Comparative study of diagnostic systems: Chinese Classification of Mental Disorders-Second Edition versus DSM-III-R.
Comparative study of diagnostic systems: Chinese Classification of Mental Disorders-Second Edition versus DSM-III-R.
复制标题
诊断系统的比较研究：中国精神障碍分类第二版与DSM-III-R。
DOI：
10.1016/0010-440x(94)90227-5
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发表时间：
1994
影响因子：
7.3
通讯作者：
Yong,D
中科院分区：
文献类型：
--
作者：
Zheng,YP;Lin,KM;Zhao,JP;Zhang,MY;Yong,D
本文报告了中国精神障碍分类第二版（CCMD-2）与DSM-Ⅲ-R在中国进行的诊断比较研究。本文采用成人诊断性访谈量表第二版（ADIS-2）对254例精神病患者进行了测试。结果发现，CCMD-2和DSM-III-R的信度和效度是兼容的，在大多数诊断类别，如精神分裂症，妄想障碍，双相情感障碍，抑郁症。中美诊断体系的差异主要表现在神经衰弱和癔病性神经症。这种差异可能是由于西方诊断术语的频繁变化，如神经衰弱现象，或CCMD-2中创造了一个新的疾病实体，如“东方体操运动诱发的精神障碍”。进一步的跨文化研究，重点放在这些差异的障碍，迫切需要了解文化的影响，诊断，以及改善精神障碍的专业分类在不同的诊断系统。
We report on the diagnostic comparative study of the Chinese Classification of Mental Disorders-Second Edition (CCMD-2) and the DSM-III-R in field trial in China. The Adult Diagnostic Interview Schedule-Second Edition (ADIS-2), a modified diagnostic interview that can generate both CCMD-2 and DSM-III-R diagnoses, was used to test 254 psychiatric patients in China. It was found that the reliability and validity of the CCMD-2 and DSM-III-R are compatible in most diagnostic categories such as schizophrenia, delusional disorder, bipolar disorders, and depressive disorders. The discrepancies between Chinese and American diagnostic systems were found mainly in neurasthenia and hysterical neuroses. Such discrepancies may have resulted from frequent changes of the diagnostic terms in the West, such as the phenomenon of neurasthenia, or from creating a new disorder entity in CCMD-2, such as “Eastern gymnastic exercises-induced mental disorder”. Further cross-cultural studies focusing on these discrepant disorders are urgently needed to understand the cultural influences on diagnosis, as well as to improve the professional classification of mental disorders in different diagnostic systems.