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首页> 外文期刊>Journal of geriatric psychiatry and neurology >Mild cognitive impairment should be considered for DSM-V.
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Mild cognitive impairment should be considered for DSM-V.

机译：对于DSM-V，应考虑轻度认知障碍。

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摘要

Mild cognitive impairment is a topic of great activity from both clinical and research perspectives. It represents a transitional state between the cognitive changes of aging and the earliest clinical manifestations of dementia. We present a case for its inclusion in the Diagnostic and Statistical Manual of Mental Disorders (5th ed; DSM-V) based on clinical, outcome, epidemiological, neuroimaging, and pathophysiological data. The strongest case for inclusion can be made for the amnestic subtype, which is likely a clinical precursor of Alzheimer's disease. Arguments are presented as to why mild cognitive impairment can be considered as an entity distinct from normal aging and from clinically probable Alzheimer's disease and why it deserves consideration as a separate construct. In many respects, mild cognitive impairment fulfills criteria for inclusion more adequately than many other conditions currently codified in DSM-IV. Future research directions to help clarify some of the remaining uncertainties are proposed.
机译：从临床和研究的角度来看，轻度认知障碍都是一项活跃的话题。它代表了衰老的认知变化和痴呆的最早临床表现之间的过渡状态。我们根据临床，结局，流行病学，神经影像学和病理生理学数据，将其纳入《精神疾病诊断和统计手册》（第5版; DSM-V）。遗忘亚型最有可能被纳入，这可能是阿尔茨海默氏病的临床先兆。提出了关于为什么轻度认知障碍可以被认为是与正常衰老和临床上可能的阿尔茨海默氏病不同的实体的争论，以及为什么它应作为单独的结构考虑。在许多方面，轻度的认知障碍比DSM-IV中目前编纂的许多其他疾病更能满足纳入标准。提出了未来的研究方向，以帮助澄清一些尚存的不确定性。

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