DSM-5 and Mental Disorders in Older Individuals: An Overview.
DSM-5 and Mental Disorders in Older Individuals: An Overview.
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DOI：
10.1097/hrp.0000000000000090
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发表时间：
2015-09
影响因子：
3.8
通讯作者：
Jeste DV
中科院分区：
文献类型：
--
作者：
Sachdev PS;Mohan A;Taylor L;Jeste DV
大约每隔20年，美国精神病学协会就会修订其对精神障碍的官方分类。《精神疾病诊断和统计手册》(DSM-5)第五版于2013年出版，引起了相当多的评论、辩论和批评。本文简要描述了导致DSM-5的过程，以及与先前版本(DSM-IV)相比的主要变化，老年精神病学家将感兴趣。虽然在精神分裂症、双相情感障碍、抑郁障碍和焦虑症方面发生了一些变化，但这些变化中的大多数都是微小的，不太可能对治疗产生重大影响。然而，与DSM-IV相比，神经认知障碍的分类有了重大的修订和细化，引入了轻度和严重的神经认知障碍，后者等同于痴呆症。为神经认知障碍的各种病因亚型的标准引入了一种共同语言。所有治疗神经认知障碍患者的医生都应该熟悉这些标准。它们在研究中的使用有可能协调该领域。
About every 20 years, the American Psychiatric Association revises its official classification of mental disorders. The fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was published in 2013, exciting considerable commentary, debate and criticism. This article briefly describes the process that led to the DSM-5 and the main changes from the previous version (DSM-IV) that would be of interest to a geriatric psychiatrist. While there have been a number of changes in the areas of schizophrenia, bipolar disorder, depressive disorders and anxiety disorders, the majority of these changes are minor and unlikely to have major treatment implications. The classification of neurocognitive disorders has however seen a major revision and elaboration in comparison with DSM-IV, with the introduction of Mild and Major Neurocognitive Disorders, the latter equated with dementia. A common language is introduced for the criteria of the various etiological subtypes of neurocognitive disorders. All physicians treating patients with neurocognitive disorders should familiarize themselves with these criteria. Their use in research has the potential to harmonize the field.