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ICD and DSM: neuroplasticity and staging are still missing

机译：ICD和DSM：神经可塑性和分期仍然缺失

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The two main diagnostic systems, the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM), have undergone a number of revisions since their first editions: whereas the fifth edition of the DSM has been published in 2013, the eleventh revision of the ICD is expected by 2018. Although the process of harmonization between the 2 systems is still a debated topic, the forthcoming revision of the ICD is seemingly converging toward the DSM approach in regard to the reclassification of a number of disorders. Nevertheless, the 2 systems still exhibit considerable differences, partly due to their different purposes, development and revision processes, and target audiences. Furthermore, while alternative and innovative classification approaches are emerging with the aim of integrating the latest findings from neuroscience and genomics, both the DSM and ICD still fail to incorporate core concepts such as the clinical staging of psychiatric disorders and "neuroprogression," as well as an adequate consideration of endophenotypes.
机译：自其第一版以来，两个主要的诊断系统，即国际疾病分类（ICD）和精神疾病诊断和统计手册（DSM），进行了许多修订：而DSM的第五版已于2013年出版，ICD的第11次修订预计将在2018年进行。尽管两个系统之间的协调过程仍是一个有争议的话题，但即将发布的ICD修订似乎在将DSM方法归类到一些疾病的分类上趋于一致。 。尽管如此，这两个系统仍然表现出相当大的差异，部分原因是它们的目的，开发和修订过程以及目标受众不同。此外，尽管以整合神经科学和基因组学的最新发现为目标的替代性和创新性分类方法正在兴起，但DSM和ICD仍未能纳入核心概念，例如精神疾病的临床分期和“神经进步”，以及充分考虑内表型。

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