{"id":13633,"date":"2022-06-23T18:08:55","date_gmt":"2022-06-23T10:08:55","guid":{"rendered":"http:\/\/new.guduzh.org.cn\/?p=13633"},"modified":"2022-06-23T18:08:55","modified_gmt":"2022-06-23T10:08:55","slug":"%e8%87%aa%e9%97%ad%e7%97%87%e8%af%8a%e6%96%ad%e6%a0%87%e5%87%86%e5%81%9a%e5%87%ba%e4%b8%a4%e5%b0%8f%e5%a4%84%e4%bf%ae%e6%94%b9","status":"publish","type":"post","link":"http:\/\/www.guduzh.org.cn\/?p=13633","title":{"rendered":"\u81ea\u95ed\u75c7\u8bca\u65ad\u6807\u51c6\u505a\u51fa\u4e24\u5c0f\u5904\u4fee\u6539"},"content":{"rendered":"\n

\u4ee5\u4e0b\u6587\u7ae0\u6765\u6e90\u4e8e\u5c0f\u4e2b\u4e2b\u81ea\u95ed\u75c7\u00a0\uff0c\u4f5c\u8005Peter Hess<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u5c0f\u4e2b\u4e2b\u81ea\u95ed\u75c7\u9879\u76ee\u662f\u51e0\u4f4d\u5317\u7f8e\u534e\u4eba\u6210\u7acb\u7684\uff0c\u57fa\u4e8e\u7f8e\u56fd\u5bc6\u82cf\u91cc\u5dde\u7684\u516c\u76ca\u7ec4\u7ec7\u3002\u6211\u4eec\u7684\u5b97\u65e8\u662f\u5728\u4e2d\u56fd\u4ee5\u53ca\u7f8e\u56fd\u534e\u4eba\u793e\u533a\u5021\u5bfc\u6b63\u786e\u7684\u5e72\u9884\u65b9\u6cd5\u4e0e\u7406\u5ff5\uff0c\u63a8\u52a8\u5bf9\u81ea\u95ed\u75c7\u7684\u6b63\u786e\u8ba4\u8bc6\uff0c\u5e2e\u52a9\u81ea\u95ed\u75c7\u4eba\u58eb\u8fbe\u5230\u4ed6\u4eec\u6240\u80fd\u8fbe\u5230\u7684\u9ad8\u5ea6\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u5f15\u00a0 \u00a0 \u00a0 \u8a00<\/strong><\/p>\n\n\n\n

\u7f8e\u56fd\u65f6\u95f43\u670818\u65e5\uff0c\u7f8e\u56fd\u7cbe\u795e\u75c5\u5b66\u4f1a\u5c06\u53d1\u5e03\u300a\u7cbe\u795e\u75be\u75c5\u8bca\u65ad\u4e0e\u7edf\u8ba1\u624b\u518c\u300b\u7b2c\u4e94\u7248\u6587\u672c\u4fee\u8ba2\u7248\uff08DSM-5-TR\uff09\uff0c\u5176\u4e2d\u5bf9\u81ea\u95ed\u75c7\u7684\u8bca\u65ad\u6807\u51c6\u5c06\u6709\u4e24\u5904\u4fee\u6539\u3002\u6709\u4e13\u5bb6\u4eec\u6307\u51fa\uff0c\u8fd9\u4e9b\u5c0f\u6539\u52a8\u4f7fDSM\u5bf9\u81ea\u95ed\u75c7\u7684\u5b9a\u4e49\u66f4\u52a0\u6e05\u6670\u548c\u7ec6\u81f4\uff0c\u4f46\u4e0d\u592a\u53ef\u80fd\u6539\u53d8\u4e34\u5e8a\u8bca\u65ad\u3002<\/p>\n\n\n\n

\u25bc<\/p>\n\n\n\n

\u5357\u5361\u7f57\u6765\u7eb3Charleston\u7684\u5357\u5361\u533b\u79d1\u5927\u5b66\u7684\u513f\u79d1\u548c\u7cbe\u795e\u75c5\u5b66\u6559\u6388Laura Carpenter\u8bf4\uff0c\u201c\u6211\u5f88\u9ad8\u5174\u8fd9\u6b21\u4fee\u8ba2\u6ca1\u6709\u8bd5\u56fe\u5bf9\u81ea\u95ed\u75c7\u7684\u5b9a\u4e49\u8fdb\u884c\u91cd\u5927\u4fee\u6539\u3002\u91cd\u5927\u7684\u4fee\u8ba2\u5f80\u5f80\u9700\u8981\u6570\u5e74\u65f6\u95f4\u624d\u80fd\u5b8c\u6210\uff0c\u975e\u5fc5\u8981\u65f6\uff0c\u6700\u597d\u4e0d\u6539\u3002”<\/p>\n\n\n\n

2013\u5e74\u53d1\u5e03\u7684DSM-5\u89c4\u5b9a\uff0c\u81ea\u95ed\u75c7\u7684\u8bca\u65ad\u9700\u8981\u6ee1\u8db3 “\u5728\u591a\u79cd\u60c5\u51b5\u4e0b\u6301\u7eed\u5b58\u5728\u793e\u4f1a\u4ea4\u6d41\u548c\u793e\u4f1a\u4e92\u52a8\u7684\u7f3a\u9677\uff0c\u5177\u4f53\u8868\u73b0\u4e3a\u4ee5\u4e0b\u65b9\u9762”\uff08\u201cpersistent deficits insocial communication and social interaction across multiple contexts, as manifested by the following\u201d\uff09\uff1a\u5728\u793e\u4f1a\u60c5\u611f\u4e92\u52a8\uff0c\u793e\u4ea4\u4e2d\u7684\u975e\u8bed\u8a00\u4ea4\u6d41\uff0c\u4ee5\u53ca\u5728\u53d1\u5c55\u3001\u7ef4\u6301\u548c\u7406\u89e3\u5173\u7cfb\u65b9\u9762\u5b58\u5728\u7f3a\u9677\u3002<\/p>\n\n\n\n

DSM-5-TR\u7684\u7b2c\u4e00\u5904\u4fee\u6539\uff0c\u662f\u5728\u4e0a\u8ff0\u5b9a\u4e49\u4e0a\u589e\u52a0\u4e86\u4e24\u4e2a\u8bcd\u3002”\u5177\u4f53\u8868\u73b0\u4e3a\u4ee5\u4e0b\u6240\u6709\u65b9\u9762”\uff08\u201cas manifested by all of thefollowing.\u201d\uff09\u3002<\/p>\n\n\n\n

\u25bc<\/p>\n\n\n\n

\u54e5\u4f26\u6bd4\u4e9a\u5927\u5b66\u4e34\u5e8a\u7cbe\u795e\u75c5\u5b66\u6559\u6388Michael First\u8ba4\u4e3a\uff0c\u8fd9\u4e00\u4fee\u6539\u53ef\u80fd\u6709\u52a9\u4e8e\u907f\u514d\u4e34\u5e8a\u8bca\u65ad\u65f6\uff0c\u5230\u5e95\u662f\u9700\u8981\u6ee1\u8db3\u5176\u4e2d\u4efb\u4f55\u4e00\u6761\u6807\u51c6\u8fd8\u662f\u6240\u6709\u6807\u51c6\u8fd9\u79cd “\u4e25\u91cd\u6a21\u7cca\u4e0d\u6e05”\u3002Michael First\u6559\u6388\u662fDSM-5\u7684\u7f16\u64b0\u548c\u8bca\u65ad\u4ee3\u7801\u987e\u95ee\u3002<\/p>\n\n\n\n

DSM-5\u2014TR\u7684\u7b2c\u4e8c\u5904\u4fee\u6539\u66ff\u6362\u4e86\u63cf\u8ff0\u81ea\u95ed\u75c7\u8bca\u65ad\u5171\u540c\u969c\u788d\u7684\u4e00\u4e2a\u8bcd\u3002DSM-5\u4e2d\uff0c\u8981\u6c42\u4e34\u5e8a\u533b\u751f\u660e\u786e\u8bf4\u660e\u81ea\u95ed\u75c7\u662f\u5426 “\u4e0e\u53e6\u4e00\u79cd\u795e\u7ecf\u53d1\u80b2\u3001\u7cbe\u795e\u6216\u884c\u4e3a\u969c\u788d\u6709\u5173”\uff08\u201cassociated with another neurodevelopmental, mental or behavioraldisorder,\u201d\uff09\uff1b\u800cDSM-5-TR\u4e2d\u5219\u6539\u4e3a\uff0c”\u4e0e\u4e00\u4e2a\u795e\u7ecf\u53d1\u80b2\u3001\u7cbe\u795e\u6216\u884c\u4e3a\u95ee\u9898\u76f8\u5173”\uff08\u201cassociated with aneurodevelopmental, mental, or behavioral problem.\u201d\uff09\u3002DSM-5-TR\u4f9d\u7136\u8981\u6c42\u4e34\u5e8a\u533b\u751f\u5728\u5408\u9002\u7684\u65f6\u5019\uff0c\u4f7f\u7528\u81ea\u95ed\u75c7\u4e4b\u5916\u7684\u8bca\u65ad\u4ee3\u7801\uff0c\u4f46\u4e0d\u518d\u8981\u6c42\u8fd9\u4e9b\u5171\u540c\u969c\u788d\u5fc5\u987b\u8fbe\u5230\u53ef\u8bca\u65ad\u7684\u6807\u51c6\u3002<\/p>\n\n\n\n

First\u6307\u51fa\uff0c\u7b2c\u4e8c\u5904\u4fee\u6539\u5141\u8bb8\u4e34\u5e8a\u533b\u751f\u53ef\u4ee5\u6307\u51fa\u4f34\u968f\u81ea\u95ed\u75c7\u7684\u53ef\u80fd\u95ee\u9898\uff0c\u5982\u81ea\u6211\u4f24\u5bb3\uff0c\u4f46\u5e76\u4e0d\u9700\u8981 “\u4e0a\u5347\u5230\u4f7f\u7528\u969c\u788d\u8fd9\u4e2a\u8bcd”\u3002<\/p>\n\n\n\n

First\u8ba4\u4e3a\uff0cDSM-5-TR\u7684\u7b2c\u4e00\u5904\u4fee\u6539\uff0c\u51c6\u786e\u5730\u53cd\u6620\u4e86DSM-5\u5de5\u4f5c\u5c0f\u7ec4\u7684\u4e00\u76f4\u60f3\u5398\u6e05\u7684\u4e8b\u60c5\uff0c”\u6211\u4eec\u7ecf\u5e38\u6536\u5230’\u6211\u4e0d\u660e\u767d\u5982\u4f55\u89e3\u91ca\u8fd9\u4e2a’\u7684\u7535\u5b50\u90ae\u4ef6\u3002\u90a3\u4e9b\u4e0d\u8f9e\u52b3\u82e6\u7ed9\u6211\u4eec\u5199\u4fe1\u7684\u4eba\uff0c\u7684\u7684\u786e\u786e\u662f\u88ab\u8fd9\u4e9b\u95ee\u9898\u56f0\u6270\u7684\uff0c\u6240\u4ee5\u5929\u77e5\u9053DSM-5\u6587\u672c\u4e2d\u6a21\u7cca\u63aa\u8f9e\u5bf9\u8bca\u65ad\u548c\u6d41\u884c\u7387\u6570\u5b57\u6709\u54ea\u4e9b\u5b9e\u9645\u5f71\u54cd\u3002\u201d<\/p>\n\n\n\n

\u25bc<\/p>\n\n\n\n

\u52a0\u5dde\u5927\u5b66\u6d1b\u6749\u77f6\u5206\u6821\u7cbe\u795e\u75c5\u5b66\u548c\u6559\u80b2\u5b66\u6770\u51fa\u6559\u6388Catherine Lord\u5e0c\u671b\uff0c\u201c\u867d\u7136DSM-5\u63aa\u8f9e\u786e\u5b9e\u4e0d\u591f\u660e\u786e\uff0c\u4f46\u662f\u533b\u751f\u5728\u8bca\u65ad\u65f6\uff0c\u5e94\u8be5\u6700\u7ec8\u90fd\u660e\u767d\uff0c\u5fc5\u987b\u6ee1\u8db3\u6240\u6709\u4e09\u4e2a\u6761\u4ef6\u3002” \u6d1b\u5fb7\u662fDSM-5\u795e\u7ecf\u53d1\u80b2\u969c\u788d\u59d4\u5458\u4f1a\u7684\u6210\u5458\uff0c\u4f46\u5979\u5e76\u6ca1\u6709\u53c2\u4e0e\u6b64\u6b21\u6587\u672c\u4fee\u8ba2\u3002<\/p>\n\n\n\n

Carpenter\u540c\u610fLord\u7684\u89c2\u70b9\uff0c”\u5728\u7406\u8bba\u4e0a\uff0c\u8fd9\u662f\u4e00\u79cd\u62c5\u5fe7\uff0c\u4f46\u662f\u6211\u4ece\u6765\u6ca1\u6709\u542c\u8bf4\u8fc7\u6709\u4eba\u53ea\u6839\u636e\u5176\u4e2d’\u4efb\u4f55’\u4e00\u6761\u5b9a\u4e49\u53bb\u505a\u8bca\u65ad\u3002”<\/p>\n\n\n\n

\u82f1\u56fd\u4f26\u6566\u5927\u5b66\u5b66\u9662\u884c\u4e3a\u548c\u8111\u79d1\u5b66\u6559\u6388David Skuse\u6307\u51fa\uff0c\u8fd9\u4e9b\u4fee\u6539\u5e26\u6765\u7684\u5f71\u54cd\u6700\u7ec8\u5c06\u53d6\u51b3\u4e8e\u4e34\u5e8a\u533b\u751f\u7684\u4e13\u4e1a\u6c34\u5e73\uff0c\u201c\u90a3\u4e9b\u8d44\u6df1\u800c\u4e14\u4e34\u5e8a\u7ecf\u9a8c\u4e30\u5bcc\u7684\u533b\u751f\uff0c\u4e0d\u592a\u53ef\u80fd\u56e0\u6b64\u6539\u53d8\u4ed6\u4eec\u7684\u4e34\u5e8a\u5b9e\u8df5\u3002”<\/p>\n\n\n\n

Lord \u548cSkuse\u90fd\u540c\u610f\uff0c\u7b2c\u4e8c\u5904\u4fee\u6539\u2014\u2014\u6a21\u7cca\u5316\u81ea\u95ed\u75c7\u4f34\u968f\u72b6\u6001\u7684\u6982\u5ff5\u2014\u2014\u663e\u7136\u662f\u6709\u5e2e\u52a9\u7684\u3002<\/p>\n\n\n\n

Skuse\u662f\u300a\u56fd\u9645\u75be\u75c5\u5206\u7c7b\u7b2c11\u7248\u300b\uff08ICD-11\uff09\u4e2d\u7684\u81ea\u95ed\u75c7\u6807\u51c6\u4e3b\u8981\u64b0\u5199\u4eba\u3002ICD-11\u662f\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u7528\u4e8e\u754c\u5b9a\u5065\u5eb7\u72b6\u51b5\u548c\u6b7b\u4ea1\u539f\u56e0\u7684\u8bca\u65ad\u4ee3\u7801\u624b\u518c\u3002\u524d\u4e00\u4e2a\u7248\u672c\uff0cICD-10\u89c4\u5b9a\uff0c\u5728\u81ea\u95ed\u75c7\u8bca\u65ad\u65f6\uff0c\u4e0d\u8bca\u65ad\u81ea\u95ed\u75c7\u7684\u5171\u540c\u969c\u788d\uff0c\u6bd4\u5982ADHD\u3002\u540c\u6837\uff0cDSM-IV\u4e5f\u4f5c\u4e86\u540c\u6837\u7684\u89c4\u5b9a\u3002Skuse\u8ba4\u4e3a\uff0c\u53d6\u6d88\u8fd9\u4e00\u89c4\u5b9a\u662fDSM-IV\u5230DSM-5\u7684\u6700\u660e\u667a\u7684\u53d8\u5316\u4e4b\u4e00\u3002<\/p>\n\n\n\n

Lord\u8865\u5145\u8bf4\uff0c”\u8fd9\u4e2a\u4fee\u6539\uff0c\u6709\u5229\u4e8e\u8ba9\u6211\u4eec\u5728\u7cbe\u51c6\u533b\u5b66\uff08\u4e5f\u5c31\u662f\u9057\u4f20\u5b66\uff09\u4e4b\u5916\u8ba4\u8bc6\u5230\uff0c\u8fd8\u6709\u5f88\u591a\u7684\u56e0\u7d20\u5bf9\u751f\u6d3b\u8d28\u91cf\u6709\u91cd\u8981\u7684\u5f71\u54cd\u3002\u4e5f\u8bb8\u6709\u4e00\u5929\uff0c\u6211\u4eec\u751a\u81f3\u80fd\u591f\u4ece\u4e2d\u5f97\u5230\u53d1\u73b0\u4e00\u4e9b\u6709\u5229\u56e0\u7d20\uff01”<\/p>\n\n\n\n

\u4e00\u4e9b\u7814\u7a76\u8868\u660e\uff0cDSM-5\u7684\u6807\u51c6\u4f7f\u4e00\u4e9b\u7b26\u5408DSM-IV\u8bca\u65ad\u7684\u81ea\u95ed\u75c7\u4eba\u58eb\uff0c\u5931\u53bb\u81ea\u95ed\u75c7\u8bca\u65ad\u3002\u8036\u9c81\u5927\u5b66\u513f\u7ae5\u7814\u7a76\u4e2d\u5fc3\u7684\u513f\u7ae5\u7cbe\u795e\u75c5\u5b66\u3001\u513f\u79d1\u548c\u5fc3\u7406\u5b66\u6559\u6388Fred Volkmar\u9886\u5bfc\u7684\u4e00\u98792012\u5e74\u7814\u7a76\u6307\u51fa\uff0cDSM-5\u7684\u6807\u51c6\u8fc7\u4e8e\u72ed\u7a84\uff0c\u65e0\u6cd5\u6db5\u76d6\u5168\u90e8\u7684\u8c31\u7cfb\u8303\u56f4\u3002<\/p>\n\n\n\n

\u4f46\u662f\uff0c\u4ed6\u8ba4\u4e3a\u65b0\u7684\u4fee\u8ba2\uff0c\u6ca1\u6709\u89e3\u51b3\u4ed6\u6240\u62c5\u5fe7\u7684\u95ee\u9898\uff0c”DSM-5\u6807\u51c6\u8fc7\u4e8e\u4e25\u683c\u7684\u95ee\u9898\u5e76\u6ca1\u6709\u5f97\u5230\u6539\u53d8\uff0c\u6240\u4ee5DSM-5-TR\u7684\u8fd9\u6b21\u4fee\u8ba2\uff0c\u6beb\u65e0\u610f\u4e49”\u3002<\/p>\n\n\n\n

\u539f\u6587\u53d1\u8868\u4e8e\u7f8e\u56fd\u897f\u8499\u57fa\u91d1\u4f1a\u7f51\u7ad9\uff0c\u5c0f\u4e2b\u4e2b\u81ea\u95ed\u75c7\u9879\u76ee\u83b7\u5f97\u8be5\u7f51\u7ad9\u6388\u6743\u7ffb\u8bd1\uff0c\u58f0\u660e\u5982\u4e0b\uff1a<\/p>\n\n\n\n

\"\"
\u539f\u6587\u94fe\u63a5\uff1ahttps:\/\/www.spectrumnews.org\/news\/dsm-5-revision-tweaks-autism-entry-for-clarity\/<\/figcaption><\/figure>\n\n\n\n

\u7ffb\u8bd1\uff1a\u4e2b\u4e2b\u7238\u7238<\/em><\/p>\n\n\n\n

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