-X8Oj8M;Bv,X0参考文献

徐韬园. (2011). 也谈精神分裂症的分型问题 . 上海精神医学, 23, 106–108.心理学空间:B:T~z)LJY.\

杨欣译, 杜明哲 , 刘慧婷, Opler, M. (2011). 亚型分类在理解精神分裂症疾病进程中的作用 : “缺陷综合征”的举例. 上海精神医学, 23, 109–111.

2wO?{8ny0Allardyce, J., Gaebel, W., Zielasek, J., & van Os, J. (2007). Deconstructing psychosis conference February 2006: The validity of schizophrenia and alternative approaches to the classification of psychosis. Schizophrenia Bulletin, 33, 863–867.

Allen, A. J., Griss, M. E., Folley, B. S., Hawkins, K. A., & Pearlson, G. D. (2009). Endophenotypes in schizophrenia: A selective review. Schizophrenia Research, 109(1), 24–37.心理学空间9w gBHk7Pz0j0|

Barch D. M., Bustillo, J., Gaebel, W., Gur, R., Heckers, S., Malaspina, D., … Carpenter, W. (2013). Logic and justification for dimensional assessment of symptoms and related clinical phenomena in psychosis: Relevance to DSM-5. Schizophrenia Research, 150(1), 15–20.

Braff, D. L., Ryan, J., Rissling, A. J., & Carpenter, W. T. (2013). Lack of use in the literature from the last 20 years supports dropping traditional schizophrenia subtypes from DSM-5 and ICD-11. Schizophrenia Bulletin, 39, 751–753.

Bromet, E. J., Kotov, R., Fochtman, L. J., Carlson, G. A., Tanenberg-Karant, M., Ruggero, C., & Change, S. W. (2011). Diagnostic shifts during the decade following first admission for psychosis. American Journal of Psychiatry, 168, 1186–1194.

e#]DZAC&q7J0Buchanan, R. W., Kreyenbuhl, J., Kelly, D. L., Noel, J. M., Boggs, D. L., Fischer, B. A., … Keller, W. (2010). The 2009 schizophrenia PORT psychopharmacological treatment recommendations and summary statements. Schizophrenia Bulletin, 36, 71–93.

J"OO&v6@0Carpenter, W. T., & Stephens, J. H. (1979). An attempted integration of information relevant to schizophrenic subtypes. Schizophrenia Bulletin, 5, 490–506.

,e AcMIRC0Coltheart, M., Langdon, R., & McKay, R. (2011). Delusional belief. Annual Review of Psychology, 62, 271–298.心理学空间vU3IOz%w

aPx8O1k0Cuthbert, B. N., & Insel, T. R. (2010). Toward new approaches to psychotic disorders: The NIMH research domain criteria project. Schizophrenia Bulletin, 36, 1061–1062.

Demjaha, A., Morgan, K., Morgan, C., Landau, S., Dean, K., Reichenberg, A., … Dazzan, P. (2009). Combining dimensional and categorical representation of psychosis: The way forward for DSM-V and ICD-11? Psychological Medicine, 39, 1943–1955.心理学空间v$X#u\;|1|KQ

+q m]S#R K ? j0qU0Der-Avakian, A., & Markou, A. (2012). The neurobiology of anhedonia and other reward-related deficits. Trends in Neuroscience, 35, 68–77.

Dikeos, D. G., Wickham, H., McDonald, C., Walshe, M., Sigmundsson, T., Bramon, E., … Sham, P. C. (2006). Distribution of symptom dimensions across Kraepelinian divisions. British Journal of Psychiatry, 189, 346–353.

N(s/m*ZW_+Y
Z0Dixon, L. B., Dickerson, F., Bellack, A. S., Bennett, M., Dickinson, D., Goldberg, R. W., … Kreyenbuhl, J. (2010). The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements. Schizophrenia Bulletin, 36, 48–70.心理学空间'PL7ib?z

Farooq, S., Agid, O., Foussias, G., & Remington, G. (2013). Using treatment response to subtype schizophrenia: Proposal for a new paradigm in classification. Schizophrenia Bulletin, 39, 1169–1172.

k_!E`-rkym,f0Fink, M., & Taylor, M. A. (2008). Issues for DSM-V: The medical diagnostic model. American Journal of Psychiatry, 165, 799.

Gaebel, W. (2012). Status of psychotic disorders in ICD-11. Schizophrenia Bulletin, 38, 895–898.

c ~#t9VFF0Guggenheim, G. F., & Babigian, M. H. (1974). Diagnostic consistency in catatonic schizophrenia. Schizophrenia Bulletin, 1(11), 103–108.

X8Y.CII8\0Haahr, U., Friis, S., Larsen, T. K., Melle, I., Johannessen, J. O., Opjordsmoen, S., … McGlashan, T. (2007). First-episode psychosis: Diagnostic stability over one and two years. Psychopathology, 41, 322–329.心理学空间zfrf~!d#B

zX3G2QTF
S)n0Harvey, P. D., Green, M. F., Bowie, C., & Loebel, A. (2006). The dimensions of clinical and cognitive change in schizophrenia: Evidence for independence of improvements. Psychopharmacology, 187, 356–363.心理学空间vO7V:ti!eu"j!P}

Heckers, S. (2008). Making progress in schizophrenia research. Schizophrenia Bulletin, 34, 591–594.

2~} ON(\-F*q0Heckers, S., Barch, D. M., Bustillo, J., Gaebel, W., Gur, R., Malaspina, D., … Carpenter, W. (2013). Structure of the psychotic disorders classification in DSM-5. Schizophrenia Research, 150(1), 11–14.心理学空间4x[G(e/W-I

Heckers, S., Tandon, R., & Bustillo, J. (2010). Catatonia in the DSM—shall we move or not? Schizophrenia Bulletin, 36, 205–207.

S#xK-BMq)pD
jE0Keller, W. R., Fischer, B. A., & Carpenter, W. T. Jr. (2011).心理学空间?&e^iQ

tH2N]s[h0Revisiting the diagnosis of schizophrenia: Where have we been and where are we going? CNS Neuroscience & Therapeutics, 17(2), 83–88.

Kendell, R., & Jablensky, A. (2003). Distinguishing between the validity and utility of psychiatric diagnoses. American Journal of Psychiatry, 160, 4–12.心理学空间'k Iu8L+LR.EX5EP

Kendler, K. S., Gruenberg, A. M., & Tsuang, M. T. (1985). Subtype stability in schizophrenia. American Journal of Psychiatry, 142, 827–832.

Keshavan, M. S. (2013). Nosology of psychoses in DSM-5: Inches ahead but miles to go. Schizophrenia Research, 150(1), 40–41.心理学空间8|#rf,Et(@;^Jf
u

Keshavan, M. S., Tandon, R., Boutros, N. N., & Nasrallah, H.心理学空间PUKz;T_{NC

A. (2008). Schizophrenia, “just the facts”: What we know in 2008: Part 3: Neurobiology. Schizophrenia Research, 106(2–3), 89–107.心理学空间+u&\/N.iI#M

Linscott, R. J., Allardyce, J., & van Os, J. (2010). Seeking verisimilitude in a class: A systematic review of evidence that the criterial clinical symptoms of schizophrenia are taxonic. Schizophrenia Bulletin, 36, 811–829.心理学空间+I1{W0Ze~

Lykouras, L., Oulis, P., Daskalopoulou, E., Psarros, K., & Christodoulou, N. G. (2001). Clinical subtypes of schizophrenic disorders: A cluster analytic study. Psychopathology, 34, 23–28.心理学空间8_`Ix.w"[2P*AL

M V9E prD/@5JK d0Mattila, T., Koeter, M., Wohlfarth, T., Storosum, J., van den Brink, W., de Haan, L., … Denys, D. (2015). Impact of DSM-5 changes on the diagnosis and acute treatment of schizophrenia. Schizophrenia Bulletin, 41, 637–643.心理学空间bV? j%M'vhU m K!Z

Messinger, J. W., Trémeau, F., Antonius, D., Mendelsohn, E., Prudent, V., Stanford, A. D., & Malaspina, D. (2011). Avolition and expressive deficits capture negative symptom phenomenology: Implications for DSM-5 and schizophrenia research. Clinical Psychology Review, 31, 161–168.

vr@f~DE3d/@0Nemeroff, C. B., Weinberger, D., Rutter, M., MacMillan, H. L., Bryant, R. A., Wessely, S., … Lysaker, P. (2013). DSM-5: A collection of psychiatrist views on the changes, controversies, and future directions. BMC Medicine, 11, 202.心理学空间l)_6OVN{ bu

Gk.J9NX0Peralta, V., Campos, M. S., de Jalon. E. G., & Cuesta, M. J. (2010). DSM-IV catatonia signs and criteria in first-episode, drug-naive, psychotic patients: Psychometric validity and response to antipsychotic medication. Schizophrenia Research, 118(1–3), 168–175.心理学空间I0~6P'[)C#] f

Picardi, A., Viroli, C., Tarsitani, L., Miglio, R., de Girolamo, G., Dell’Acqua, G., & Biondi, M. (2012). Heterogeneity and symptom structure of schizophrenia. Psychiatry Research, 198, 386–394.

Regier, D. A., Narrow, W. E., Clarke, D. E., Kraemer, H. C., Kuramoto, S. J., Kuhl, E. A., & Kupfer, D. J. (2014). DSM-5 field trials in the United States and Canada, Part II: Test-retest reliability of selected categorical diagnoses.

mHsD'N@o2j0American Journal of Psychiatry, 170, 59–70.心理学空间r4o*R
n r(T{6CB}

Reininghaus, U., Priebe, S., & Bentall, R. P. (2013). Testing the psychopathology of psychosis: Evidence for a general psychosis dimension. Schizophrenia Bulletin, 39, 884–895.心理学空间7B%W/\:U+l(M U
p S

0TBA$`FNR(X\%r0Rodríguez-Testal, J. F., Senín-Calderón, C., & Perona-Garcelán,

S. (2014). From DSM-IV-TR to DSM-5: Analysis of some changes. International Journal of Clinical and Health Psychology, 14, 221–231.心理学空间_2J-~UN6b~j
YPF

P"WE,m*bC^L0Roffman, J. L., Lamberti, J. S., Achtyes, E., Macklin, E. A., Galendez, G. C., Raeke, L. H., … Goff, D. C. (2013). Randomized multicenter investigation of folate plus vitamin B12 supplementation in schizophrenia. JAMA Psychiatry, 70, 481–489.

Russo, M., Levine S. Z., Demjaha, A., Di Forti, M., Bonaccorso, S., Fearon, P., … Reichenberg, A. (2014). Association between symptom dimensions and categorical diagnoses of psychosis: A cross-sectional and longitudinal investigation. Schizophrenia Bulletin, 40, 111–119.心理学空间krMPPY

Strauss, G. P., Frank, M. J., Waltz, J. A., Kasanova, Z., Herbener, E. S., & Gold, J. M. (2011). Deficits in positive reinforcement learning and uncertainty-driven exploration are associated with distinct aspects of negative symptoms in schizophrenia. Biological Psychiatry, 69, 424–431.

Tandon, R. (2011). Proposed changes in the diagnostic criteria of schizophrenia in DSM-5. Shanghai Archive of Psychiatry, 23(2), 102-105.心理学空间 f"N.|ab0x

Tandon, R. (2013). Definition of psychotic disorders in the DSM-5 too radical, too conservative, or just right!.

Schizophrenia Research, 150(1), 1–2.

Tandon, R., Bruijnzeel, D., & Rankupalli, B. (2013). Does change in definition of psychotic symptoms in diagnosis of schizophrenia in DSM-5 affect caseness?. Asian Journal of Psychiatry, 6, 330–332.

r-{B$~-H)f"h9V0Tandon, R., Gaebel, W., Barch, D. M., Bustillo, J., Gur, R. E., Heckers, S., … Carpenter, W. (2013). Definition and description of schizophrenia in the DSM-5. Schizophrenia Research, 150(1), 3–10.

Tandon, R, Heckers, S., Bustillo, J., Barch, D. M., Gaebel, W., Gur, R. E., … Carpenter, W. (2013). Catatonia in DSM-5. Schizophrenia Research, 150(1), 26–30.

Tandon, R., & Maj, M. (2008). Nosological status and definition of schizophrenia: Some considerations for DSM-V and ICD-11. Asian Journal of Psychiatry, 1(2), 22–27.

y4l5_D5@fX0Tandon, R., Nasrallah, H. A., & Keshavan, M. S. (2009). Schizophrenia, “just the facts” 4. Clinical features and conceptualization. Schizophrenia Research, 110(1–3), 1–23.

Tandon, R., Nasrallah, H. A., & Keshavan, M. S. (2010). Schizophrenia, “just the facts” 5. Treatment and prevention past, present, and future. Schizophrenia Research, 122(1–3), 1–23.

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kU k2p3W0van Os, J., & Tamminga, C. (2007). Deconstructing psychosis. Schizophrenia Bulletin, 33, 861–862.心理学空间Cu4^8k&^H

Wykes, T., Huddy, V., Cellard, C., McGurk, S. R., & Czobor,

P. (2011). A meta-analysis of cognitive remediation for schizophrenia: Methodology and effect sizes. American Journal of Psychiatry, 168, 472–485.心理学空间.H/O
oYi

$nD6`F;Vv0Changes of Schizophrenia Spectrum Disorder in DSM-5:

Dispute between Categorical and Dimensional Approaches心理学空间Lc4_*wh:P:Z

GUO Yafei; JIN Shenghua; WANG Jianping; WU Linhua; AIDI Ma

(School of Psychology, Beijing Normal University, Beijing 100875, China)心理学空间|?1bcuEa y

Abstract: Released by the American Psychiatric Association (APA) in 2013, the Fifth Edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) has changed in a profound way compared to DSM-IV, especially concerning the adoption of dimensional approach. This new approach had triggered hot discussions among clinical psychiatrists and related researchers. As one of those areas where most discussions focused on, the Schizophrenia Spectrum Disorder had dropped the traditional subtypes so as to adopt this dimensional approach. Those who advocated dimensional approach criticized the traditional subtypes from the perspective of reliability, validity, clinical utility, and scientific literature, and publicity. Meanwhile, they proposed some advantages of dimensional diagnoses from the angle of clinical treatment and psychopathological mechanism. Besides, other opinions were introduced and the disparity between clinical psychiatrists and psychiatric researchers were further discussed on the development of diagnostic efficiency and precision.

wr$Ct#Q+mY-~V0Key words: schizophrenia spectrum disorder; categorical approach; dimensional approach; reliability and validity; clinical utility