神经性抑郁症作为诊断范畴的现状。

Psychiatric developments Pub Date : 1988-01-01
T Bronisch, G L Klerman
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引用次数: 0

摘要

在DSM-III引入之前,神经性抑郁症是最常用的精神病学诊断之一。由于具有多重标准和意义,且在随访中缺乏诊断稳定性,神经性抑郁症未被列入DSM-III的一个类别,并将在ICD-10中省略。本文综述了神经性抑郁症的有效性及其与其他类型抑郁症的关系的最新研究。实证研究不支持这种诊断的有效性。没有统一的临床描述或与其他疾病的现象学区别,支持家庭研究,实验室调查或特定治疗反应有限。修订后的神经性抑郁症标准源自最近进行的三项研究,需要在前瞻性研究中得到验证。在等待新的研究发现之前,将神经性抑郁症从DSM-III、DSM-III- r和ICD-10草案中的抑郁症分类中删除的决定仍然是科学合理的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The current status of neurotic depression as a diagnostic category.

Neurotic Depression was among the most commonly used psychiatric diagnoses until the introduction of DSM-III. Because of multiple criteria and meanings and the lack of diagnostic stability on follow-up, Neurotic Depression was not included as a category in DSM-III and will be omitted in ICD-10. This article reviews recent research on the validity of Neurotic Depression and its relationship to other types of depressive disorders. Empirical studies do not support the validity of this diagnosis. There is no unitary clinical description or phenomenological discrimination from other disorders, and limited supporting family study, laboratory investigation, or specific treatment response. Revised criteria for Neurotic Depression, derived from three recently conducted studies, need to be validated in prospective studies. Pending new research findings, the decision to omit Neurotic Depression from the classification of depressive disorders in DSM-III, DSM-III-R and in the draft of ICD-10 remains scientifically justified.

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