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[新的国际精神疾病分类系统,ICD - 10。二、精神病学中的新分类系统]

[The new international psychiatric classification system, ICD-10. II. New classification systems in psychiatry].

作者信息

Smolík P

机构信息

Psychiatrická klinika Institutu postgraduálního vzdĕlávání ve zdravotnictví, Praha.

出版信息

Cas Lek Cesk. 1994 Oct 10;133(19):592-5.

PMID:7954672
Abstract

The different interpretations of the concept of "mental disease" and the absence of an etiopathogenetic plane in the area of mental disorders led to the creation of descriptive (phenomenological) classifications of mental disorders. Their main representatives are the American diagnostic and statistical manual of mental disorders, DSM-III, its revised version DSM-III-R and the new international classification of mental disorders iCD-10. Both systems use a common theoretical baseline and are to a considerable extent compatible. Typically they have a high reliability and low validity of diagnostic categories. Subsequent development of psychiatric classifications will be focused in particular on improvement of diagnostic validity. The international psychiatric classification was created in different versions for the purpose of specialized psychiatric care, primary care and for research.

摘要

对“精神疾病”概念的不同解读以及精神障碍领域缺乏病因发病机制层面的内容,导致了精神障碍描述性(现象学)分类的产生。其主要代表是美国《精神疾病诊断与统计手册》第三版(DSM-III)、其修订版《精神疾病诊断与统计手册》第三版修订本(DSM-III-R)以及《国际疾病分类》第十版(ICD-10)中的精神障碍分类。这两个系统都采用了共同的理论基线,并且在很大程度上是兼容的。通常情况下,它们诊断类别的可靠性高但有效性低。精神科分类的后续发展将特别侧重于提高诊断的有效性。国际精神科分类有不同版本,分别用于专科精神科护理、初级护理以及研究目的。

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