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中英对照— 《精神疾病诊断与统计手册》第5版（DSM-5）目录
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美国精神病学会编，邓明昱博士译
English and Chinese ——the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), Classification
American Psychiatric Association
Translator: Dr. Mingyu Deng
《精神疾病诊断与统计手册》第5版（DSM-5）已于2013年5月18日由美国精神病协会(APA)在美国正式出版，此本书的特点在于对某些精神疾病提高其“诊断特异性”标准(也就是诊断准严格要求排除真正没有精神疾病的人)且降低其“诊断敏感性”(亦即某些可能有精神疾患前驱症状不再被确诊为“疾患”)。除此之外，DSM-5尝试使用光谱系统(Spectrum)，疾患将不再只是“类别分类”。
为了帮助中国精神科医师、心理师和其他教学科研人员能够大致了解DSM-5，本人将其目录翻译成中文，供大家参考。也请有关同仁指正。
（请打开链接后下载附件）。
http://bbs.sciopsy.com/viewthread.php?tid=49931&page=1&extra=page%3D1#pid174801
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Preface |
前言 |
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Section I: DSM-5 Basics
Introduction Use of the Manual Cautionary Statement for Forensic Use of DSM-5 |
第一节：DSM-5基础
介绍 手册的使用 法医使用DSM-5的警示声明 |
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Section II: Diagnostic Criteria and Codes
Neurodevelopmental Disorders Intellectual Disability (Intellectual Developmental Disorder) Unspecified Intellectual Disability (Intellectual Developmental Disorder)
Communication Disorders Language Disorder Speech Sound Disorder (previously Phonological Disorder) Childhood-Onset Fluency Disorder (Stuttering) Social (Pragmatic) Communication Disorder Unspecified Communication Disorder
Autism Spectrum Disorder Autism Spectrum Disorder
Attention-Deficit/Hyperactivity Disorder Attention-Deficit/Hyperactivity Disorder Other Specified Attention-Deficit/Hyperactivity Disorder Unspecified Attention-Deficit/Hyperactivity Disorder
Specific Learning Disorder Specific Learning Disorder Motor Disorders Developmental Coordination Disorder Stereotypic Movement Disorder Tic Disorders Tourette’s Disorder Persistent (Chronic) Motor or Vocal Tic Disorder Provisional Tic Disorder Other Specified Tic Disorder Unspecified Tic Disorder
Other Neurodevelopmental Disorders Other Specified Neurodevelopmental Disorder Unspecified Neurodevelopmental Disorder
Schizophrenia Spectrum and Other Psychotic Disorders Schizotypal (Personality) Disorder Delusional Disorder Brief Psychotic Disorder Schizophreniform Disorder Schizophrenia Schizoaffective Disorder Substance/Medication-Induced Psychotic Disorder Psychotic Disorder Due to Another Medical Condition
Catatonia Catatonia Associated With Another Mental Disorder (Catatonia Specifier) Catatonic Disorder Due to Another Medical Condition Unspecified Catatonia Other Specified Schizophrenia Spectrum and Other Psychotic Disorder Unspecified Schizophrenia Spectrum and Other Psychotic Disorder
Bipolar I Disorder Bipolar II Disorder Cyclothymic Disorder Substance/Medication-Induced Bipolar and Related Disorder Bipolar and Related Disorder Due to Another Medical Condition Other Specified Bipolar and Related Disorder Unspecified Bipolar and Related Disorder
Depressive Disorders Disruptive Mood Dysregulation Disorder Major Depressive Disorder, Single and Recurrent Episodes Persistent Depressive Disorder (Dysthymia) Premenstrual Dysphoric Disorder Substance/Medication-Induced Depressive Disorder Depressive Disorder Due to Another Medical Condition Other Specified Depressive Disorder Unspecified Depressive Disorder
Anxiety Disorders Separation Anxiety Disorder Selective Mutism Specific Phobia Social Anxiety Disorder (Social Phobia) Panic Disorder Panic Attack (Specifier) Generalized Anxiety Disorder Substance/Medication-Induced Anxiety Disorder Anxiety Disorder Due to Another Medical Condition Other Specified Anxiety Disorder Unspecified Anxiety Disorder
Obsessive-Compulsive and Related Disorders Obsessive-Compulsive Disorder Body Dysmorphic Disorder Hoarding Disorder Trichotillomania (Hair-Pulling Disorder) Excoriation (Skin-Picking) Disorder Substance/Medication-Induced Obsessive-Compulsive and Related Disorder Obsessive-Compulsive and Related Disorder Due to Another Medical Condition Other Specified Obsessive-Compulsive and Related Disorder Unspecified Obsessive-Compulsive and Related Disorder
Trauma- and Stressor-Related Disorders Reactive Attachment Disorder Disinhibited Social Engagement Disorder Posttraumatic Stress Disorder Acute Stress Disorder Adjustment Disorders Other Specified Trauma- and Stressor-Related Disorder Unspecified Trauma- and Stressor-Related Disorder
Dissociative Disorders Dissociative Identity Disorder Dissociative Amnesia Depersonalization/Derealization Disorder Other Specified Dissociative Disorder Unspecified Dissociative Disorder
Somatic Symptom and Related Disorders Somatic Symptom Disorder Illness Anxiety Disorder Conversion Disorder (Functional Neurological Symptom Disorder) Psychological Factors Affecting Other Medical Conditions Other Specified Somatic Symptom and Related Disorder Unspecified Somatic Symptom and Related Disorder
Feeding and Eating Disorders Rumination Disorder Avoidant/Restrictive Food Intake Disorder Anorexia Nervosa Binge-Eating Disorder Other Specified Feeding or Eating Disorder Unspecified Feeding or Eating Disorder Enuresis Encopresis Other Specified Elimination Disorder Unspecified Elimination Disorder
Insomnia Disorder
Breathing-Related Sleep Disorders Obstructive Sleep Apnea Hypopnea Central Sleep Apnea Sleep-Related Hypoventilation
Circadian Rhythm Sleep-Wake Disorders
Parasomnias Non–Rapid Eye Movement Sleep Arousal Disorders Sleepwalking Sleep Terrors Nightmare Disorder Rapid Eye Movement Sleep Behavior Disorder
Restless Legs Syndrome Substance/Medication-Induced Sleep Disorder
Other Specified Insomnia Disorder Unspecified Insomnia Disorder Other Specified Hypersomnolence Disorder Unspecified Hypersomnolence Disorder Other Specified Sleep-Wake Disorder Unspecified Sleep-Wake Disorder
Sexual Dysfunctions Delayed Ejaculation Erectile Disorder Female Orgasmic Disorder Female Sexual Interest/Arousal Disorder Genito-Pelvic Pain/Penetration Disorder Male Hypoactive Sexual Desire Disorder Premature (Early) Ejaculation Substance/Medication-Induced Sexual Dysfunction Other Specified Sexual Dysfunction Unspecified Sexual Dysfunction
Gender Dysphoria Other Specified Gender Dysphoria Unspecified Gender Dysphoria
Disruptive, Impulse-Control, and Conduct Disorders Oppositional Defiant Disorder Intermittent Explosive Disorder Conduct Disorder Antisocial Personality Disorder Pyromania Kleptomania Other Specified Disruptive, Impulse-Control, and Conduct Disorder Unspecified Disruptive, Impulse-Control, and Conduct Disorder
Substance-Related and Addictive Disorders
Substance-Related Disorders Substance Use Disorders Substance-Induced Disorders Substance Intoxication and Withdrawal Substance/Medication-Induced Mental Disorders
Alcohol-Related Disorders Alcohol Use Disorder Alcohol Intoxication Alcohol Withdrawal Other Alcohol-Induced Disorders Unspecified Alcohol-Related Disorder
Caffeine-Related Disorders Caffeine Intoxication Caffeine Withdrawal Other Caffeine-Induced Disorders Unspecified Caffeine-Related Disorder
Cannabis-Related Disorders Cannabis Use Disorder Cannabis Intoxication Cannabis Withdrawal Other Cannabis-Induced Disorders Unspecified Cannabis-Related Disorder
Hallucinogen-Related Disorders Phencyclidine Use Disorder Other Hallucinogen Use Disorder Phencyclidine Intoxication Other Hallucinogen Intoxication Hallucinogen Persisting Perception Disorder Other Phencyclidine-Induced Disorders Other Hallucinogen-Induced Disorders Unspecified Phencyclidine-Related Disorder Unspecified Hallucinogen-Related Disorder
Inhalant-Related Disorders Inhalant Use Disorder Other Inhalant-Induced Disorders Unspecified Inhalant-Related Disorder
Opioid-Related Disorders Opioid Use Disorder Opioid Intoxication Opioid Withdrawal Other Opioid-Induced Disorders Unspecified Opioid-Related Disorder
Sedative-, Hypnotic-, or Anxiolytic-Related Disorders Sedative, Hypnotic, or Anxiolytic Use Disorder Sedative, Hypnotic, or Anxiolytic Intoxication Sedative, Hypnotic, or Anxiolytic Withdrawal Other Sedative-, Hypnotic-, or Anxiolytic-Induced Disorders Unspecified Sedative-, Hypnotic-, or Anxiolytic -Related Disorder
Stimulant-Related Disorders Stimulant Use Disorder Stimulant Intoxication Stimulant Withdrawal Other Stimulant-Induced Disorders Unspecified Stimulant-Related Disorder
Tobacco-Related Disorders Tobacco Use Disorder Tobacco Withdrawal Other Tobacco-Induced Disorders Unspecified Tobacco-Related Disorder
Other (or Unknown) Substance–Related Disorders Other (or Unknown) Substance Use Disorder Other (or Unknown) Substance Intoxication Other (or Unknown) Substance Withdrawal Other (or Unknown) Substance–Induced Disorders Unspecified Other (or Unknown) Substance– Related Disorder
Non-Substance-Related Disorders Gambling Disorder
Neurocognitive Disorders Delirium Other Specified Delirium Unspecified Delirium
Major and Mild Neurocognitive Disorders Mild Neurocognitive Disorder Major or Mild Neurocognitive Disorder Due to Alzheimer’s Disease Major or Mild Frontotemporal Neurocognitive Disorder Major or Mild Neurocognitive Disorder With Lewy Bodies Major or Mild Vascular Neurocognitive Disorder Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury Substance/Medication-Induced Major or Mild Neurocognitive Disorder Major or Mild Neurocognitive Disorder Due to HIV Infection Major or Mild Neurocognitive Disorder Due to Prion Disease Major or Mild Neurocognitive Disorder Due to Parkinson’s Disease Major or Mild Neurocognitive Disorder Due to Huntington’s Disease Major or Mild Neurocognitive Disorder Due to Another Medical Condition Major or Mild Neurocognitive Disorder Due to Multiple Etiologies Unspecified Neurocognitive Disorder
Personality Disorders
Cluster A Personality Disorders Paranoid Personality Disorder Schizoid Personality Disorder Schizotypal Personality Disorder
Cluster B Personality Disorders Antisocial Personality Disorder Borderline Personality Disorder Histrionic Personality Disorder Narcissistic Personality Disorder
Cluster C Personality Disorders Avoidant Personality Disorder Dependent Personality Disorder Obsessive-Compulsive Personality Disorder
Other Personality Disorders Personality Change Due to Another Medical Condition Other Specified Personality Disorder Unspecified Personality Disorder
Paraphilic Disorders Voyeuristic Disorder Exhibitionistic Disorder Frotteuristic Disorder Sexual Masochism Disorder Sexual Sadism Disorder Pedophilic Disorder Fetishistic Disorder Transvestic Disorder Other Specified Paraphilic Disorder Unspecified Paraphilic Disorder
Other Mental Disorders Other Specified Mental Disorder Due to Another Medical Condition Unspecified Mental Disorder Due to Another Medical Condition Other Specified Mental Disorder Unspecified Mental Disorder
Medication-Induced Movement Disorders and Other Adverse Effects of Medication
Other Conditions That May Be a Focus of Clinical Attention
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第二节：基本要素：诊断标准和代码
神经发育障碍 智力发展障碍 智力残疾（智力发育障碍）
整体发展迟缓 未说明智力发展障碍
交流性障碍 语言性障碍 谈话性语音障碍（以前的口吃障碍）
儿童期发病的流畅性障碍（口吃） 社会（应用）交流性障碍 未特定的交流性障碍
自闭症谱系障碍 自闭症谱系障碍
注意缺陷/多动障碍 注意缺陷/多动障碍 其他特定的注意缺陷/多动障碍 未特定的注意缺陷/多动障碍
特殊学习障碍 特殊学习障碍
运动障碍 发展性协调障碍 刻板性运动障碍 抽动障碍 面肌和声带抽动障碍 持久（慢性）运动或发声抽动障碍 一过性抽动障碍 其他特定的抽动障碍 未特定的抽动障碍
其他神经发育障碍 其他特定的神经发育障碍 未特定的神经发育障碍
精神分裂症谱系和其他精神病性障碍
分裂型（人格）障碍 妄想性障碍 短暂的精神病性障碍 分裂样障碍 精神分裂症 情感性分裂障碍 物质/药物引起精神障碍 由于其他医疗条件所致的精神障碍
紧张症 紧张症并其他精神障碍（紧张症详细说明）
由于其他医疗条件所致的紧张性障碍 未特定的紧张症 其他特定的精神分裂症谱系和其他精神病性障碍 未特定的精神分裂症谱系和其他精神病性障碍
双相及相关障碍 第一型双相障碍 第二型双相障碍 环性情感性障碍 物质/药物引起的双相及相关障碍
由于其他医疗条件所致的双相及相关障碍
其他特定的双相及相关障碍 未特定的双相及相关障碍
抑郁障碍 破坏性情绪失调障碍 重度抑郁障碍，单次和反复发作 持久性抑郁障碍（心境） 经前苦恼障碍 物质/药物引起的抑郁障碍 由于其他医疗条件所致的抑郁障碍 其他特定的抑郁障碍 未特定的抑郁障碍
焦虑障碍 分离性焦虑障碍 选择性缄默症 特定的恐怖症 社交焦虑障碍（社交恐怖症） 恐慌障碍 惊恐发作（详细说明） 广场恐怖症 广泛性焦虑障碍 物质/药物诱发的焦虑障碍 由于其他医疗条件所致的焦虑障碍 其他特定的焦虑障碍 未特定的焦虑障碍
强迫及相关障碍 强迫性障碍 躯体变形障碍 囤积障碍 拔毛症（拔头发障碍） 物质/药物引起的强迫及相关障碍
由于其他医疗条件所致的强迫及相关障碍
其他特定的强迫和相关障碍
未特定的强迫和相关障碍
创伤和应激相关的障碍 创伤后应激障碍 急性应激障碍 适应障碍 其他特定的创伤和应激相关障碍 未特定的创伤和应激相关障碍
分离性身份障碍 分离性遗忘症 人格解体/失实障碍 其他特定的分离性障碍 未特定的分离性障碍
躯体症状及相关障碍 躯体性症状障碍 疾患焦虑障碍 转换性障碍（功能神经性症状障碍）
心理因素影响的其他医学状况 其他特定的躯体症状和相关的障碍 未特定的躯体症状和相关的障碍
喂食与饮食障碍 异食症 反刍障碍 回避/限制食物摄入量障碍 神经性厌食症 暴食症 暴饮暴食障碍 其他特定的喂食和饮食失调症 未特定的喂食和饮食失调症 排泄障碍 夜尿 大便失禁 其他特定的排泄障碍 未特定的排泄障碍
睡眠-觉醒障碍 失眠障碍 嗜睡障碍 发作性嗜睡症
与呼吸相关的睡眠障碍 阻塞性睡眠呼吸暂停低通气症 中央性睡眠呼吸暂停症 睡眠相关的通气不足
昼夜节律睡眠觉醒障碍
异睡症 非快速眼动睡眠觉醒障碍 梦游症 夜惊症 梦魇障碍 快速眼动睡眠行为障碍
多动腿综合征 物质/药物诱导睡眠的障碍
其他特定的失眠障碍 未特定的失眠障碍 其他特定嗜睡障碍 未特定的嗜睡障碍 其他特定的睡眠-觉醒障碍 未特定的睡眠-觉醒障碍
性功能障碍 延迟射精 勃起功能障碍 女性性高潮障碍 女性性趣/性欲障碍 生殖器-盆腔的疼痛/侵入障碍 男性性欲减退障碍 早泄 物质/药物引起的性功能障碍 其他特定的性功能障碍 未特定的性功能障碍
性别苦恼症 性別苦恼症 其他特定的性别苦恼症 未特定的性別苦恼症
破坏性的，冲动控制和行为障碍 对立违抗性障碍 间歇性爆发性障碍 品行障碍 反社会人格障碍 纵火症 盗窃症 其他特定的破坏性，冲动控制和行为障碍
未特定的破坏性，冲动控制和行为障碍
物质相关和成瘾性障碍
物质相关性障碍 使用物质所致的障碍 物质诱发性障碍 物质中毒和戒断 物质/药物诱发的心理障碍
酒精相关障碍 饮酒障碍 酒精中毒 酒精戒断 其他酒精诱发的障碍 未特定的酒精相关障碍
咖啡因相关障碍 咖啡因中毒 咖啡因戒断 其他咖啡因诱发的障碍 未特定的咖啡因相关障碍
大麻相关障碍 吸食大麻障碍 大麻中毒 大麻戒断 其他大麻诱发的障碍 未特定的大麻相关障碍
致幻剂相关障碍 使用苯环己哌啶所致的障碍 使用其他致幻剂所致的障碍 苯环己哌啶中毒 其他致幻剂中毒 致幻剂引起的持久性知觉障碍 其他苯环己哌啶诱发的障碍 其他致幻剂诱发的障碍 未特定的苯环己哌啶相关障碍 未特定的致幻剂相关障碍
吸入性药物相关障碍 使用吸入性药物所致的障碍 吸入性药物中毒 其他吸入性药物诱发的障碍 未特定的吸入性药物相关障碍
阿片类物质相关障碍 使用阿片类物质所致的障碍 阿片类物质中毒 阿片类物质戒断 其他阿片类物质诱发的障碍 未特定的阿片类物质相关障碍
镇静、催眠、或抗焦虑药物相关障碍 使用镇静、催眠、或抗焦虑药物所致障碍 镇静、催眠、或抗焦虑药物中毒 镇静、催眠、或抗焦虑药物戒断 其他镇静、催眠、或抗焦虑药物诱发的障碍
未特定的镇静、催眠、或抗焦虑药物相关障碍
兴奋剂相关障碍 使用兴奋剂所致的障碍 兴奋剂中毒 兴奋剂戒断 其他兴奋剂诱发的障碍 未特定的兴奋剂相关障碍
烟草相关障碍 使用烟草所致的障碍 烟草戒断 其他烟草诱发的障碍 未特定的烟草相关障碍
其他（或未知）的物质相关障碍 使用其他（或未知）物质所致的障碍 其他（或未知）的物质中毒 其他（或未知）的物质戒断 其他（或未知）的物质诱发的障碍 未特定的其他（或未知）的物质相关障碍
非物质的相关障碍 赌博障碍
神经认知障碍 谵妄 其他特定的谵妄 未特定的谵妄
重度和轻度的神经认知障碍 重度的神经认知障碍 轻度的神经认知障碍 由于阿尔茨海默氏病导致的重度或轻度的神经认知障碍 重度或轻度的额颞叶神经认知障碍 重度或轻度的路易氏体型神经认知障碍 重度或轻度血管性神经认知障碍 由于脑损伤导致的重度或轻度的神经认知障碍 物质/药物诱发的重度或轻度神经认知障碍
由于艾滋病毒HIV感染导致的重度或轻度神经认知障碍 由于朊病毒病导致的重度或轻度神经认知障碍 由于帕金森氏病导致的重度或轻度神经认知障碍 由于亨廷顿氏病导致的重度或轻度神经认知障碍 由于其他医疗条件导致的重度或轻度神经认知障碍 由于多种病因导致的重度或轻度神经认知障碍 未特定的神经认知障碍
人格障碍 一般的人格障碍
人格障碍A群 偏执型人格障碍 分裂样人格障碍 分裂型人格障碍
人格障碍 B群 反社会型人格障碍 边缘型人格障碍 表演型人格障碍 自恋型人格障碍
人格障碍 C群 回避型人格障碍 依赖型人格障碍 强迫性人格障碍
其他人格障碍 由于其他医疗条件所致的人格障碍 其他特定人格障碍 未特定的人格障碍
性偏好异常症 窥淫障碍 露阴障碍 摩擦障碍 性受虐障碍 性施虐障碍 恋童障碍 恋物障碍 异性装扮障碍 其他指定的性偏好异常症 未指定的性偏好异常症
其他心理障碍 由其他医疗条件所致的其他特定的心理障碍
由其他医疗条件所致的未特定的心理障碍
其他特定的心理障碍 未特定的心理障碍
药物诱发的运动障碍及其它药物的不良反应
其他情况，可能成为临床关注的焦点 |
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Section III: Emerging Measures and Models
Assessment Measures Cross-Cutting Symptom Measures DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult Parent/Guardian-Rated DSM-5 Level 1 Cross- Cutting Symptom Measure—Child Age 6–17 Clinician-Rated Dimensions of Psychosis Symptom Severity World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)
Cultural Formulation Cultural Formulation Interview (CFI) Cultural Formulation Interview (CFI)—Informant Version
Alternative DSM-5 Model for Personality Disorders
Conditions for Further Study Depressive Episodes With Short-Duration Hypomania Persistent Complex Bereavement Disorder Caffeine Use Disorder Internet Gaming Disorder Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure Suicidal Behavior Disorder Nonsuicidal Self-Injury |
第三节 新兴的测量方法与模式
评估测量 横截面测量 DSM-5自测水平1，横截面测量—成人
父母/监护人测查DSM-5水平1，横截面测量—6-17岁儿童 临床医生测查精神病症状的严重程度
世界卫生组织的残疾评估表2.0
文化构想 文化构想晤谈 文化构想晤谈——被调查者版本
DSM-5关于人格障碍的替代模式
进一步研究的疾患 弱型精神病综合征 抑郁发作并短时轻躁狂 持久复杂的居丧障碍 咖啡因导致的障碍 网络游戏障碍 与神经行为障碍相关的胎儿酒精综合征
自杀行为障碍 非自杀性自我伤害 |
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Appendix |
附录 |
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