Chaparro Araya R, Téllez Téllez C
Departamento de Psiquiatría y Salud Mental, División Norte, Universidad de Chile.
Acta Psiquiatr Psicol Am Lat. 1993;39 Suppl 2:27-31.
Schizophrenia is the commonest and most important member of this group. Schizotypical disorder possesses many of the characteristic features of schizophrenic disorder and is probably genetically related to them, but this disorder does not exhibit the hallucinations, delusions, and gross behavioural disturbances of the schizophrenia itself, and so does not always come to medical attention. Most of the delusional disorders are a heterogeneous and ill understood collection of disorders which can conveniently be divided by their typical duration into a group of persistent delusional disorders and a larger group of acute and transient psychotic disorders. Simultaneously a Psychiatry and Occupational therapist studied the applicability of the ICD-10 in comparison with DSM-III-R in the diagnosis of Schizophrenia, Schizotypical disorder and Delusional disorder. Thirty patients were diagnosed in both classification systems, this allow us to describe the difficulties and advantages of ICD-10 in this group of disorders.
精神分裂症是这一组疾病中最常见且最重要的一种。分裂型障碍具有许多精神分裂症的特征性表现,并且可能在遗传上与之相关,但该障碍并不表现出精神分裂症本身所具有的幻觉、妄想及明显的行为紊乱,因此并不总是引起医疗关注。大多数妄想性障碍是一组异质性且了解甚少的疾病,可根据其典型病程方便地分为持续性妄想性障碍组和更大的急性及短暂性精神病性障碍组。同时,一名精神科医生和一名职业治疗师研究了《国际疾病分类第10版》(ICD - 10)与《精神疾病诊断与统计手册第3版修订本》(DSM - III - R)在精神分裂症、分裂型障碍及妄想性障碍诊断中的适用性。在这两种分类系统中均诊断出30例患者,这使我们能够描述ICD - 10在这组疾病中的困难与优势。