精神分裂症和白内障症:从ICD-10到ICD-11
T Nickl-Jockschat1,2,3, J Steiner4,5, D Hirjak6,7
1Department of Psychiatry and Psychotherapy, Otto-von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany. thomas.nickl-jockschat@med.ovgu.de.
Der Nervenarzt
|September 4, 2025
概括
国际疾病分类-11 (ICD-11) 更新了精神疾病的诊断标准,朝着混合维度和分类方法迈进. 现在已经成为一种与精神分裂症分开的诊断.
科学领域:
- 精神病学
- 临床心理学
- 医疗诊断
背景情况:
- 自19世纪以来,精神病的分类有了显著的发展.
- 关键的历史人物包括Kahlbaum,Kraepelin和Bleuler,他们塑造了早期的诊断框架.
- 之前的诊断系统,如ICD-10,主要依赖于特定的症状集群和亚型.
研究的目的:
- 概述国际疾病分类-11 (ICD-11) 引入的精神疾病分类中的重大变化.
- 突出从纯属分类到混合分类-维度诊断方法的转变.
- 强调重新归类为一个独立的诊断实体.
主要方法:
- 在ICD-10和ICD-11之间分析诊断标准的变化.
- 对精神疾病分类的历史发展进行回顾.
- 检查新分类器对诊断实践的影响.
主要成果:
- ICD-11不重视第一线症状 (施奈德) 并省略了传统的精神分裂症亚型.
- 已经引入了症状和进展分类器,促进了诊断的维度方面.
- 现在被认为是独立于精神分裂症的诊断.
结论:
- ICD-11对精神病的诊断进行了重大修订.
- 新的分类承认了的交叉诊断性质.
- ICD-11中的混合方法提供了更细致的精神病的理解和诊断.
相关概念视频
Diagnostic and Statistical Manual of Mental Disorders (DSM)
141
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
141
Positive Symptoms of Schizophrenia: Hallucinations and Delusions
215
Schizophrenia is a complex mental health disorder that can manifest with various positive symptoms, including thought, movement, and behavior disorders. These symptoms significantly disrupt cognitive and motor functions, leading to profound effects on an individual's ability to engage with the world.
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
215
Schizophrenia
215
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
215
Psychosis and Antipsychotic Drugs: Overview
452
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
452
Psychosis: Goals of Pharmacotherapy
208
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
208
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
941
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
941


