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首页> 外文期刊>The journal of clinical psychiatry >Clinical usefulness of the diagnostic manual-intellectual disability for mental disorders in persons with intellectual disability: results from a brief field survey.
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Clinical usefulness of the diagnostic manual-intellectual disability for mental disorders in persons with intellectual disability: results from a brief field survey.

机译：智力障碍者智力障碍的诊断手册-智力障碍的临床实用性：简短的现场调查结果。

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OBJECTIVE: The National Association for the Dually Diagnosed, in collaboration with the American Psychiatric Association, adapted the DSM-IV-TR for use with individuals with intellectual disability. This article presents the findings of a study to examine the utility of the Diagnostic Manual-Intellectual Disability (DM-ID) in clinical practice. METHOD: In a survey conducted during the summer of 2006, clinicians reported on the extent to which the DM-ID was user friendly, whether it allowed the clinician to arrive at an appropriate diagnosis of the patient, if the clinician was able to arrive at a more specific diagnosis than with the DSM-IV-TR, and if it helped avoid the use of "not otherwise specified" (NOS) diagnostic categories. Demographic information about the clinicians and the patients was obtained. RESULTS: Data from 63 clinicians and 845 patients with intellectual disability were included in the study. The patients' level of intellectual disability was approximately evenly divided among the categories of mild, moderate, and severe/profound. The DM-ID was rated as "easy" or "very easy" to use in over 68% of the 845 responses. The positive response to the DM-ID did not vary significantly across levels of intellectual functioning. Clinicians also indicated that the DM-ID helped them avoid the use of the "NOS" diagnosis category, resulting in a more specific diagnosis. CONCLUSIONS: The DM-ID is a useful adaptation of the DSM-IV-TR for persons with intellectual disability. Professionals indicated that it was easy to use, resulted in accurate diagnoses, and can reduce the use of the NOS category. Further research is needed to evaluate the reliability and validity of the DM-ID.
机译：目的：全国双重诊断协会与美国精神病学协会合作，对DSM-IV-TR进行了修改，以用于智障人士。本文介绍了一项研究结果，以研究诊断手册-智力残疾（DM-ID）在临床实践中的实用性。方法：在2006年夏季进行的一项调查中，临床医生报告了DM-ID的用户友好程度，以及是否允许临床医生对患者进行适当的诊断。比DSM-IV-TR更具体的诊断，以及是否有助于避免使用“未另外指定”（NOS）诊断类别。获得了有关临床医生和患者的人口统计学信息。结果：来自63名临床医生和845名智障患者的数据被纳入研究。患者的智力残疾水平大致分为轻度，中度和重度/深刻程度。 DM-ID在845个响应中有68％以上被评为“非常”或“非常容易”。 DM-ID的积极反应在智力功能的各个水平上均无显着差异。临床医生还指出，DM-ID帮助他们避免使用“ NOS”诊断类别，从而可以进行更具体的诊断。结论：DM-ID是DSM-IV-TR对智力障碍者的有用的改编。专业人员表示，它易于使用，可进行准确的诊断，并且可以减少NOS类别的使用。需要进一步的研究以评估DM-ID的可靠性和有效性。

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