在ICSD和DSM睡眠障碍分类中的临床意义标准:使用雅卡德指数进行内容重叠分析
Christophe Gauld1,2,3, Vincent P Martin4, Clélia Quilès5,6
1Department of Child and Adolescent Psychopathology, CHU de Lyon, F-69000 Lyon, France.
概括
临床意义标准 (CSC) 在睡眠障碍分类中不一致地应用,例如国际睡眠障碍分类 (ICSD) 和精神障碍诊断和统计手册 (DSM). 进一步讨论CSC的使用可以改善睡眠障碍的诊断.
科学领域:
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
- 诊断标准开发 发展诊断标准
背景情况:
- 临床判断对于区分正常睡眠和病态睡眠至关重要.
- 精神疾病诊断和统计手册 (DSM) 引入了临床显著性标准 (CSC) 以标准化诊断判断.
研究的目的:
- 在主要睡眠障碍分类中分析临床意义标准 (CSC) 的存在,频率和演变.
- 为了比较CSC在国际睡眠障碍分类 (ICSD) 和DSM中的应用.
主要方法:
- 在睡眠障碍诊断标准中对CSC进行理论和历史内容分析.
- 从选定的分类和疾病中系统地提取CSC相关的内容.
- 使用雅卡德指数对内容重叠的量化,并通过雷达图表进行可视化.
主要成果:
- 在DSM-5-TR中,CSC包括在9种疾病中的5种疾病中,而ICSD-3-TR则包括在2种疾病中.
- 在DSM-5-TR和ICSD-3-TR之间存在中度重叠 (贾卡德指数=0.40);在DSM版本之间存在较高的重叠 (0.53).
- ICSD修订显示最小的相似性 (0.16),但雷达图显示在ICSD版本中CSC使用的逐渐增加.
结论:
- 在睡眠障碍分类中CSC的应用是可变的.
- 普遍的CSC包括可能不必要,但系统的讨论可以改进诊断标准.
- 通过CSC分析来完善诊断标准,有助于准确诊断睡眠障碍并区分正常睡眠和病态睡眠.
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