Gutzmann H, Krüger H, Richert A, Mombour W
Department of Psychogeriatrics, Wilhelm Griesinger Hospital, Berlin, Germany.
Psychopathology. 1996;29(5):267-73. doi: 10.1159/000285006.
The results of the ICD-10 Diagnostic Criteria for Research (DCR) field trial in German-speaking countries concerning section F0 (organic mental disorders) are reported. On the comparatively small data basis of the study, acceptance and interrater-reliability cannot be estimated satisfactorily. Despite this general problem, it can be said that section F0 of ICD-10 DCR maintains a high degree of continuity with respect to ICD-10. Some categories caused diagnostic disturbances and needed further specification, especially the criteria regarding the temporal relationship between the onset of an organic disorder and the psychiatric symptomatology. The recently published definite DCR seem to avoid most of the problems of the earlier version used in this study.
报告了国际疾病分类第10版研究用诊断标准(DCR)在德语国家关于F0章节(器质性精神障碍)的现场试验结果。基于该研究相对较少的数据基础,接受度和评分者间信度无法得到令人满意的评估。尽管存在这一普遍问题,但可以说ICD-10 DCR的F0章节与ICD-10保持了高度的连续性。一些类别引发了诊断困扰,需要进一步细化,尤其是关于器质性障碍发作与精神症状之间时间关系的标准。最近公布的最终DCR似乎避免了本研究中使用的早期版本的大多数问题。