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26ICD-10CCMD-3DSM-IV130-200A.D.,19192027DSM-IVICD-10InternationalClassificationofDiseasesICDChineseClassificationofandDiagnosticCriteriaofMentalDiseaseCCMDDiagnosticandStatisticalManualofMentalDisordersDSM()ICD-101853Bertillon1899InternationalListoftheCauseofDeathICD1948(WHO)6ICD-6ICDICD-101992ICD-10F52700ICD-10ICDDSM-IIIDSM-III-RDSM-IVICD-10ICD-9ICD-10ICD-930(290-319)ICD-10(F)F00-F99100ICD-10ICD(F34.0)F30-F39[]F10-F19F60-F69DisorderICD-10(Disease)(Illness)ICD-10ICD-10ICD-1028(confident)(provincial)(tentative)ICD-10DiagnosticCriteriaforResearchDCR-101993DSM-III-RDSM-IVICD-10CCMD-3CCMD-3ChineseClassificationandDiagnosticCriteriaofMentalDiseasethe3rdversion19581419781958198113-1981198919811985CCMD-1(CCMD-2)10CCMD-2CCMD-2-R1994ICD-10DSM-IVCCMD-2-R1996CCMD-31996199841114177CCMD-2-R2311CCMD-3CCMD-3200161CCMD-3329ICD-10()DSM-IVDSMDiagnosticandStatisticalManualofMentalDisorders1952DSM-IICD-6196819801987DSM-IIDSM-IIIDSM-III-RDSM-IV1994DSM-IVDSM-IVDSM-IVDSM-IVDSM-IVIDSM-IVDSM-IV(DecisionTree)DSM-IVDSM-IVCCMDDSMICDDSM-IVICD-10CCMD-3DSM-IVICD-1030()F00-F09F00F01F02F03F04F05F06F07F09F10-F19F10F11F12F13F14F15F16F17F18F19F20-F29F20F21F22F23F24F25F28F29F30-F39[]F3031F31F32F33F34[]F38[]F39[]F40-F48F40F41F42F43F44[]F45F48F50-F59F50F51F52F53F54F55F60-F69F60F61F62F63F64F65F66F68F69F70-F79F70F7132F72F73F78F79F80-F89F80F81F82F83F84F88F89F90-F98F90F91F92F93F94F95F98CCMD-300000.100.200.300.90101.101.201.301.43301.90202.102.11Pick02.12Huntington02.13Parkinson02.14Wilson02.202.2102.22-Creutzfeldt-Jacob02.2302.302.3102.3202.402.4102.4202.502.602.90303.103.11HIV03.203.303.403.503.5103.603.703.903.91091.1010.110.210.33410.410.510.610.710.810.91111.111.211.311.411.511.92.2020.120.220.320.420.520.9212222.122.222.322.9232424.124.224.32929.13.3030.130.23530.330.430.4130.4230.4330.93131.131.231.331.431.531.631.731.931.913232.132.232.332.432.4132.4232.4332.93333.133.233.9394.4040.140.1140.1240.1340.1440.1413640.14240.240.2140.2240.2340.3-40.940.91Ganser40.924141.141.1141.241.341.94242.142.242.342.94343.143.1143.1243.1343.243.2143.2243.343.443.4143.4243.4343.4443.4543.4943.543.9375.5050.150.250.350.95151.151.251.351.451.551.651.95252.152.252.352.452.552.652.752.96.6060.160.260.360.460.5()60.660.760.860.96161.161.261.33861.461.96262.162.1162.1962.262.2162.21162.2262.2362.2462.2562.2662.2962.362.3162.3262.397.7070.170.270.370.470.97171.171.271.371.471.97272.172.272.372.472.93973747575.175.275.3RETT75.475.5Asperger75.98.8080.180.280.98181.181.281.9828383.183.283.383.98484.184.284.98585.185.285.3Tourette85.98686.186.286.386.44086.586.6899.90919292.192.292.392.3192.3292.3392.3492.492.592.692.999DSM-IVII317318.0318.1318.2319315.00315.1315.2315.9315.441315.31315.31315.39307.0307.9299.00299.80Rett299.10299.80Asperger299.80314.xx.01.00.01314.9312.8313.81312.9307.52307.53307.59307.23Tourett307.22307.21307.20307.7307.6309.21313.23313.89307.3313.942293.0()-.-()-.-()-.-()780.09290.xxAlzheimer290.xxAlzheimer290.xx294.9HIV294.1294.1Parkinson294.1Huntington294.10Pick294.10Creutzfeldt-Jakob294.1()-.-()-.-()294.8294.0()-.-()294.8294.9293.89()310.1()293.9()303.90305.00303.0043291.8291.0291.0291.2291.1291.x.5.3291.8291.8291.8291.8291.9()()()()295.xx.30.10.20.90.60295.40295.70297.1298.8297.344293.xx()-.-()298.9296.xx.2x.3x300.4311296.xxI.0xI.40I.4xI.6xI.5xI.7I296.89II301.13296.80293.83()-.-()296.90300.01300.21300.22300.29300.23300.3309.81308.3300.02293.89()-.-()300.0045300.81300.81300.11()307.xx()300.7300.7300.81300.xx()300.19300.12300.13300.14300.6300.15302.7302.70302.7302.76306.51()302.4302.81302.89302.2302.83302.84302.3302.82302.9302.xx302.646302.9307.1307.51307.50307.42307.44347780.59307.45307.47307.47()307.46307.46307.47307.42()307.44()780.xx()-.-()312.34312.32312.33312.31312.39312.30399.xxII301.0301.2047301.22301.7301.83301.50301.81301.82301.6301.4301.9316332,333955.2300.9V71.09I799.9IV71.09II799.9IIWHOPSE()48SchneiderCCMD-3ICD-10DSM-IV1.2.3.4.5.6.7.8.9.10.()50491=2=3=4=5=6=1=2=3=4=5=6=Likert1=1=3=5=6=(BPRS)(HAMD)Guttman1-1GuttmanThurstone1-2Thurstone134(a+c+d)/310cm010cm71-2-1Guttman(+)(-)1++2+++3++++4+++++5_++++-1-2-2Thurstone1.______________ a2.______________ b3.______________ c4.______________ d5.______________ e50()()3090(SCL-90)905(reliability)(validity)DSM-IV(SCID)I(GlobalAssessmentFunction,GAF)DSM-IVV(SocialandOccupationalFunctioningAssessmentScale,SOFAS)(GlobalAssessmentofRelationalFunctioningScale,GARF)(DefensiveFunctioningScale)()1.BPRS2.SANS3.SAPS4.PANSS5.HAMD6.HAMA7.Bech-Rafaelsen(BRMS)8.(GAF)9.(CGI)10.90(SCL-90)11.(SDS)5112.(SAS)13.(MMSE)14.(HDS)15.(NOSIE)16.(TESS)17.Hachinski(HIS)18.(CHI)1(BriefPsychiatricRatingScale,BPRS)Overall1962[]BPRS1-771=2=3=4=5=6=7=[]BPRS18-1260-7BPRS51259313161848121567171011141-2-3(BPRS)1. 2. 3. 4. 5. 6. 7. 8. 9. 10.() 11. 12. 13. 14. 15. 16. 17. 18. X1. 52X2. 2(ScalefortheAssessmentofNegativeSymptoms,SANS)Dr.N.Andreason1982(SAPS)[]SANS245/60=1=2=3=4=5=[]5(712162124)SANSSAPS3()()()1-2-4(SANS)1123452123453123454123455123456123457123458123459123451012345111234512123451312345141234515123451612345/17123451812345
本文标题:第二章精神障碍的分类和标准化诊断
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