Obsessive-compulsive disorder: a review of the diagnostic criteria and possible subtypes and dimensional specifiers for DSM-V.
Obsessive-compulsive disorder: a review of the diagnostic criteria and possible subtypes and dimensional specifiers for DSM-V.
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强迫症：对DSM-V的诊断标准以及可能的亚型和尺寸指数的回顾。
DOI：
10.1002/da.20669
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发表时间：
2010-06
影响因子：
7.4
通讯作者：
Stein, Dan J.
中科院分区：
文献类型：
--
作者：
Leckman, James E.;Denys, Damiaan;Simpson, H. Blair;Mataix-Cols, David;Hollander, Eric;Saxena, Sanjaya;Miguel, Euripedes C.;Rauch, Scott L.;Goodman, Wayne K.;Phillips, Katharine A.;Stein, Dan J.
自1994年DSM-IV出版以来，关于强迫症（OCD）的研究不断扩大。现在是时候重新考虑这种疾病的疾病分类，评估是否改变诊断标准以及亚型和说明可以提高诊断的有效性和临床实用性。对现有标准进行了评价。确定了关键问题。检索PubMed、ScienceDirect和PsycINFO电子数据库中的相关研究。本综述提出了一些可供DSM-V考虑的选择和初步建议，包括：（1）澄清和简化强迫观念和强迫行为的定义（准则A）;（2）可能删除有关人士须承认其强迫观念或冲动是过分或不合理的规定（标准B）;（3）重新思考临床意义标准（标准C），并在此期间可能调整被认为是“耗时”的强迫症;（4）列出其他疾病以帮助鉴别诊断（标准D）;（5）重新思考医学排除标准（标准E）并澄清“一般医学状况”的含义;（6）修改说明符（即，澄清除了“洞察力差”之外，强迫症还可能涉及一系列洞察力，并添加“抽搐相关的强迫症”）;以及（7）在DSM-V文本中突出目前在标准中没有提到的强迫症的重要临床特征（例如，主要症状）。对现有的强迫症诊断标准提出了一些修改建议。这些建议的标准可能会随着DSM-V进程的进展而改变。
Since the publication of the DSM-IV in 1994, research on obsessive–compulsive disorder (OCD) has continued to expand. It is timely to reconsider the nosology of this disorder, assessing whether changes to diagnostic criteria as well as subtypes and specifiers may improve diagnostic validity and clinical utility. The existing criteria were evaluated. Key issues were identified. Electronic databases of PubMed, ScienceDirect, and PsycINFO were searched for relevant studies. This review presents a number of options and preliminary recommendations to be considered for DSM-V. These include: (1) clarifying and simplifying the definition of obsessions and compulsions(criterion A); (2) possibly deleting the requirement that people recognize that their obsessions or compulsions are excessive or unreasonable (criterion B); (3) rethinking the clinical significance criterion (criterion C) and, in the interim, possibly adjusting what is considered “time-consuming” for OCD; (4) listing additional disorders to help with the differential diagnosis (criterion D); (5) rethinking the medical exclusion criterion (criterion E) and clarifying what is meant by a “general medical condition”; (6) revising the specifiers (i.e., clarifying that OCD can involve a range of insight, in addition to “poor insight,” and adding “tic-related OCD”); and (7) highlighting in the DSM-V text important clinical features of OCD that are not currently mentioned in the criteria (e.g., the major symptom dimensions). A number of changes to the existing diagnostic criteria for OCD are proposed. These proposed criteria may change as the DSM-V process progresses.
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影响因子：
4.8
作者：
Coles, Meredith E.;Pinto, Anthony;Eisen, Jane L.
通讯作者：
Eisen, Jane L.
DOI：
10.1176/appi.ajp.2008.08020320
发表时间：
2008-12
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Bloch MH;Landeros-Weisenberger A;Rosario MC;Pittenger C;Leckman JF
通讯作者：
Leckman JF
DOI：
10.3109/00048679509075899
发表时间：
1995-03-01
影响因子：
4.6
作者：
CASTLE, DJ;DEALE, A;MARKS, IM
通讯作者：
MARKS, IM
影响因子：
7.4
作者：
Carmin, CN;Wiegartz, PS;Gillock, KL
通讯作者：
Gillock, KL
影响因子：
--
作者：
Bloch, Michael H;Peterson, Bradley S;Leckman, James F
通讯作者：
Leckman, James F