Leigh H
Department of Psychiatry, University of California, San Francisco-Fresno 93703.
Gen Hosp Psychiatry. 1993 May;15(3):155-9. doi: 10.1016/0163-8343(93)90118-8.
A new diagnostic category, "Physical Factors Affecting Psychiatric Condition," is proposed for inclusion in the DSM-IV. In addition, there should be a new category called "Chronic Adjustment Disorder." Psychiatric syndromes meeting Axis I or Axis II criteria that arise as an emotional reaction to a chronic or episodic physical illness or disability should be subsumed under the diagnosis of "Physical Factors Affecting Psychiatric Condition--Specific Axis I or II syndrome." Psychiatric symptoms that do not meet other Axis I or Axis II criteria should be diagnosed as "Chronic Adjustment Disorder." These categories will be especially useful in consultation-liaison settings.
提议将一个新的诊断类别“影响精神状况的躯体因素”纳入《精神疾病诊断与统计手册》第四版（DSM-IV）。此外，还应有一个名为“慢性适应障碍”的新类别。符合轴I或轴II标准、作为对慢性或发作性躯体疾病或残疾的情绪反应而出现的精神综合征，应归入“影响精神状况的躯体因素——特定轴I或轴II综合征”的诊断之下。不符合其他轴I或轴II标准的精神症状应诊断为“慢性适应障碍”。这些类别在会诊联络环境中将特别有用。
