精神分裂症诊断标准更新与分类变化

管晓枫; 胡欣怡; 陆峥

doi:10.13406/j.cnki.cyxb.002870

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精神分裂症诊断标准更新与分类变化

神经精神疾病诊断标准和进展 | 更新时间：2022-06-24

- 精神分裂症诊断标准更新与分类变化
- Update of diagnostic criteria and classification changes of schizophrenia
- 重庆医科大学学报 2021年46卷第7期页码：760-763
- 作者机构：
  
  同济大学附属同济医院精神医学科，上海　200065
- 作者简介：
  
  [ "管晓枫，Email：tjdxgxf@163.com，研究方向：精神病与精神卫生学。" ]
  陆峥，主任医师、教授、博士生导师、科主任，中国医师协会精神科医师分会副会长，获上海市科技成果二等奖、三等奖。Email：Luzheng@tongji.edu.cn。
- 基金信息：
  
  国家自然科学基金资助项目(81974214);上海市临床重点专科建设资助项目(2018);上海市重中之重临床重点学科建设计划资助项目(2017ZZ02020)
- DOI：10.13406/j.cnki.cyxb.002870
  中图分类号： R749.3
- 纸质出版日期：2021-07-28，
  
  收稿日期：2021-04-20，
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管晓枫, 胡欣怡, 陆峥. 精神分裂症诊断标准更新与分类变化[J]. 重庆医科大学学报, 2021,46(7):760-763.

Xiaofeng Guan, Xinyi Hu, Zheng Lu. Update of diagnostic criteria and classification changes of schizophrenia[J]. Journal of Shanxi Agricultural Sciences, 2021,46(7):760-763.
管晓枫, 胡欣怡, 陆峥. 精神分裂症诊断标准更新与分类变化[J]. 重庆医科大学学报, 2021,46(7):760-763. DOI： 10.13406/j.cnki.cyxb.002870.

Xiaofeng Guan, Xinyi Hu, Zheng Lu. Update of diagnostic criteria and classification changes of schizophrenia[J]. Journal of Shanxi Agricultural Sciences, 2021,46(7):760-763. DOI： 10.13406/j.cnki.cyxb.002870.

摘要

精神分裂症是一组病因未明的重性精神障碍，由于迄今为止尚无生物学标记可以进行诊断，故精神分裂症的诊断主要基于症状学。本文就世界卫生组织（World Health Organization，WHO）组织编写的《疾病和有关健康问题的国际统计分类》（

International Statistical Classification of Disease and Health Problem

，ICD）和美国的《精神障碍统计与诊断手册》（

Diagnostic and Statistical Manual of Mental Disorders

，DSM）2个诊断系统对精神分裂症的诊断标准及分类变化进行阐述，以期增加临床工作者对各诊断系统内容的理解。

Abstract

Schizophrenia is a group of severe mental disorders with unknown etiology. Since there are no biological markers to diagnose so far

the diagnosis of schizophrenia is mainly based on symptomatology. This article describes the diagnostic criteria and classification changes of schizophrenia in

International Statistical Classification of Disease and Health Problem

(ICD) and

Diagnostic and Statistical Manual of Mental Disorders

(DSM) diagnostic systems

in order to increase the understanding of the content of each diagnostic system by clinicians.

关键词

精神分裂症诊断标准分类

Keywords

schizophreniadiagnostic criteriaclassification

references

Jääskeläinen E, Juola P, Hirvonen N, et al. A systematic review and Meta-analysis of recovery in schizophrenia[J]. Schizophr Bull, 2012, 39:1296-1306.

Saha S, Chant D, Welham J, et al. A systematic review of the prevalence of schizophrenia[J]. PLoS Med, 2005; 2(5):e141.

Cloutier M, Aigbogun MS, Guerin A, et al. The economic burden of schizophrenia in the United States in 2013[J]. J Clin Psychiatry, 2016, 77(6):764-771.

Valle R. Schizophrenia in ICD-11: comparison of ICD-10 and DSM-5[J]. Rev Psiquiatr Salud Ment, 2020, 13(2):95-104.

World Health Organization. WHO releases new International Classification of Diseases(ICD-11)[EB/OL]. (2018-06-18)[2021-04-18]. http://www.who.int/news-room/detail/18-06-2018-who-releases-newinternational-classification-of-diseases-(icd-11)http://www.who.int/news-room/detail/18-06-2018-who-releases-newinternational-classification-of-diseases-(icd-11).

Tandon R, Nasrallah HA, Keshavan MS. Schizophrenia, “just the facts”4. Clinical features and conceptualization[J]. Schizophr Res, 2009, 110(1-3):1-23.

Cooper J, Kendell RE, Gurland BJ, et al. Psychiatric diagnosis in New York and London[M]. London: Oxford Univeristy Press, 1972.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders(DSM-Ⅲ)[M]. 3rd edition. Washington: American Psychiatric Press, 1980.

Tandon R. The nosology of schizophrenia: toward DSM-5 and ICD-11[J]. Psychiatr Clin North Am, 2012, 35(3):557-569.

World Health Organization. The ICD-10 classification of mental and behavioral disorders.clinical descriptions and diagnostic guidelines[M]. Geneva: World Health Organization, 1992.

World Health Organization. ICD-11 international classification of diseases-mortality and morbidity statistics[M]. 11th Rev. Geneva: World Health Organization, 2018.

Biedermann F, Fleischhacker WW. Psychotic disorders in DSM-5 and ICD-11[J]. CNS Spectr, 2016, 21(4):349-354.

Keeley JW, Gaebel W, First MB, et al. Psychotic disorder symptom rating scales: are dichotomous or multi-point scales more clinically useful?An ICD-11 field study[J]. Schizophr Res, 2018, 202:254-259.

Gaebel W, Zielasek J, Cleveland HR. Psychotic disorders in ICD-11[J]. Asian J Psychiatry, 2013, 6(3):263-265.

Fusar-Poli P, McGorry PD, Kane JM. Improving outcomes of firstepisode psychosis: an overview[J]. J World Psychiatr Assoc, 2017, 16(3):251-265.

Spitzer RL, Endicott J, Robins E. Clinical criteria for psychiatric diagnosis and DSM-Ⅲ[J]. Am J Psychiatry, 1975, 132(11):1187-92.

Bhati MT. Defining psychosis: the evolution of DSM-5 schizophrenia spectrum disorders[J]. Curr Psychiatry Rep, 2013, 15(11):409.

Blashfield R. An evaluation of the DSM-Ⅱclassification of schizophrenia as a nomenclature[J]. J Abnorm Psychol, 1973, 82(3):382-389.

Wilson M. DSM-Ⅲand the transformation of American psychiatry: a history[J]. Am J Psychiatry, 1993, 150(3):399-410.

Feighner JP, Robins E, Guze SB, et al. Diagnostic criteria for use in psychiatric research[J]. Arch Gen Psychiatry, 1972, 26(1):57-63.

Kendler KS, Muñoz RA, Murphy G. The development of the feighner criteria: a historical perspective[J]. Am J Psychiatry, 2010, 167(2):134-142.

Spitzer RL, Williams JB, Skodol AE. DSM-Ⅲ: the major achievements and an overview[J]. Am J Psychiatry, 1980, 137(2):151-164.

Spitzer RL, Andreasen NC, Endicott J. Schizophrenia and other psychotic disorders in DSM-Ⅲ[J]. Schizophr Bull, 1978, 4(4):489-510.

Kendler KS, Spitzer RL, Williams JB. Psychotic disorders in DSM-Ⅲ-R[J]. Am J Psychiatry, 1989, 146(8):953-962.

苗国栋, 杨德森. 精神分裂症诊断概念的变迁与科学思维方式的演进[J]. 临床精神医学杂志, 1997, 7(3):41-44.

Spitzer RL. The structured clinical interview for DSM-Ⅲ-R(SCID)[J]. Arch Gen Psychiatry, 1992, 49(8):624-629.

Adamson J. An appraisal of the DSM-Ⅲ system[J]. Can sychiatry, 1989, 34(4):303-310.

Compton WM, Guze SB. The neo-Kraepelinian revolution in psychiatric diagnosis[J]. Eur Arch Psychiatr Clin Neurosci, 1995, 245(4-5):196-201.

美国精神医学学会, 张道龙. 精神障碍诊断与统计手册[M]. 北京: 北京大学出版社, 2016.

Adam D. Mental health: on the spectrum[J]. Nature, 2013, 496:416-418.

Tandon R. The nosology of schizophrenia[J]. Psychiatr Clin North Am, 2012, 35(3):557-569.

Braff DL, Ryan J, Rissling AJ, et al. Lack of use in the literature from the last 20 years supports dropping traditional schizophrenia subtypes from DSM-5 and ICD-11[J]. Schizophr Bull, 2013, 39(4):751-753.

Tandon R. DSM-5 dimensions of Schizophrenia enable measurement-based care to individualize pharmacological treatment[J]. Asian J Psychiatr, 2016, 24:A1-A2.

Heckers S, Barch DM, Bustillo J, et al. Structure of the psychotic disorders classification in DSM-5[J]. Schizophr Res, 2013, 150(1):11-14.

Carpenter WT, Tandon R. Psychotic disorders in DSM-5[J]. Asian J Psychiatr, 2013, 6(3):266-268.

Tandon R, Gaebel W, Barch DM, et al. Definition and description of schizophrenia in the DSM-5[J]. Schizophr Res, 2013, 150(1):3-10.

刘飞, 陆峥. 解读DSM-5中精神分裂症诊断的主要变化[J]. 世界临床药物, 2016, 37(1):1-3.

师乐, 李素霞, 邓佳慧, 等. 《精神障碍诊断与统计手册》第5版中谱系障碍的变化[J]. 中国神经精神疾病杂志, 2015, 41(4):253-256.

郭亚飞, 金盛华, 王建平, 等. DSM-5精神分裂症谱系的新变化：类别与维度之争[J]. 心理科学进展, 2015, 23(8):1428-1436.

Tyrer P. A comparison of DSM and ICD classifications of mental disorder[J]. Adv Psychiatr Treat, 2014, 20(4):280-285.

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