Sleep disorders: comparison of ICD-11 and ICD-10.

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
Kai Spiegelhalder, Dieter Riemann
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引用次数: 0

Abstract

The current article reviews adjustments that were made to the classification of sleep disorders in the 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11) in comparison to the 10th revision of the coding system (ICD-10). A new chapter on sleep-wake disorders was introduced as chapter 7 in ICD-11, removing the distinction in nonorganic and organic sleep disorders that was used in ICD-10. The rationale for this was the commonsense notion that clinicians and researchers have difficulties to identify the etiology of insomnia and to establish causality between insomnia and coexisting conditions. With respect to sleep disorders that were previously included in chapter V "Mental and behavioural disorders" of the ICD-10, the following important changes were made: the diagnosis of insomnia disorder can now be made as comorbid with other mental disorders or physical illnesses if the insomnia symptoms are a focus of independent clinical attention, non-restorative sleep alone without difficulties initiating or maintaining sleep is not sufficient anymore to diagnose insomnia disorder and new diagnostic categories have been created, including insufficient sleep syndrome and sleep-related eating disorder. Future research will show whether the adjustments in ICD-11 will help clinicians to make reliable and clinically useful diagnoses and whether this improves routine clinical care for sleep disorders.

睡眠障碍:ICD-11与ICD-10的比较。
本文回顾了第11版《国际疾病与相关健康问题统计分类》(ICD-11)与第10版编码系统(ICD-10)对睡眠障碍分类所做的调整。在ICD-11中引入了关于睡眠-觉醒障碍的新章节,作为第7章,删除了ICD-10中使用的非器质性和器质性睡眠障碍的区分。这是一个常识性的概念,临床医生和研究人员很难确定失眠的病因,并在失眠和共存条件之间建立因果关系。关于以前列入ICD-10第五章“精神和行为障碍”的睡眠障碍,进行了以下重要更改:如果失眠症状是独立临床关注的焦点,那么现在可以将失眠诊断为与其他精神障碍或身体疾病的合并症,单独的无恢复性睡眠而没有启动或维持睡眠的困难已不足以诊断失眠,新的诊断类别已经创建,包括睡眠不足综合征和睡眠相关的饮食失调。未来的研究将显示ICD-11的调整是否会帮助临床医生做出可靠和临床有用的诊断,以及这是否会改善睡眠障碍的常规临床护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nervenarzt
Nervenarzt 医学-精神病学
CiteScore
2.50
自引率
18.20%
发文量
169
审稿时长
4-8 weeks
期刊介绍: Der Nervenarzt is an internationally recognized journal addressing neurologists and psychiatrists working in clinical or practical environments. Essential findings and current information from neurology, psychiatry as well as neuropathology, neurosurgery up to psychotherapy are presented. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of neurology and psychiatry. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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