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[广泛性发育障碍临床诊疗的分类系统]

[Classification systems for the clinical approach to pervasive developmental disorders].

作者信息

Bettaglio E, Balottin U, Gerardo A, Manfredi P, Zambrino C A, Lanzi G

机构信息

Fondazione Istituto Neurologico C. Mondino, IRCCS, Università degli Studi, Pavia.

出版信息

Minerva Psichiatr. 1995 Mar;36(1):27-35.

PMID:7643731
Abstract

This paper compares four systems for the classification of pervasive developmental disorders: DSM-III-R, ICD-10, the French classification of mental disorders in children and adolescents and Manzano and Palacio-Espasa's operational classification. Five children were examined according to a protocol which included clinical and instrumental examination, the BSE scale, a development scale and a psychodynamic observation recorded by video camera. A detailed discussion of the diagnosis of one of the cases is reported as an example, while a synthetic description is given of the other four. The comparison highlights the characteristics of the four systems considered. The differing theoretical premises which inspire them mean that it is important to use all four in the clinical investigation of each case: DSM-III-R and ICD-10 can be used for the initial screening, whilst the other two can be used to classify more specifically all the forms of infantile psychosis.

摘要

本文比较了四种广泛性发育障碍分类系统

《精神疾病诊断与统计手册》第三版修订本(DSM-III-R)、《国际疾病分类》第十版(ICD-10)、法国儿童和青少年精神障碍分类以及曼萨诺和帕拉西奥 - 埃斯帕萨的操作性分类。按照包含临床和仪器检查、BSE量表、发育量表以及通过摄像机记录的心理动力学观察的方案对五名儿童进行了检查。作为示例报告了其中一个病例诊断的详细讨论,同时对其他四个病例进行了综合描述。该比较突出了所考虑的这四种系统的特点。启发它们的不同理论前提意味着在每个病例的临床调查中使用所有这四种系统很重要:DSM-III-R和ICD-10可用于初步筛查,而另外两种可用于更具体地对所有婴儿期精神病形式进行分类。

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