五、关于附录的英文译文
应WTO、APA和其他国际友人的要求,在附录中将部分精神障碍诊断标准翻译成英文,加上《CCMD-3》分类的中英文对照,以及《ICD-10》的全部精神障碍分类和编码,有利于国际交流。
六、出版《CCMD-3》的配套诊断量圾(DSMD)和计算机诊断软件
《ICD-10》的诊断量圾和软件有SCAN和CIDI。WTO指出将诊断标准与评定工具融合,并制成软件,有助于揭示和消除评定中的前后不一和含糊不清,并便于统计分析。在以往工作的基础上《CCMD-3》工作组通过对17种精神障碍1538例病人的4341例次的测试,推出了DSMD计算机诊断系统和七轴诊断,可分别与《《CCMD-2R》、《ICD-10》和《DSM-4》配套应用,全部内容见《CCMD-3相关精神障碍治疗和护理》的附录。
七、出版《CCMD-3》光盘版
《CCMD-3》光盘版内容包括:1《CCMD-3》;2《CCMD-3相关精神障碍的治疗与护理》;3《CCMD-3》配套诊断量表一DSMD和逻辑诊断系统;4名词解释;5专家检查病人的示教,分别有国语(在声道)和英语(右声道)对白。
八、其他
1 在诊断标准中,除另有说明外,要求明确诊断必须满足全部所列项目的条件。
2 在《CCMD-3》中“和/或”,均用“或”表示。
3 用顿号分割的并列名词,当并列名词最后以“或”表示的时候,表示并列名词间,均存在“或”的情况。
例如01脑血管病所致精神障碍的症状标准的第3条:“人格相对完整,但有些病人的人格改变明显,如自我中心、偏执、缺乏控制力、淡漠,或易激惹”系指:人格相对完整,但有些病人的人格改变明显,如自我中心、或偏执、或缺乏控制力、或淡漠、或易激惹。
4 在每一条目的最后,如应用分号“;”,表示上下条目的意义有密切联系,例如:20.5未定型分裂症[F20.3]
(1)符合分裂症诊断标准,有明显阳性症状;
(2)不符合上述亚型的诊断标准,或为偏执型、青春型,或紧张型的混合形式。
[说明] 本型又名混合型或未分型
《CCMD-3》分类
0 器质性精神障碍Organic mental disorders[F00-F09器质性(包括症状性)精神障碍;F53其他待分类的围生期精神和行为障碍]
00 阿尔茨海默(Alzheimer)病Mental disorders due to Alzheimer is disease[F00阿尔茨海默病痴呆]
00.1阿尔茨海默病,老年前期型Mental disorders due to Alzheimer is disease with early onsetF00.0阿尔茨海默病痴呆,老年前期型]
00.2 阿尔茨海默病,老年型Mental disorders due to Alzheimer is disease with alte onset[F00.1阿尔茨海默病痴果,老年型]
00. 3阿尔茨海默病,非典型或混合型Mental disorders due to Alzheimer is disease, atypical ro mixed type[F00.2阿尔茨海默病痴呆,非典型或混合型]
00.9其他或待分类的阿尔茨海默病Mental disorders due to other type of Alzheimer is disease, or unspecified [F00.9]
01脑血管病所致精神障碍Mental disorders due to vascular disease[F01血管性痴呆]
01.1急性脑血管病所致精神障碍Mental disorders due to vascular disease of acute onset[F01.0急性血管性痴呆]
01.2皮层性血管病所致精神障碍Mental disorders due to cortical vascular disease[F01.1多发梗塞(脑皮层为主)血管性痴呆]
01.3皮层下血管病所致精神障碍Mental disorders due to subcortical vascular disease[F01.2脑皮层下血管性痴呆]
01.4皮层和皮层下血管病所致精神障碍Mental disorders due to mixedcortical subcortical vascular disease [F01.3皮层和皮层下血管性痴呆]
01.9其他或待分类血管病所致精神障碍Mental disorders due to other vascular disease, or unspecified [F01.8其他;F01.9待分类血管性痴呆]
02其他脑部疾病所致精神障碍Mental disorders due to other braindiseases[F02在它处分类的其他疾病所致痴呆]
02.1脑变性病所致精神障碍Mental disorders due to brain degeneration [F02在它处分类的其他疾病所致痴呆]
02.11匹克(Pick)病所致精神障碍Mental disorders due to Pick is diseasf [F02.0匹克病痴呆]
02.12享廷顿(Huntington)病所致精神障碍Mental disorders due to Huntington is disease [F02.2享廷顿病痴呆]
02.13巴金森(Parkinson)病所致精神障碍[Mental disorders due to Parkinson is disease [F02.3巴金森病痴呆]
02.14肝豆状核变性(Wilson病)所致精神障碍Mental disorders due to hepatolenticular degeneration(Wilson is disease) [F02.8在它处分类的其他特定疾病所致痴呆]
02.2颅内感染所致精神障碍Mental disorders due to intracranial infection [F02.8在它处分类的其他特定疾病所致痴呆]
02.21急性病毒性脑炎所致精神障碍Mental disorders due to acute virus encephalitis [F02.8在它处分类的其他特定疾病所致痴呆]
02.22克—雅病所致精神障碍Mental disorders due to Creutzfeldt-Jacob disease[F02.1克—雅病痴呆]
02.23脑炎后综合征Postencephalitic syndrome[F07.1]
02.3脱髓鞘脑病所致精神障碍Mental disorders due to demyelinating encephalopathy [F02.8在它处分类的其他特定疾病所致痴呆]
02.31急性播散性脑脊髓炎和急性出血性白质脑炎所致精神障碍Mental disorders due to acute disseminatecl encephalomyelitis and acute hemorrhagic leucoencephalitis [F02.8在它处分类的其他特定疾病所致痴呆]
02.32多发性硬化所致精神障碍Mental disorders due to multiple sclerosis [F02.8在它处分类的其他特定疾病所致痴呆]
02.4脑外伤所致精神障碍Mental disorders due to brain damage [F07]
02.41脑震荡后综合征Mental disorders due to brain concussion [F07.2]
02.42脑挫裂伤后综合征Mental disorders due to brain contusion [F07.8其他器质性人格和行为障碍]
02.5脑瘤所致精神障碍Mental disorders due to brain tumor [F02.8在它处分类的其他特定疾病所致痴呆]
02.6癫痫所致精神障碍Mental disorders due to epilepsy [F02.8在它处分类的其他特定疾病所致痴呆]
02.9以上未分类的其他脑部疾病所致精神障碍Mental disorders due to other specifide diseases classifide dlsewhere [F02.8]
03躯体疾病所致精神障碍Mental disorders due to physical diseases [F02.8在它处分类的其他疾病所致痴呆]
03.1躯体感染所致精神障碍Mental disorders due to physical infection [F02.8在它处分类的其他疾病所致痴呆]
03.11人类免疫缺陷病毒所致精神障碍Mental disorders due to human immunodeficiency virus(HIV) [F02.4人类免疫缺陷病毒性痴呆]
03.2内脏器官疾病所致精神障碍Mental disorders due to visceral organdisease [F02.8在它处分类的其他疾病所致痴呆]
03.3内分泌疾病所致精神障碍Mental disorders due to endocrine disease [F02.8在它处分类的其他疾病所致痴呆]
03.4营养代谢疾病所致精神障碍Mental disorders due to nutritional and metabolic disease [F02.8在它处分类的其他疾病所致痴呆]
03.5结缔组织疾病所致精神障碍Mental disorders due to disease of connective tissue [F02.8在它处分类的其他疾病所致痴呆]
03.51系统性红斑狼疮所致精神障碍Mental disorders due to systemic lupus erythematosus(SLE) [F02.8在它处分类的其他疾病所致痴呆]
03.6染色体异常所致精神障碍Mental disorders due to chromosomal abnormality [F02.8在它处分类的其他疾病所致痴呆]
03.7物理因素所致精神障碍Mental disorders due to physical factors [F02.8在它处分类的其他疾病的致痴呆]
03.9以上未分类的其他躯体疾病所致精神障碍Mental disorders due to other diseases,or unspecifide [F02.8]
03.91围生期精神障碍Puerperal mental disorder [F53其他待分类的围生期精神和行为障碍]
09其他或待分类器质性精神Organic mental disorders due to other diseases,or unspecified[F06.8;F06.9;F09]
器质性精神障碍第5位编码表示:
0x.xx1器质性智能损害(痴呆)Organic intellectual deficiency(dementia) [- -]
0x.xx2器质性遗忘Organic amnesic syndrime [F04非酒精或精神活性物质所致器质性遗忘综合征]
0x.xx3器质性人格改变、习惯与冲动改变、性心理改变Organic personality change, habit and impulse change, psychosexual change [F07器质性人格与行为障碍]
0x.xx4器质性意识障碍(如谵妄)Organic consciousness disorders (e.g, delirium) [F05非酒精或精神活性物质所致谵妄]
0x.xx5器质性精神病性症状Organic psychotic symptoms [F06.0器质性幻觉障碍;F06.1器质性紧张性障碍;F06.2器质性妄想性(精神分裂样)障碍]
0x.xx6器质性情感障碍Organic mood disorders [F06.3]
0x.xx7器质性癔症样综合征Organic hysteria-like syndrome [F06.5器质性解离障碍]
0x.xx8器质性神经症样综合征Organic neurosis-like syndrome [F06.4器质性焦虑症;F06.6器质性情绪不稳(脆弱)障碍]
1 精神活性物质所致精神障碍或非成瘾物质所致精神障碍Mental disorders due psychoactive substances or non-addictive substances[F10-F19精神活性物质所致精神障碍和行为障碍;F55非成瘾药物滥用]
10精神活性物质所致精神障碍Mental disorders due to use of psychoactive substances [F10-F19精神活性物质所致精神障碍和行为障碍]
10.1酒精所致精神障碍Mental disorders due to use of alcohol [F10酒精所致精神障碍和行为障碍]
10.2阿片类物质所致精神障碍Mental disorders due to use of opioids [F11阿片类物质所致精神障碍和行为障碍]
10.3大麻类物质所致精神障碍Mental disorders due to use of cannabinoids [F12大麻类物质所致精神障碍和行为障碍]
10.4镇静催眠药或抗焦虑药所致精神障碍Mental disorders due to use of sedatives or hypnotics [F13镇静催眠药所致精神障碍和行为障碍]
10.5兴奋剂所致精神障碍Mental disorders due to use of stimulants [F14可卡因;F15其他兴奋剂所致精神障碍和行为障碍]
10.6致幻剂所致精神障碍Mental disorders due to use of hallucinogens [F16致幻剂所致精神障碍和行为障碍]
10.7烟草所致精神障碍Mental disorders due to use of tobacco [F17烟草所致精神障碍和行为障碍]
10.8挥发性溶剂所致精神障碍Mental disorders due to use of volative solvents [F18挥发性溶剂所致精神障碍和行为障碍]
10.9其他或待分类的精神活性物质所致精神障碍Mental disorders due to other psychoactive substances,or unspecifide [F19]
10.x1急性中毒Acute intoxication [F1x.0]
10.x2有害使用Harmful use [F1x.1]
10.x3依赖综合征(成瘾综合征)Dependencd (addictive) syndrome [F1x.2]
10.x4戒断综合征Withdrawal syndrome [F1x.3]
10.x5精神病性障碍Psychotc disorders [F1x.4]
10.x6智能损害(痴呆)Intellectual deficiency (dementia) [F1x.5]
10.x7遗忘综合征Amnesic syndrome [F1x.6]
10.x8残留性或迟发性精神障碍Residual and late-onset mental disorder [F1x.7残留性或迟发性精神病性障碍]
精神活性物质所致精神障碍第5位编码表示:
10.xx1意识障碍(如谵妄、昏迷)Predominant disturbance of vonsciousness (e.g. delirium, coma) [F1x.03急性中毒并谵妄;F1x.05急性中毒并昏迷]
10.xx2幻觉症Hallucinosis [F1x.52幻觉为主]
10.xx3妄想症Delusionosis [F1x.51
华人心语心理咨询热线电话和心理治疗电话:02784530206
国家注册高级心理咨询师QQ362890071症状是心灵的语言——心语!