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ICD and DSM: neuroplasticity and staging are still missing

机译：ICD和DSM：神经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：两种主要诊断系统，疾病的国际分类（ICD）和精神障碍（DSM）的诊断和统计手册（DSM），自第一版自第一版以来经历了许多修订：而第五版DSM已在2013年发布，ICD的第十一修订预计到2018年。虽然2个系统之间的协调过程仍然是一个辩论的话题，但即将到来的ICD的修订似乎对DSM方法达到了多次疾病的重新分类方面的趋势。尽管如此，2个系统仍然表现出相当大的差异，部分原因是他们不同的目的，开发和修订过程和目标受众。此外，虽然替代和创新的分类方法正在出现旨在整合神经科学和基因组学的最新发现，但DSM和ICD都未能纳入核心概念，例如精神病疾病和“神经激发”的临床分期，以及“神经激发”充分考虑了内心型。

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