[ICD-11:这一分类在精神病学中的新修订和影响]
Ambra Chessa1, Othman Sentissi1
1Département de psychiatrie, service de psychiatrie adulte, CAPPI jonction, hôpitaux universitaires Genève, 35, rue des Bains, 1205 Genève, Suisse.
L'Encephale
|December 13, 2023
概括
国际疾病分类第11版 (ICD-11) 更新了精神疾病分类,引入了新的诊断类别和标准. 这一全面的修订旨在在心理健康护理中实现全球适用性和临床实用性.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医学分类系统 医学分类系统
- 公共卫生 公共卫生
背景情况:
- 世界卫生组织 (WHO) 在经过20多年的发展后,完成了"国际疾病分类" (ICD-11) 的第11次修订.
- 在ICD-11中关于精神,行为和神经发育障碍 (MBND) 的章节的更新引起了全球的重大关注.
- 指导修订的关键原则包括全球适用性,科学有效性和临床实用性.
研究的目的:
- 分析心理,行为和神经发育障碍的ICD-11修订过程的演变.
- 要突出ICD-11 MBND章节中引入的重大变化.
- 探索ICD-11修订对精神病学鼻科和临床实践的潜在影响.
主要方法:
- 在四种语言中进行了叙事文学分析.
- 在主要的数据库 (PubMed,EMBASE,MEDLINE,Google Scholar) 和世卫组织,APA和联合国儿童基金会的官方网站上进行了搜索.
- 总共分析了来自40个不同的来源的79篇文章.
主要成果:
- ICD-11 MBND章节包括21个组,是ICD-10的11个组的扩展,与DSM-5保持一致.
- 新的诊断类别包括复杂的创伤后应激障碍 (PTSD),游戏障碍,长期悲伤障碍和强迫性行为.
- 显著的修订影响睡眠-觉醒障碍,性健康障碍,成行为 (区分物质使用和行为成),双相情感障碍,饮食障碍和性别认同障碍.
结论:
- 对MBND的ICD-11修订涉及前所未有的全球参与精神障碍分类.
- 更新的分类有望对精神病学临床实践产生重大影响.
- 与以前的版本相比,进一步研究ICD-11的优点和局限性是必不可少的.
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