与性健康和功能障碍有关的ICD-11的变化及其对临床实践的影响
Turk psikiyatri dergisi = Turkish journal of psychiatry
|October 10, 2025
概括
国际疾病分类第11次修订 (ICD-11) 重构了性健康状况,将性别不一致性从精神障碍中移除,并更新了对象性障碍分类,以更好地进行临床整合.
科学领域:
- 医学分类系统 医学分类系统
- 性健康 性的健康
- 心理健康 心理健康
背景情况:
- 国际疾病分类第十版 (ICD-10) 从历史上看,将性功能障碍分为精神和生殖泌尿系统疾病.
- 以前的分类创造了一个人为的区别,在两者之间.
研究的目的:
- 分析国际疾病分类 (ICD-11) 第11次修订中的性健康状况分类的重大变化.
- 突出向更综合和非病理化的性健康和性别认同方法的转变.
主要方法:
- 检查和比较ICD-10和ICD-11之间的诊断标准和章节结构.
- 对性功能障碍,性别不一致和变性障碍的重新分类的分析.
主要成果:
- ICD-11引入了一个新的章节",与性健康有关的条件",巩固性功能障碍并消除有机/无机的区别.
- 性别不相称现已被归类为精神障碍之外的疾病,反映了对性别多样性的非病理化立场.
- 变性性障碍已经被修订,用修改的概念化和分类取代了"性偏好障碍".
结论:
- ICD-11代表了性健康分类的重大进步,与当前的证据,最佳实践和人权保持一致.
- 预计这种重新制定将引导更具整合性的临床方法,并减少与性健康状况和性别认同相关的耻辱感.
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