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注意力缺陷/多动障碍的DSM-5-TR和ICD-11修订之间的差异:关于影响和机会的评论

Rapson Gomez¹, Wai Chen², Stephen Houghton³

¹School of Science, Psychology, and Sport, Federation University, Melbourne 3806, Australia.

World journal of psychiatry

|June 12, 2023

概括

ICD-11和DSM-5-TR为注意力缺陷多动障碍 (ADHD) 提出了不同的诊断标准,影响了临床实践和研究. 关键的区别在于症状数量,值清晰度和症状子维度.

科学领域:

精神病学是一个精神病学.
临床心理学临床心理学
神经发育障碍神经发育障碍

背景情况:

国际疾病分类,第11版 (ICD-11) 对注意力缺陷多动障碍 (ADHD) 的诊断描述最近发表.
精神疾病诊断和统计手册,第五版,文本修订 (DSM-5-TR) 在同一年发布,需要进行比较.

研究的目的:

将ICD-11和DSM-5-TR之间的ADHD诊断标准进行比较和对比.
总结显著的差异及其对临床实践和研究的影响.
突出与缺乏基于ICD-11的ADHD评级尺度相关的挑战和机会.

主要方法:

在ICD-11和DSM-5-TR之间对注意力不集中 (IA),过度活跃 (HY) 和冲动 (IM) 症状的诊断标准进行比较分析.
在两种分类系统中检查诊断值和症状分区.
讨论所确定的差异对临床和研究的影响.

主要成果:

发现了三个主要的差异: (1) IA和HY/IM诊断标准的数量不同 (DSM-5-TR:9 IA, 9 HY/IM;ICD-11: 11 IA, 11 HY/IM).
(2) 症状计数的诊断值的清晰度和标准化的差异.
(3) HY和IM症状分成子维度的变化,具有重大研究影响.

结论:

ICD-11和DSM-5-TR ADHD标准之间的差异为临床实践和研究带来了挑战和机遇.
缺乏基于ICD-11的ADHD评级尺度是一个障碍,但也刺激了新研究工具的开发.
需要进一步的研究来解决这些差异,并利用促进ADHD诊断和治疗的机会.

关键词:

注意力缺陷多动障碍注意力缺陷多动障碍临床影响临床影响在DSM-5-TR中.诊断值是指一个诊断值.在ICD-11中,它被列为ICD-11.研究研究研究研究研究研究.纳税学是一种分类学.

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