{"id":92835,"date":"2022-03-24T05:00:28","date_gmt":"2022-03-23T21:00:28","guid":{"rendered":"http:\/\/www.zufubiji.com\/92835.html"},"modified":"2022-03-24T05:00:28","modified_gmt":"2022-03-23T21:00:28","slug":"%e4%ba%ba%e6%a0%bc%e9%9a%9c%e7%a2%8d%e6%b5%8b%e9%aa%8c%e8%87%aa%e6%b5%8b%e8%a1%a8","status":"publish","type":"post","link":"http:\/\/www.zufubiji.com\/92835.html","title":{"rendered":"\u4eba\u683c\u969c\u788d\u6d4b\u9a8c\u81ea\u6d4b\u8868"},"content":{"rendered":"

\u4e00\u3001\u4e16\u754c\u4eba\u683c\u59a8\u788d\u67e5\u770b\uff08IPDE\uff09<\/p>\n

\u4e16\u754c\u4eba\u683c\u59a8\u788d\u67e5\u770b\u8868\uff08\u7b80\u79f0IPDE\uff09\u662f\u7531Loranger\u7b49\u4eba\u4f9d\u636ePDE\u4e8e1991\u5e74\u4fee\u6b63\u62df\u5b9a\u7684\u3002<\/p>\n

\u5b83\u662f\u4e00\u4e2a\u534a\u5b9a\u5f0f\u67e5\u770b\u8868\uff0c\u8981\u6c42\u67e5\u770b\u8005\u4e3a\u7cbe\u795e\u79d1\u533b\u5e08\u6216\u4e34\u5e8a\u5fc3\u7406\u5b66\u5bb6\uff0c\u65e8\u5728\u534f\u52a9\u67e5\u770b\u8005\u5224\u522b\u88ab\u8bd5\u8005\u6709\u65e0\u4eba\u683c\u59a8\u788d\uff0c\u4ee5\u53ca\u4eba\u683c\u59a8\u788d\u7684\u7c7b\u578b\u3002\u5176\u5224\u522b\u7684\u89c4\u8303\u4e0eICD\ue01110\u548cDSM\ue011\u2162\ue011R\u4e24\u5957\u786e\u8bca\u7cfb\u7edf\u76f8\u914d\u5957\u3002<\/p>\n

\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\uff08WHO\uff09\u5c06\u5176\u4e0eSCAN\u548cCIDI\u4e00\u8d77\u63a8\u884c\u8fd0\u7528\u7684\u3002IPDE\u7684\u7ed3\u6784\u3000\u67e5\u770b\u7684\u5f00\u7aef\uff0c\u5148\u662f\u7ed9\u4e00\u4e9b\u8f85\u5bfc\uff0c"\u8fd9\u4e9b\u67e5\u770b\u662f\u4e86\u89e3\u4f60\u6574\u4e2a\u65e5\u5b50\u7684\u5178\u578b\u59ff\u6001\uff0c\u800c\u4e0d\u53ea\u4ec5\u662f\u6700\u8fd1\u7684\u4f53\u73b0\u2026\u2026"IPDE\u5171\u7528153\u4e2a\u6761\u76ee\uff0c\u5206\u7ea26\u4e2a\u65b9\u9762\uff1a\u4f5c\u4e1a\u3001\u81ea\u6211\u3001\u4eba\u9645\u5173\u7cfb\u3001\u60c5\u611f\u3001\u5b9e\u8df5\u67e5\u9a8c\u3001\u6fc0\u52a8\u64cd\u63a7\u3002\u6bcf\u4e00\u9053\u9898\u4e0a\u90fd\u6807\u660e\u4e8c\u4e2a\u786e\u8bca\u7cfb\u7edf\u89c4\u8303\u4e2d\u7684\u6761\u76ee\u6570\u3002\u4e3e\u4e00\u4f8b\u8be6\u7ec6\u9610\u660e\u5982\u4e0b\uff1a<\/p>\n

8\ue010\u7b80\u76f4\u603b\u662f\u504f\u5fc3\u72ec\u81ea\u4e3e\u52a8<\/p>\n

DSM\ue011III\ue011R\u5272\u88c2\u6837\uff1a2ICD\ue01110\u5272\u88c2\u6837\uff1a6<\/p>\n

\u4f60\u603b\u6311\u9009\u80fd\u5168\u7531\u81ea\u5df1\u4e00\u4eba\u5b8c\u7ed3\u7684\u6d3b\u52a8\uff0c\u800c\u4e0d\u559c\u6b22\u4e0e\u4eba\u534f\u4f5c\u7684\u6d3b\u52a8\u5417\uff1f<\/p>\n

\u5982\u662f\uff0c\u4e3e\u4f8b\u9610\u660e<\/p>\n

2\ue010\u7b80\u76f4\u603b\u662f\u6311\u9009\u72ec\u81ea\u7684\u5de5\u4f5c\u6216\u4f11\u95f2\u6d3b\u52a8\u3002<\/p>\n

1\u3000\u5e38\u5e38\u603b\u662f\u6311\u9009\u72ec\u81ea\u7684\u5de5\u4f5c\u6216\u4f11\u95f2\u6d3b\u52a8\u3002\u7b80\u76f4\u603b\u662f\u6311\u9009\u72ec\u81ea\u7684\u5de5\u4f5c\u6216\u4f11\u95f2\u6d3b\u52a8\uff0c\u9664\u975e\u4f5c\u4e1a\u6027\u8d28\u4e0d\u7b54\u5e94\u8fd9\u6837\u505a\u3002<\/p>\n

0\u3000\u5426\u5b9a\u6216\u6bd4\u5982\u6ca1\u6709\u8bf4\u670d\u529b\u3002<\/p>\n

\u5176\u95f4\uff0c48\u4ee3\u8868\u5728\u67e5\u770b\u4e2d\u7684\u6761\u76ee\u6b21\u5e8f\uff0c\u5373\u7b2c48\u6761\uff0c"\u7b80\u76f4\u603b\u662f\u504f\u5fc3\u72ec\u81ea\u4e3e\u52a8"\u662f\u786e\u8bca\u89c4\u8303\u4e2d\u7684\u539f\u8bdd\uff0c\u4e0b\u4e00\u884c\u5c31\u5217\u51fa\u4e86\u6b64\u6761\u76ee\u662f\u67e5\u770b\u4e24\u4e2a\u786e\u8bca\u7cfb\u7edf\u4e2d\u7684\u54ea\u578b\u4eba\u683c\u59a8\u788d\uff0c\u4ee5\u53ca\u5728\u786e\u8bca\u89c4\u8303\u7684\u8be6\u7ec6\u6761\u76ee\u3002<\/p>\n

\u5047\u5982\u53c2\u770bICD\ue01110\u5272\u88c2\u6837\u4eba\u683c\u59a8\u788d\u7684\u7b2c\u516d\u6761\uff08\u6216DSM\ue011\u2162\ue011R\u5272\u88c2\u6837\u4eba\u683c\u59a8\u788d\u7b2c\u4e8c\u6761\uff09\uff0c\u5c31\u4f1a\u53d1\u73b0\u4e0e\u6b64\u9898\u662f\u5951\u5408\u7684\u3002\u518d\u5f80\u4e0b\u6240\u8ff0\u7684\u662f\u600e\u4e48\u67e5\u770b\uff0c\u4ee5\u53ca\u8bc4\u5206\u89c4\u8303\u3002<\/p>\n

\u6709\u4e9b\u6807\u9898\u7684\u786e\u8bca\u89c4\u8303\u7684\u8be6\u7ec6\u6761\u76ee\u540e\u6807\u6709"\u90e8\u5206"\u4e24\u5b57\uff0c\u6807\u660e\u6b64\u95ee\u9898\u4e0d\u662f\u70b9\u8bc4\u6574\u4e2a\u89c4\u8303\u3002\u8fd9\u6837\u505a\u662f\u4e3a\u4e86\u4e60\u60ef\u4e24\u4e2a\u786e\u8bca\u7cfb\u7edf\uff0c\u4ee5\u53ca\u8fa8\u522b\u4e24\u79cd\u59a8\u788d\u3002<\/p>\n

IPDE\u7684\u8bc4\u5206IPDE\u662f\u4e09\u7ea7\u8bc4\u5206\uff0c0\u6b63\u5e38\uff0c1\u6770\u51fa\uff0c2\u5951\u5408\u786e\u8bca\u89c4\u8303\u548c\u75c5\u6001\u3002\u4e00\u79cd\u884c\u4e3a\u7ee7\u7eed\u591a\u4e45\u5c31\u53ef\u8003\u8651\u4e3a\u4eba\u683c\u7279\u8d28\uff1f\u4e16\u754c\u4e0a\u6ca1\u6709\u4e00\u4e2a\u4e00\u81f4\u89c2\u5ff5\u3002IPDE\u89c4\u5219\u81f3\u5c115\u5e74\u3002\u5728\u786e\u8bca\u6bcf\u578b\u6240\u8981\u6c42\u7684\u6761\u76ee\u4e0a\uff0cICD\ue01110\u9700\u6c42\u81f3\u5c113\u6761\uff0c\u800cDCM\ue011\u2162\ue011R\u5219\u97004\u2014\u20145\u6761\u3002\u800c\u4e14\u81f3\u5c11\u6709\u4e00\u6761\u7684\u8bc4\u5206\u662f2\u5206\u3002\u82e5\u9633\u6027\u5f97\u5206\u5927\u4e8e10\u6761\uff08\u76f8\u540c\u8981\u6c42\u6709\u4e00\u6761\u8bc4\u5206\u662f2\u5206\uff09\uff0c\u4f46\u53c8\u4e0d\u5951\u5408\u4efb\u4f55\u4e00\u79cd\u4eba\u683c\u59a8\u788d\u8005\uff0c\u5219\u786e\u8bca\u4e3a\u5176\u4ed6\u578b\u4eba\u683c\u59a8\u788d\u3002\u4e0d\u7ba1\u54ea\u79cd\u786e\u8bca\u7cfb\u7edf\uff0c\u90fd\u8981\u6c42\u81f3\u5c11\u6709\u4e00\u79cd\u5951\u5408\u786e\u8bca\u89c4\u8303\u7684\u6761\u76ee\u6240\u8ff0\u7684\u884c\u4e3a\u572825\u5c81\u4e4b\u524d\u5c31\u5df2\u5448\u73b0\u3002WHO\u9488\u5bf9IPDE,\u5f00\u53d1\u4e86\u4e00\u5957\u8f6f\u4ef6\uff0c\u53ea\u8981\u628a\u6bcf\u4e2a\u6761\u76ee\u7684\u5f97\u5206\u8f93\u5165\u540e\uff0c\u5373\u53ef\u5f97\u51fa\u6210\u679c\u3002<\/p>\n

IPDE\u7684\u7279\u8272\u3000IPDE\u5e76\u672a\u4f9d\u7167\u6bcf\u578b\u4eba\u683c\u59a8\u788d\u6765\u8fdb\u884c\u67e5\u770b\uff0c\u800c\u662f\u4f9d\u7167\u4eba\u65e5\u5b50\u7684\u51e0\u4e2a\u65b9\u9762\u8fdb\u884c\u67e5\u770b\uff0c\u8fd9\u6837\u524a\u51cf\u67e5\u770b\u8005\u5bf9\u60a3\u8005\u7684\u7247\u9762\u5224\u522b\u3002\u6b64\u70b9\u6216\u8bb8\u4e5f\u662f\u6b64\u7c7b\u7684\u8d8b\u52bf\uff0c\u4f8b\u5982\uff0cPDQ\ue011R\uff08Personali\ue011tydiagnosticQuestionnaire\ue011Revised\uff09\u4f9d\u7167\u6bcf\u578b\u4eba\u683c\u59a8\u788d\u6765\u8fdb\u884c\u67e5\u770b\uff0c\u800c\u6700\u65b0\u7684\u3001\u9002\u7528\u4e8eDSM\ue011IV\u7684\u7248\u522b\u4e5f\u662f\u4f9d\u7167\u4eba\u65e5\u5b50\u51e0\u4e2a\u65b9\u9762\u8fdb\u884c\u67e5\u770b\u3002<\/p>\n

1CD\ue01110\u4e0eDSM\u2014\u2014\u2162\ue011R\u5728\u4eba\u683c\u59a8\u788d\u7684\u786e\u8bca\u89c4\u8303\u53ca\u5206\u7c7b\u4e0a\u5927\u4f53\u76f8\u4f3c\uff0cICD\ue01110\u4e2d\u6ca1\u6709\u81ea\u604b\u3001\u88ab\u8feb\u8fdb\u72af\u4ee5\u53ca\u5728DSM\ue011\u2162\ue011R\u4e2d\u9644\u5f55\u7684\u81ea\u6211\u9632\u536b\u53ca\u8650\u5f85\u72c2\u3002\u8fb9\u9645\u4e0e\u6fc0\u52a8\u4f5c\u4e3a\u5fc3\u60c5\u4e0d\u7a33\u578b\u4eba\u683c\u59a8\u788d\u7684\u4e9a\u578b\u3002\u5272\u88c2\u578b\u4eba\u683c\u59a8\u788d\u5f52\u5230\u5176\u4ed6\u65b9\u9762\u3002\u4e24\u4e2a\u89c4\u8303\u5728\u7528\u8bcd\u4e0a\u4e5f\u6709\u5dee\u5f02\uff0c\u5982\uff08obsessivecompulsive\uff09\uff0cAnxious\uff08avoidant\uff09\uff0cDissocial\uff08anti\ue011social\uff09\u3002ICD-10\u4e3a\u4e00\u822c\u8fd0\u7528\u8005\u4f9b\u7ed9\u4e34\u5e8a\u63cf\u7ed8\u548c\u786e\u8bca\u8f85\u5bfc\uff0c\u4e5f\u4f9b\u7ed9\u4e86\u7814\u8ba8\u7528\u89c4\u8303\uff0c\u540e\u8005\u4e0eI\uff09SM\ue011\u2162\ue011R\u76f8\u4f3c\u3002IPDE\u7684\u6761\u76ee\u5927\u90e8\u5206\u662f\u4e0eICD\ue01110\u7814\u8ba8\u7528\u89c4\u8303\u6240\u5bf9\u5e94\uff0c\u4f46\u5355\u4e2a\u4e5f\u6709\u4e0eICD-10\u7684\u4e34\u5e8a\u63cf\u7ed8\u548c\u786e\u8bca\u8f85\u5bfc\u76f8\u5bf9\u5e94\uff0c\u5982\u5f3a\u8feb\u578b\u4eba\u683c\u59a8\u788d \uff08Anankasticpersonalitydis\ue011order\uff09\u3002<\/p>\n

IPDE\u5df2\u88ab\u7ffb\u8bd1\u6210\u5341\u591a\u79cd\u8bed\u8a00\uff0c\u5728\u8bb8\u591a\u56fd\u5bb6\u5f97\u5230\u8fd0\u7528\uff0c\u7ecf\u6d4b\u9a8c\u6709\u6770\u51fa\u7684\u4fe1\u5ea6\u3002\u5927\u90e8\u5206\u6761\u76ee\u7684\u67e5\u770b\u8005\u4e4b\u95f4\u7684\u4e00\u81f4\u6027\u57280.8\u20140.9\u4e4b\u95f4\u3002<\/p>\n

IPDE\u56e0\u4e3a\u6761\u76ee\u8f83\u591a\uff0c\u67e5\u770b\u4e00\u6b21\u7ea6\u9700150\u5206\u949f\u3002\u5728\u8fd9153\u4e2a\u6761\u76ee\u4e2d\uff0c\u53ea\u4e0eDSM\ue011\u2162\ue011R\u5bf9\u5e94\u7684\u6570\u91cf\u4e3a83\u6761\uff0c\u53ea\u4e0eICD-10\u5bf9\u5e94\u7684\u6570\u91cf\u4e3a27\u6761\uff0c\u4e24\u8005\u5806\u53e0\u7684\u6570\u91cf\u4e3a43\u6761\uff0cIPDE\u7684\u4e2d\u6587\u7248\u522b\u7531\u5317\u4eac\u533b\u79d1\u5927\u5b66\u7684\u6210\u529f\u7ffb\u8bd1\uff0c\u97e9\u83c1\u7b49\u9009\u7528\u4e0eICD-10\u5bf9\u5e94\u7684\u6761\u76ee\u4e3a70\u4e2a\uff0c\u8fdb\u884c\u4e86\u4fe1\u5ea6\u548c\u6548\u5ea6\u67e5\u9a8c\uff0c\u9274\u5b9a\u8005\u95f4\u7684\u4e00\u81f4\u6027\u4e2d\u4f4d\u6570kappa\u503c\u4e3a0.84;\u524d\u540e\u9274\u5b9a\u7684\u4e00\u81f4\u6027kappa\u503c\u4e3a0\ue01083,\u4e0e\u4e34\u5e8a\u786e\u8bca\u7684\u5951\u5408\u7387\u4e3a90\ue0106%.\u56e0\u4e3a\u53ea\u8282\u9009\u4e86\u4e0eICD-10\u786e\u8bca\u7cfb\u7edf\u76f8\u5bf9\u5e94\u7684\u6761\u76ee\uff0c\u67e5\u770b\u65f6\u523b\u7f29\u77ed\u4e3a70\u5206\u949f\u5de6\u53f3\u3002<\/p>\n

\u636e\u62a5\u5bfc\uff0c\u8bb8\u591a\u4e34\u5e8a\u533b\u5e08\u53ea\u5bf9\u67d0\u79cd\u4eba\u683c\u59a8\u788d\u7684\u786e\u8bca\u628a\u63e1\u8f83\u597d\uff0c\u8fd0\u7528\u4eba\u683c\u59a8\u788d\u7684\u67e5\u770b\u4e1c\u897f\u540e\uff0c\u786e\u8bca\u5176\u4ed6\u578b\u7684\u53ef\u9760\u6027\u8fdb\u6b65\u4e86\u3002\u56e0\u800c\u3002<\/p>\n

\u8fd0\u75281PDE\u7b49\u4eba\u59a8\u788d\u67e5\u770b\u4f5c\u4e1a\u662f\u5fc5\u8981\u7684\u3002\u6211\u56fd1982\u5e74\u5341\u4e8c\u533a\u57df\u7684\u7cbe\u795e\u75be\u75c5\u6d41\u884c\u75c5\u5b66\u67e5\u8be2\u62a5\u5bfc\uff1a\u4eba\u683c\u59a8\u788d\u53d1\u75c5\u7387\u4e3a0.01%,\u4e0e\u5176\u4ed6\u56fd\u5bb62%\u201410%\u76f8\u5dee\u751a\u8fdc\uff0c\u4e5f\u4e0e\u54b1\u4eec\u7684\u4e34\u5e8a\u7ecf\u9a8c\u597d\u50cf\u4e0d\u7b26\uff0c\u6050\u6015\u6f0f\u8bca\u8005\u8f83\u591a\u3002\u7531\u6b64\u770b\u6765\uff0c\u5728\u6211\u56fd\u7cbe\u795e\u75c5\u5b66\u754c\u5c55\u5f00\u548c\u904d\u53ca\u76f8\u4f3cIPDE\u7684\u67e5\u770b\u4e1c\u897f\u52bf\u5728\u5fc5\u884c\u3002<\/p>\n

\u67e5\u770b\u4e2d\u6ce8\u610f\u4e8b\u9879\u4fee\u6539<\/p>\n

\u5728\u67e5\u770b\u4e2d\u8981\u4e0d\u65ad\u5730\u95ee\u8be2\u88ab\u8bd5\u8005\u5448\u73b0\u67d0\u79cd\u7279\u8272\u7684\u65f6\u523b\uff0c\u53ca\u5bf9\u65e5\u5b50\u7684\u5f71\u54cd\u3002\u6b64\u70b9\u5bf9\u6709\u7cbe\u795e\u59a8\u788d\u7684\u60a3\u8005\u5c24\u4e3a\u91cd\u8981\uff0c\u4f8b\u5982\u8bb8\u591a\u795e\u7ecf\u75c7\u60a3\u8005\u53d7\u7cbe\u795e\u59a8\u788d\u7684\u5f71\u54cd\uff0c\u5e38\u91cd\u590d\u7f81\u7eca\u4e8e\u75c7\u72b6\u3002\u5fc5\u8981\u65f6\u9700\u6c42\u5411\u77e5\u60c5\u4eba\uff08\u5bb6\u65cf\u6216\u540c\u5b66\u3001\u670b\u53cb\uff09\u4ece\u5934\u4e86\u89e3\u72b6\u51b5\u3002<\/p>\n

IPDE\u4e3b\u8981\u662f\u897f\u65b9\u4eba\u62df\u5b9a\u7684\uff0c\u6709\u7684\u6761\u76ee\u4e0d\u592a\u5408\u9002\u6211\u56fd\u56fd\u60c5\u3002<\/p>\n

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