
精神障碍临床精准诊断的难点与思考
Challenges and reflections on precise clinical diagnosis of mental disorders
目前精神障碍诊断缺乏可靠的生物标志物和金标准,仍主要依赖症状学描述性诊断体系,其精准诊断受到诸多限制。传统的精神科诊断以病史询问、精神检查为基础,诊断难点包括对症状判断的主观性、多维视角缺失,以及诊断整体观不足。精神科诊断应综合症状群特点、功能损害和疾病背景,结合辅助检查提升临床诊断的精准性,并以此为基础,推动精神科诊断、治疗及临床科研的全面发展。
The diagnosis of mental disorders relies predominantly on a symptom-based descriptive diagnostic system currently, lacking reliable biomarkers and golden standards. The diagnostic method restricts the accuracy of disease diagnosis to a large extent. Traditional psychiatric diagnosis is based on medical history and mental examination. The difficulties in diagnosis include subjective judgment on disorders, lacking of multi-dimensional perspectives, and deficits in the diagnostic holism. During the psychiatric diagnosis, we should integrate syndrome clusters features, functional impairment, and illness background; We can utilize the auxiliary examinations to enhance diagnostic accuracy. Based on the efforts above, it can promote comprehensive advancements in psychiatric diagnosis, treatment, and clinical research.
精准诊断 / 症状识别 / 生物标志物 / 多维度视角 / 整体观
Precise diagnosis / Symptom identification / Biomarker / Multi-dimensional perspective / Integral view
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