DSM-Ⅳ、ICD-10及CCMD-2三种精神分裂症病诊断标准的比较  

The comparison among three diagnostic criteria of schizophrenal: DSM-N ,ICD-10 and CCMD-2

作　　者：殷美莉[1] 周金娣[1] 陆明康[1] 崔维珍 刘彩兴 

机构地区：[1]上海市精神卫生中心 [2]青岛市精神病防治院

出　　处：《上海精神医学》1996年第3期133-135,共3页Shanghai Archives of Psychiatry

摘　　要：目的 比较三种精神分裂症诊断标准的异同。方法 病例选自1995年3月～12月正在住院的患者,符合CCMD-2精神分裂症的诊断标准,计936例。其中上海市精神卫生中心706例(75.5％),山东青岛精神病院230例(24.6％)。用DSM-Ⅳ和ICD-10标准进行再诊断。结果 发现CCMD-2和DSM-Ⅳ标准的诊断符合率达100％。因ICD-10要求在第5～8项症状标准中需符合2项症状标准,故本组用ICD-10再诊断时符合率仅为58.5％。结论 CCMD-2与DSM-Ⅳ较相似,与ICD-10差异较大。Objective To compare the differences among three diagnostic criteria of schizophrenia. Methods 936 cases who met the diagnostic criteria of schizophrenia of CCMD-2 were recruited in the study, and rediagnosed according to DSM-N and ICD 10. Results The agreement between CCMD-2 and DSM-IV was 100%, and that between CCMD-2 and ICD 19 was 58. 5%.Conclu-sion CCMD-2 is much more similar as DSM-N , hut has more differences with ICD 10.

关 键 词：精神分裂症 诊断标准 DSM-Ⅳ ICD-10 

分 类 号：R749.304[医药卫生—神经病学与精神病学]