Freyberger H J, Schneider W, Thiel A
Department of Psychiatry and Psychotherapy, University of Bonn, Germany.
Psychopathology. 1996;29(5):292-300. doi: 10.1159/000285010.
The concept of neurotic and psychosomatic disorders in ICD-10, chapter V (F), follows the principle of descriptive diagnosis; therefore the classical approaches with special regard to psychoanalytic terminology were abandoned. These changes were subject of a multicentric field trial in German speaking countries evaluating practicability, acceptability, feasibility, reliability and aspects of validity of the ICD-10 Diagnostic Criteria for Research: Involving 34 psychiatric, child-psychiatric and psychosomatic centres 17 video-documented cases with ICD-10 diagnoses from sections F4 and F5 were assessed independently in case conferences. On the basis of 1,116 ratings, acceptability and practicability were rated as comparatively sufficient. For 3-character diagnostic categories, the chance-corrected interrater reliability coefficients (kappa) showed a range from 0.62 to 0.95. The concordance with the independently assessed expert consensus diagnosis for the different cases showed a range between 87 and 100%.
《国际疾病分类第10版》第五章（F章）中神经症性障碍和心身疾病的概念遵循描述性诊断原则；因此，摒弃了特别涉及精神分析术语的传统方法。这些变化是德语国家多中心现场试验的主题，该试验评估了《国际疾病分类第10版研究用诊断标准》的实用性、可接受性、可行性、可靠性及效度方面：34个精神科、儿童精神科和心身医学中心参与其中，在病例讨论会上对17例来自F4和F5类别的有视频记录的《国际疾病分类第10版》诊断病例进行了独立评估。基于1116次评分，可接受性和实用性被评为相对充足。对于三位数诊断类别，经机会校正的评定者间信度系数（kappa）范围为0.62至0.95。不同病例与独立评估的专家共识诊断的一致性范围在87%至100%之间。
