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精神分裂症或其他原发性精神病性障碍

Schizophrenia or other primary psychotic disorders

上级条目
06 精神、行为或神经发育障碍
编码区间
6A20-6A2Z
层级
2 级

定义

精神分裂症和其他原发性精神病性障碍的特点是在现实测试中有明显损伤,行为改变表现为阳性症状,如持续的妄想、持续的幻觉、思维混乱(通常表现为语言混乱)、行为严重混乱,被动和控制的经历,消极症状,如迟钝或平淡情感和逃避,以及精神运动障碍。症状出现的频率和强度足以偏离预期的文化或亚文化常规。这些症状并不作为另一种精神和行为障碍的特征出现(例如,情绪障碍、谵妄或因药物使用引起的障碍)。此分组中的类目不用于分类文化认可的思想、信仰或行为的表达。

Schizophrenia and other primary psychotic disorders are characterised by significant impairments in reality testing and alterations in behaviour manifest in positive symptoms such as persistent delusions, persistent hallucinations, disorganised thinking (typically manifest as disorganised speech), grossly disorganised behaviour, and experiences of passivity and control, negative symptoms such as blunted or flat affect and avolition, and psychomotor disturbances. The symptoms occur with sufficient frequency and intensity to deviate from expected cultural or subcultural norms. These symptoms do not arise as a feature of another mental and behavioural disorder (e.g., a mood disorder, delirium, or a disorder due to substance use). The categories in this grouping should not be used to classify the expression of ideas, beliefs, or behaviours that are culturally sanctioned.

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后组配轴 Postcoordination

该条目未定义后组配轴,直接使用上面的编码即可。后组配是在主干编码之后追加侧别、具体解剖部位、严重程度、病因等细节的可选组合方式,不是必填项。