"普遍发育障碍"的诊断"没有其他具体说明":一个系统的文献综述
Agostino Carbone1, Asia Dell'Aquila1
1Department of Developmental and Social Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, 00185 Roma, Italy.
无处不在的发展障碍 (PDD-NOS) 诊断显示出一致性和稳定性的局限性. 在DSM-5中将其吸收到自闭症谱系障碍类别中似乎是适当的.
科学领域:
- 神经发育障碍 神经发育障碍
- 精神病诊断 精神病诊断 精神病诊断
背景情况:
- 无处不在的发展障碍 (PDD-NOS) 是DSM-IV诊断,后来在DSM-5中被整合到更广泛的自闭症谱系障碍 (ASD) 中.
- 持续使用PDD-NOS可能会造成诊断混乱,因为它不再是当前的诊断类别.
研究的目的:
- 为了澄清PDD-NOS的特征和诊断界限.
- 评估其在科学文献中的使用情况.
- 为了评估PDD-NOS的长期诊断稳定性.
主要方法:
- 使用Prisma方法进行了系统的文献审查.
- 通过SCOPUS,PubMed和PsychINFO数据库确定了相关的文章.
- 根据研究问题选择了23篇文章进行详细分析.
主要成果:
- 四个主要主题出现了:诊断,差异诊断,预后和并发症.
- 分析显示了PDD-NOS诊断的敏感性和稳定性的不一致性和局限性.
- 该研究确定了区分PDD-NOS与其他发育障碍的挑战.
结论:
- PDD-NOS诊断在诊断一致性,敏感性和稳定性方面表现出显著的局限性.
- 这些发现支持将PDD-NOS纳入DSM-5中更广泛的自闭症谱系障碍类别.
- 可能需要进一步的研究才能充分理解这种诊断转变的影响.
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