Нововведения и изменения в классификации психических, поведенческих расстройств и расстройств развития нервной системы
Всемирная психиатрия. №1 2019
Нововведения и изменения в классификации психических, поведенческих расстройств и расстройств развития нервной системы
Geoffrey M. Reed1,2, Michael B. First2,3, Cary S. Kogan4, Steven E. Hyman5, Oye Gureje6, Wolfgang Gaebel7, Mario Maj8, Dan J. Stein9, Andreas Maercker10, Peter Tyrer11, Angelica Claudino12, Elena Garralda11, Luis Salvador-Carulla13, Rajat Ray14, John B. Saunders15, Tarun Dua1, Vladimir Poznyak1, María Elena Medina-Mora16, Kathleen M. Pike2, José L. Ayuso-Mateos17, Shigenobu Kanba18, Jared W. Keeley19, Brigitte Khoury20, Valery N. Krasnov21, Maya Kulygina21, Anne M. Lovell22, Jair de Jesus Mari12, Toshimasa Maruta23, Chihiro Matsumoto24, Tahilia J. Rebello2,3, Michael C. Roberts25, Rebeca Robles16, Pratap Sharan26, Min Zhao 27, Assen Jablensky28, Pichet Udomratn29, Afarin Rahimi-Movaghar30, Per-Anders Rydelius31, Sabine Bährer-Kohler32, Ann D. Watts33, Shekhar Saxena34
1Department of Mental Health and Substance Abuse World Health Organization Geneva Switzerland 2Department of Psychiatry Columbia University Medical Center New York NY USA 3New York State Psychiatric Institute New York NY USA 4School of Psychology University of Ottawa Ottawa ON Canada 5Stanley Center for Psychiatric Research Broad Institute of Harvard and Massachusetts Institute of Technology Cambridge MA USA 6Department of Psychiatry University of Ibadan Ibadan Nigeria 7Department of Psychiatry and Psychotherapy, Medical Faculty Heinrich‐Heine University Düsseldorf Germany 8Department of Psychiatry University of Campania «LVanvitelli» Naples Italy 9Department of Psychiatry University of Cape Town, and South African Medical Research Council Unit on Risk and Resilience in Mental Disorders Cape Town South Africa 10Department of Psychology University of Zurich Zurich Switzerland 11Centre for Mental Health Imperial College London UK 12Department of Psychiatry Universidade Federal de São Paulo (UNIFESP/EPM) São Paulo Brazil 13Research School of Population Health Australian National University Canberra ACT Australia 14National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India 15Centre for Youth Substance Abuse Research University of Queensland Brisbane QLD Australia 16National Institute of Psychiatry Ramón de la Fuente Muñiz Mexico City Mexico 17Department of Psychiatry Universidad Autonoma de Madrid; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM); Instituto de Investigación Sanitaria La Princesa Madrid Spain 18Department of Neuropsychiatry Kyushu University Fukuoka Japan 19Department of Psychology Virginia Commonwealth University Richmond VA USA 20Department of Psychiatry American University of Beirut Medical Center Beirut Lebanon 21Moscow Research Institute of Psychiatry National Medical Research Centre for Psychiatry and Narcology Moscow Russian Federation 22Institut National de la Santé et de la Recherche Médicale U988 Paris France 23Health Management Center Seitoku University Matsudo Japan 24Japanese Society of Psychiatry and Neurology Tokyo Japan 25Office of Graduate Studies and Clinical Child Psychology Program University of Kansas Lawrence KS USA 26Department of Psychiatry All India Institute of Medical Sciences New Delhi India 27Shanghai Mental Health Center and Department of Psychiatry Shanghai Jiao Tong University School of Medicine Shanghai People’s Republic of China 28Centre for Clinical Research in Neuropsychiatry University of Western Australia Perth WA Australia 29Department of Psychiatry Prince of Songkla University Hat Yai Thailand 30Iranian National Center for Addiction Studies, Tehran University of Medical Sciences Tehran Iran 31Department of Child and Adolescent Psychiatry Karolinska Institute Stockholm Sweden 32International Federation of Social Workers, Basel Switzerland 33Entabeni Hospital Durban South Africa 34Harvard T.H. Chan School of Public Health Boston MA USA
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Опубликовано: 22 января 2019
Аннотация / Abstract
a:2:{s:4:"TEXT";s:65533:"a:2:{s:4:"TYPE";s:4:"HTML";s:4:"TEXT";s:115581:"Перевод: Пикиреня В.И. (Минск)
Редактура: к.м.н. Резников М.К. (Воронеж)
Резюме
После одобрения МКБ-11 Всемирной ассамблеей здравоохранения в мае 2019 г. государства-члены Всемирной организации здравоохранения (ВОЗ) перейдут от МКБ-10 к МКБ-11 с предоставлением отчетности по статистике здравоохранения на основе новой системы, которая начнется с 1 января 2022 г. Департамент по психическому здоровью и злоупотреблению психоактивными веществами ВОЗ опубликует «Клинические описания и диагностические рекомендации» (CDDG) для расстройств психического, поведенческого и нервного развития МКБ-11 после его одобрения. Разработка CDDG МКБ-11 за последнее десятилетие, основывалась на принципах клинической ценности и глобальной применимости, была наиболее международной, многоязычной, междисциплинарной, чем когда-либо ранее при создании классификации психических расстройств. Инновациями в МКБ-11 является предоставление последовательной и системно охарактеризованной информации, принятие подхода, основанного на всей жизни пациента, и руководство для каждого расстройства, связанное с культурой. Дименсиональные подходы были включены в классификацию, в частности для расстройств личности и первичных психотических расстройств, в соответствии с существующим уровнем доказательств. Эти подходы более совместимы с подходом, ориентированным на восстановление, устранены искусственные коморбидности и более эффективно регистрируется динамика. Здесь мы опишем основные изменения в структуре психических расстройств МКБ-11 в сравнении с МКБ-10, а также разработку двух новых глав МКБ-11, относящихся к вопросам психического здоровья. Мы проиллюстрируем ряд новых категорий, которые были добавлены в МКБ-11 и обоснования для их включения. В завершение, мы приводим описание наиболее важных изменений, которые были сделаны в каждой группе МКБ-11. Эта информация создавалась, чтобы быть полезной как клиницистам, так и исследователя...
Перевод: Пикиреня В.И. (Минск)
Редактура: к.м.н. Резников М.К. (Воронеж)
Резюме
После одобрения МКБ-11 Всемирной ассамблеей здравоохранения в мае 2019 г. государства-члены Всемирной организации здравоохранения (ВОЗ) перейдут от МКБ-10 к МКБ-11 с предоставлением отчетности по статистике здравоохранения на основе новой системы, которая начнется с 1 января 2022 г. Департамент по психическому здоровью и злоупотреблению психоактивными веществами ВОЗ опубликует «Клинические описания и диагностические рекомендации» (CDDG) для расстройств психического, поведенческого и нервного развития МКБ-11 после его одобрения. Разработка CDDG МКБ-11 за последнее десятилетие, основывалась на принципах клинической ценности и глобальной применимости, была наиболее международной, многоязычной, междисциплинарной, чем когда-либо ранее при со...
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