摘要
对1984~1992年期间出院诊断为抑郁性神经症的患者97例.分别以中国精神疾病分类方案与诊断标准,第2版(CCMD-2),国际疾病分类,第10版(ICD-10)的恶劣心境和轻度抑郁以及美国精神障碍诊断统计手册。第3版修订本(DSM-Ⅲ-R)诊断标准严格对照进行再诊断.结果发现97例中符合CCMD-2抑郁性神经症标准者仅23例(占24%),其余74例改变诊断为单次或反复发作抑郁症、其他类型神经症、双相情感性障碍的抑郁相或混合相以及精神分裂症等。以ICD-10和DSM-Ⅲ-R诊断标准对照的结果也十分接近。可见这些诊断标准的一致性很高。对仰郁性神经症的诊断问题提出若干讨论意见。
e studied 97 patients who
were diagnosed at thetime of discharge having depressive neurosis within theperiod of 1984 ̄
1992.They were rediagnosed accord-ing to the diagnostic criteria of CCMD-2,dysthymiaand mild
degree of depression in ICD-10 and DSM-Ⅲ-R.Only 23 patients were in accord with diagnostic
cri-teria of CCMD-2 and maintained the diagnosis of de-pressive neurosis.The other 74 patients
were diag-nosed as having depression (single or recurrentepisode) other types of neurosis,
bipolar affective dis-orders (depressive phase or mixed phase) andschizophrenia. These
diagnoses were similar to those inICD-10 and DSM-Ⅲ-R.
出处
《中华医学杂志》
CAS
CSCD
北大核心
1994年第10期595-597,共3页
National Medical Journal of China