CCMD—2—R精神分裂症诊断标准的临床应用与ICD—10、DSM—Ⅳ的比较

为了评价CCMD-2-R精神分裂症诊断标准与ICD-10、DSM-Ⅳ之间在临床应用中的一致性及其差异,检验CCMD-2-R的效度,本文选取50例临床诊断确定为“精神分裂症”的住院病人,通过SCAN检查与参阅住院病历相结合的方式收集病史,然后分别用CCMD-2-R、ICD-10、DSM-Ⅳ精神分裂症诊断标准去诊断,比较它们在框架内容、亚型诊断频度、亚型诊断符合率与症状标准内容方面的一致性。发现CCMD-2-R精神分裂症诊断标准与临床经验诊断、ICD-10之间有很好的一致性(K>0.75),与DSM-Ⅳ之间也有一定的一致性(K>0.40),提示CCMD-2-R精神分裂症诊断标准有良好的经验效度和平行效度。说明CCMD-2-R更加完善了我国精神分裂症诊断标准。

A Comparative Study of Diagnostic Criteria of Schizophrenia among CCMD-2-R,ICD-10 and-DSMIV

In order lo evaluate the consistency and difference of diagnostic criteria of schizophrenia among CCMD-2-R, ICD-10 and DSM-IV, and to evaluate the ditness and validity of CCMD-2-R,the authors selected 50 inpatienls diagnosed as "Schizophrenia" by clinicians and collected history through SCAN assessment and making reference to medical records, then, all patients were diagnosed with CCMD-2-R, ICD-10 and DSM-IV respectively. After comparing the frameworks, items of symplom criteria, frequencies and consistency ratas of Subtype diagnoses of CCMD-2-R, ICD10 and DSM-IV, the authors found that CCMD-2-R had best consistency with clinical experienced diagnoses and ICD-10, and good consistency with DSM-IV. This study showed that CCMD-2-R has good experience validity and parallel validity than CCMD -2. So we concluded that CCMD-2-R is a very good diagnostic criteria of schizophrenia in Chinese Culture.