精神障碍临床精准诊断的难点与思考

刘登堂

神经病学与神经康复学杂志 ›› 2025, Vol. 21 ›› Issue (1) : 55-58.

PDF(4821 KB)
PDF(4821 KB)
神经病学与神经康复学杂志 ›› 2025, Vol. 21 ›› Issue (1) : 55-58. DOI: 10.12022/jnnr.2024-0293
医学书籍评论

精神障碍临床精准诊断的难点与思考

  • 刘登堂
作者信息 +

Challenges and reflections on precise clinical diagnosis of mental disorders

  • LIU Dengtang
Author information +
文章历史 +

摘要

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。

Abstract

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.

关键词

精准诊断 / 症状识别 / 生物标志物 / 多维度视角 / 整体观

Key words

Precise diagnosis / Symptom identification / Biomarker / Multi-dimensional perspective / Integral view

引用本文

导出引用
刘登堂. 精神障碍临床精准诊断的难点与思考[J]. 神经病学与神经康复学杂志. 2025, 21(1): 55-58 https://doi.org/10.12022/jnnr.2024-0293
LIU Dengtang. Challenges and reflections on precise clinical diagnosis of mental disorders[J]. Journal of Neurology and Neurorehabilitation. 2025, 21(1): 55-58 https://doi.org/10.12022/jnnr.2024-0293

PDF(4821 KB)

Accesses

Citation

Detail

段落导航
相关文章

/