A critical discussion of DSM-III dysthymic disorder.
A critical discussion of DSM-III dysthymic disorder.
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DSM-III 心境恶劣障碍的批判性讨论。
DOI：
10.1176/ajp.144.12.1534
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发表时间：
1987
期刊：
影响因子：
--
通讯作者：
Frances,AJ
中科院分区：
文献类型：
--
作者：
Kocsis,JH;Frances,AJ
作者回顾了精神障碍概念的历史以及关于慢性抑郁症的流行病学、病程和治疗的文献。他们提出了对DSM-III和DSM-III- r恶劣心境障碍标准的批判性讨论。在此综述的基础上，他们建议未来对命名法进行修订，包括对慢性抑郁症进行进一步的亚分类，并将“心境恶劣障碍”一词保留给早期潜伏发作的慢性抑郁症。心境恶劣障碍与人格障碍之间的关系以及慢性抑郁症亚类对不同治疗方式的反应有待进一步研究。
The authors review the history of the concept of dysthymia and the literature on the epidemiology, course, and treatment of chronic depression. They present a critical discussion of DSM-III and DSM-III-R criteria for dysthymic disorder. On the basis of this review, they suggest that future revisions of the nomenclature include further subcategorization of chronic depressive disorders and that the term" dysthymic disorder" be reserved for chronic depressive disorders with an insidious onset at an early age. The relationships between dysthymic disorders and personality disorders and the response of subcategories of chronic depression to different treatment modalities need to be researched.