测试《国际疾病分类第10版》（ICD - 10）与《精神疾病诊断与统计手册第三版修订版》（DSM - III - R）中精神疾病诊断的可比性。
Testing the comparability of psychiatric diagnoses in ICD-10 and DSM-III-R.
作者信息
Hiller W, Dichtl G, Hecht H, Hundt W, von Zerssen D
机构信息
Clinic Roseneck, Center for Behavioral Medicine, Prien, FRG.
出版信息
Psychopathology. 1994;27(1-2):19-28. doi: 10.1159/000284844.
The compatibility of the classification systems ICD-10 and DSM-III-R was investigated in a sample of 100 psychiatric inpatients with severe affective and psychotic disorders. Four independent raters assessed diagnoses by means of checklists from psychopathological descriptions of case records. Congruence between ICD-10 and DSM-III-R was good for depressive disorders with agreement rates above 80% and fair for bipolar disorders with rates above 60%. Less consistent findings were obtained for schizophrenia with rates of 57.5% for ICD-10 diagnoses and 82.6% for DSM-III-R diagnoses. Agreement for schizoaffective disorder was below 40% and thus insufficient. The results indicate that even small differences in the definitions of mental disorders may result in considerable inconsistencies.
在100名患有严重情感和精神障碍的精神病住院患者样本中，对国际疾病分类第十版（ICD - 10）和精神疾病诊断与统计手册第三版修订本（DSM - III - R）这两种分类系统的兼容性进行了调查。四名独立评估者通过病例记录的精神病理学描述清单来评估诊断。ICD - 10和DSM - III - R在抑郁症诊断上的一致性良好，一致率高于80%；在双相情感障碍诊断上一致性尚可，一致率高于60%。对于精神分裂症，ICD - 10诊断率为57.5%，DSM - III - R诊断率为82.6%，结果一致性较差。精神分裂症性情感障碍的一致率低于40%，因此一致性不足。结果表明，即使精神障碍定义上的微小差异也可能导致相当大的不一致性。
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