The clinical inadequacy of the DSM-5 classification of somatic symptom and related disorders: an alternative trans-diagnostic model

Cosci Fiammetta; Fava Giovanni A.

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The clinical inadequacy of the DSM-5 classification of somatic symptom and related disorders: an alternative trans-diagnostic model

机译：躯体症状和相关疾病的DSM-5分类的临床不足：替代的跨诊断模型

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摘要

The Diagnostic and Statistical of Mental Disorders, Fifth Edition (DSM-5) somatic symptom and related disorders chapter has a limited clinical utility. In addition to the problems that the single diagnostic rubrics and the deletion of the diagnosis of hypochondriasis entail, there are 2 major ambiguities: (1) the use of the term "somatic symptoms" reflects an ill-defined concept of somatization and (2) abnormal illness behavior is included in all diagnostic rubrics, but it is never conceptually defined. In the present review of the literature, we will attempt to approach the clinical issue from a different angle, by introducing the trans-diagnostic viewpoint of illness behavior and propose an alternative clinimetric classification system, based on the Diagnostic Criteria for Psychosomatic Research.

机译：精神障碍的诊断和统计，第五版（DSM-5）躯体症状和相关障碍章节有一个有限的临床效用。除了单一诊断规则和缺失次粒松诊断的问题外，还有2个主要歧义：（1）使用“躯体症状”一词反映了一个统治着苗条的概念和（2）所有诊断规则中包含异常疾病行为，但它从未概念定义。在目前的文献综述中，我们将通过引入疾病行为的跨诊断观点来试图从不同角度从不同角度接近临床问题，并根据心理学研究的诊断标准提出替代的Clinetric分类系统。

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来源
《CNS spectrums》 |2016年第4期|共8页
作者
Cosci Fiammetta; Fava Giovanni A.;
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作者单位

Univ Florence Dept Hlth Sci Florence Italy;

Univ Bologna Dept Psychol Bologna Italy;

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原文格式 PDF
正文语种 eng
中图分类神经病学与精神病学;
关键词
Clinimetric; Diagnostic Criteria for Psychosomatic Research; DSM-5; illness behavior; somatic symptom;

机译：Clinemetric;心理学研究的诊断标准;DSM-5;疾病行为;体细胞症状;

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1. The clinical inadequacy of the DSM-5 classification of somatic symptom and related disorders: an alternative trans-diagnostic model [J] . Cosci Fiammetta, Fava Giovanni A. CNS spectrums . 2016,第4期

机译：DSM-5躯体症状和相关疾病分类的临床不足：另一种跨诊断模型
2. Predictive validity and clinical utility of DSM-5 Somatic Symptom Disorder - Comparison with DSM-IV somatoform disorders and additional criteria for consideration [J] . VoigtK., WollburgE., WeinmannN., Journal of psychosomatic research . 2012,第5期

机译：DSM-5躯体症状障碍的预测有效性和临床实用性-与DSM-IV躯体形式障碍的比较和其他考虑因素
3. Assessment of the structured clinical interview (SCID) for DSM-5 for somatic symptom disorder in general hospital outpatient clinics in China [J] . Yinan Jiang, Jing Wei, Kurt Fritzsche, BMC Psychiatry . 2021,第1期

机译：评估中国常规医院门诊诊所的躯体症状障碍的DSM-5的结构化临床访谈（SCID）
4. Relationship Between Perceived Stress and Physical Symptoms with Somatic Symptoms Disorder as a Moderating Variable: Study on Medical Student [C] . Mario Albert, Sri Tiatri, Debora Basaria Tarumanagara International Conference on the Applications of Social Sciences and Humanities . 2020

机译：感知压力与身体症状与体细胞症状障碍的关系作为调节变量：医学生学研究
5. Factor structure of symptoms in toddlers with autism spectrum disorder: Comparison of DSM-IV, DSM-5, and other competing models [D] . Guthrie, Whitney 2012

机译：自闭症谱系障碍幼儿症状的因子结构：DSM-IV，DSM-5和其他竞争模型的比较
6. Assessment of the structured clinical interview (SCID) for DSM-5 for somatic symptom disorder in general hospital outpatient clinics in China [O] . Yinan Jiang, Jing Wei, Kurt Fritzsche, 2021

机译：评估中国总医院门诊诊所的躯体症状障碍（SCID）的结构化临床访谈（SCID）
7. A Psychometric Analysis of the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders Module I (SCID-5-AMPD-I): Level of Personality Functioning Scale [O] . Benjamin Hummelen, Johan Braeken, Tore Buer Christensen, 2020

机译：人性障碍模块DSM-5替代模型结构临床面试的心理测量分析I（SCID-5-AMPD-I）：人格运行规模水平

The clinical inadequacy of the DSM-5 classification of somatic symptom and related disorders: an alternative trans-diagnostic model

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