强迫症诊断研究的新变化

The New Development of Diagnostic Research of Obsessive-Compulsive Disorder

临床实践与相关研究表明,强迫症的诊断标准已不能满足复杂的临床工作需要。首先,有关患者的自知力以及主观痛苦程度等诊断指标需要进一步修订。其次,就强迫症的核心症状而产生的争议,研究者提出应重新考虑强迫症、焦虑障碍、强迫谱系障碍和囤积障碍这四个概念之间的从属关系和诊断标准。未来研究应考虑从认知神经科学的视角探索强迫症的核心症状和病理机制,为强迫症的诊断标准提供新的依据。

Whereas evdence from clinical practice and research suggests that current diagnostic criteria of obsessive-compulsive disorder （OCD） have not met the need of therapists＇ work, more clirifications are needed to be discussed about the patients＇ insight and clinical significance criterion. Considering the debate about the core symptom of OCD, researchers proposed that it＇s necessary to reconsiderate the relationship among the OCD, anxiety disorder, obsessive-compulsive spectrum disorder and hoarding disorder. Furture research should identify the core symptoms of OCD in the perspective of cognitive neuroscience and provide a basis for the OCD diagnostic standard.