《精神疾病诊断与统计手册》第三版轴III在精神科住院患者中的效用：与《精神疾病诊断与统计手册》第二版时期的精算比较

Usefulness of DSM-III axis III in psychiatric inpatients: an actuarial comparison with the DSM-II period.

作者信息

Salloum I M, Mezzich J E, Saavedra J E, Kirisci L

机构信息

Western Psychiatric Institute and Clinic, Department of Psychiatry, University of Pittsburgh, PA 15213.

出版信息

Am J Psychiatry. 1994 May;151(5):768-9. doi: 10.1176/ajp.151.5.768.

DOI:10.1176/ajp.151.5.768

PMID:8166323

Abstract

This study is a retrospective evaluation of the usefulness of DSM-III axis III (physical disorders) and its ability to enhance clinical case description in general psychiatric patients. The subjects of this study consisted of two samples of 75 inpatients; each was randomly selected and age-matched to represent DSM-II (1975-1979) and DSM-III (1981-1985) periods, respectively. The results indicated a substantial and statistically significant difference in the frequency of physical disorders recorded at intake before (9.3%) and after (46.7%) the implementation of DSM-III. DSM-III axis III may significantly enhance the recording of physical disorders in psychiatric inpatients.

摘要

本研究是对《精神疾病诊断与统计手册》第三版轴III（躯体疾病）的实用性及其增强普通精神病患者临床病例描述能力的回顾性评估。本研究的对象包括两个各有75名住院患者的样本；每个样本均随机选取且年龄匹配，分别代表《精神疾病诊断与统计手册》第二版（1975 - 1979年）和第三版（1981 - 1985年）时期。结果表明，在实施《精神疾病诊断与统计手册》第三版之前（9.3%）和之后（46.7%），入院时记录的躯体疾病频率存在显著且具有统计学意义的差异。《精神疾病诊断与统计手册》第三版轴III可能会显著增强精神病住院患者躯体疾病的记录。