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[精神疾病的分类。从贝蒂荣到国际疾病分类第10版:一个世纪的国际合作]

[Classification of mental diseases. From Bertillon to CID-10: a century of international collaboration].

作者信息

Bartolomé J M, Sartorius N

机构信息

Division of Mental Health, World Health Organization, Suiza.

出版信息

Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1994 Sep-Oct;22(5):193-9.

PMID:7817845
Abstract

The first International Classification of Diseases (ICD) was approved during the Congress of the Statistical International Institute, in Chicago, in Paris, in 1893. It was based on a list of diseases prepared by Jacques Bertillon. Minor changes were introduced in this classification during decennial revisions made at international meetings and it remained in use until 1948, when the World Health Organization's Provisional Committee was charged with the task of producing ICD-6. ICD-6 represented a major shift from the previous internal conceptualization, particularly in what concerns the Chapter V., dealing with mental disorders. From 1955 on WHO produced with approximately a 10-year interval ICV-7, 8, and 9. Few modifications in relation to ICD-6 were introduced by these revisions, except for the introduction of a glossary of terms in the chapter on mental disorders. This glossary had a major impact towards the development of a common language in psychiatry. Based on epidemiological findings, and based also on an intensive and extensive international network of clinicians and investigators, ICD-10 was published in 1992. It represented a substantial improvement regarding the conceptualization of the classification of mental disorders, in relation to previous revisions of the ICD. Future tasks relating to ICD-10 include training of health personnel for its proper utilization, in addition to finalizing further ICD-10 versions, e.g. for research purposes and for primary health care use.

摘要

第一部《国际疾病分类》(ICD)于1893年在芝加哥召开的国际统计学会大会期间在巴黎获得批准。它基于雅克·贝蒂荣编制的一份疾病清单。在国际会议进行的十年一次修订中,该分类有一些小的改动,并且一直使用到1948年,当时世界卫生组织临时委员会受命编制ICD - 6。ICD - 6与之前的内部概念化有重大转变,特别是在涉及第五章“精神障碍”方面。从1955年起,世卫组织大约每隔10年编制ICD - 7、8和9。这些修订对ICD - 6的改动很少,除了在精神障碍章节引入了术语表。该术语表对精神病学通用语言的发展产生了重大影响。基于流行病学研究结果,并基于广泛且密集的国际临床医生和研究人员网络,ICD - 10于1992年出版。与ICD之前的修订相比,它在精神障碍分类的概念化方面有了实质性改进。与ICD - 10相关的未来任务包括培训卫生人员以便正确使用它,此外还要敲定ICD - 10的进一步版本,例如用于研究目的和初级卫生保健用途的版本。

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