医院中心的患者病历进行了审查。30例患者入院时临床诊断为精神分裂症或其他精神障碍，被选入本研究。使用DSM-III-R、DSM-IV和ICD-10标准对这30例患者进行独立重新诊断。临床上诊断为精神分裂症的有6例，符合DSM-III-R标准的有10例，符合DSM-IV标准的有9例，符合ICD-10标准的有12例。各诊断系统对精神分裂症的诊断一致性较高。未另行说明的精神障碍（NOS）的临床诊断涵盖范围过广。每位受试者的精神症状平均数为2.66（范围为1至6）。我们发现症状的频率或类型与受试者的年龄或性别之间没有显著关系。
