DSM-

APA
APA 1952
DiagnosticandStatisticalManualofMentalDisorders DSM1968
DSM- 1974 1980 DSM

1987 APA DSM-R.

1987 DSM
APA DSMIV
AllenFrances H.A.Pincus NancyC.Andreasen R.L.Spitzcr 27
13 512
M.R.Liebowitz
G.J.Tucker
D.Shaffer M.Campbell
B.T.Walsh
A.J.Rush
J.B.W.Williams
J.Gunderson
J.H.Gold
R.E.Hales
N.C.Andrcasen
C.W.Schmidt
D.J.Kupfer
M.A.Schuckit
50
100
60
WHO ICD10 APA
HospitalandCommunityPsychiatry . 12
70 6000 .2 APA DSM

1993 1994 5 .
DSM

DicisionTree

Distress
disability


ageneralmedicalcondition
separation
dissciationdisability

bereavement

Tourett

AIzheimer

PCP

I
I
I
I
II

xxx
yyy

CCMD-II-R ICD
1
2
3
4 312.8
5Tourett 30723

A70
B

C 18
317 IQ50 5570
318.O IQ35 4O5O 55
318.1 IQ20 25 35 40
318.2 IQ 20 25
319


A l
2
3 6 2 l2
3 1
l
a

b
C

d
2
a

b
C
d
3
a
b
C
d
B 3 1
23
C Rett
312.8
A
3 12 1 6

l
2
3
4
5
6
7
8
9

10
11
12
13 13
l4 2 1

15 13
B
C 18

Tourett 30723
A

B 3

C
D 18
E

CCMD-II-R ICD
1 2930
2AIzheimer
3 2904X
4 2940

2930
A.

B.

C.
D
AIzheimer
A
l

2
a
(b
C
d
B A1 A2

C
D A1 A2
l

2 B12
HIV
3
E
F I

2904X

A
1
2
(a
b
c
d
B A1 A2

2940
A
B
C
D

CCMD-II-R ICD
1
2
3
4
5 30300
6 2918
7 29289
8 2920
9 30590
10 29289
11 29289
12 2920
13 29289
14
29289
15 29289
16 2920
17 29289
18 2920
19 PCP 29289
20 29289
21 2920

A
B
C
30300
A

B
C 1
1
2
3
4
5
6
D
2918
A
B A 2
1 100
2
3
4
5
6
7
8
C B

D
29289
A
B

C 2
l
2

3
4
5
6
7
8
9
D
2920
A

B A 2
l
2
3
4
5
C

D
30590
A 250 23

B 5
l
2
3
4
5
6
7
8
9

10
11
12
C B
D

2920
A

B A 2
l
2
3
4

5
C B

D
29289
A
B

D 2
l
2
3
4
5
6
7
E
29289
A
B

C 2 2
1
2
3
4
D
29289
A
B

C 2
l
2
3
4
5
6
7
8
9

D
29289
A

B A

29289
A

C 2
l
2
3
4
5
6
7
8
9
10
11
12
13
D
2920
A
B 24 4
1
2
3
4
5
6
7
8
C B

D
29289

A
B

1
2
3
D
2920
A
l
2
B A 3
l
2
3
4
5
6
7

8
9
C B

D
PCP 29289
A
B

C
1
2
3
4
5
6
7
8
D
29289
A
B


C 1
l
2
3
4
5
6
D
2920
A

B A 2
l 100
2
3
4
5
6
7
8
C B

A 2

1
2
3
4
5
2
1
B

C. 6 6 1 A

A 2

D.
1(2


E.

F.

295.30

A.
B.
295.10

A.
l
2
3
B.
295.20
2
l
2
3

5
295.90
A
295.60

A
B. A 2

295.40
A. AD E
B. 1 6

2
1 4
2
3
4
295.70
A.
A
Al
B. 2
C.
D.

:DSM W (periodofillness
)
297.1
A.

1
B. A

C.
D.
E.

290.8
A 1
l
2
3


B. 1 1
C

4
297.3
A.
B.
C

293.XX
A.
B..
C.
D.
:
.81
.82 :.

A.

:
B
1 A
2
C

D.

CCMD-II-R ICD
1
2
3
4

5 296.2X
6 296.3X
7 I 296.0X
8 296.40
9 I 296.4X
10 I 296.6X
11 I 296.SX
12 I 296.7
13 II 296.89
14 301.I3
15 293.83
16
17
18
19
20
21
22
23
24
25
26
27 300.4
2833 296.6F34.0
29(3)()3 ()
30(30) 30
31(30) 30.1 ()
32(30) 30.2
33(30) 30.3
34(30) 30.4
35(30) 30.41 >>
36(30) 30.42 >>
37(30) 30.43 >>
38(30) 30.9
39(31) 31
40(31) 31.1
41(31) 31.2
42(31) 31.3
43(31) 31.4
44(31) 31.5
45(31) 31.6
46(31) 31.7
47(31) 31.9
48(31) 31.91 >>

49(32) 32
50(32) 32.1 ()
51(32) 32.2
52(32) 32.3
53(32) 32.4
54(32) 32.41 >>
55(32) 32.42 >>
56(32) 32.43 >>
57(32) 32.9
58(33) 33
59(33) 33.1
60(33) 33.2
61(33) 33.9
62(39) 39
63 5 3x.xx1
64 5 3x.xx2
65 5 3x.xx3
66 5 3x.xx4

A 2 5
1 12

2
3 5

4
5

6
7

D.
C.

D.

E 2

A. 1

B. 3
1
2 3
3
4
5
6

C.
D.

E.

A. I

B.

A. 4

B. 3 4

l
2 3
3
4
5
6

C.
D
E.

F.

II

296.2X
A.
B

C.

296.3X
A. 2
2 2

C.

I
296.0X
A.
2
B.

296.40
A.
B.
C.

D.A B

I
296.4X
A
B.

C. A B

I
296.6X
A.
B.C.
I
296.SX
A.
B.
C.
I
296.7
A.
B.
C.D. I C D
E. A B

II
296.89
A.
B.
C.
D.A B

E.

301.I3
A 2
I
B. 2 I A 2
C. 2
2 I
I II

D.A

E.

F.

293.83
A.

1
2
B.
C.

E.

A. A
B.
1A
2
C.

D.
E.

5 I
II
.X1

.X2
.X3

.X4

.X5
2

.X6 2
.XO

5 I

.XI

.XZ
.X3
.X4

.X5
2
.X6 2
.XO

5 I

I II

II

2
l
2
3

I
II
A.
1
2

B. 3
1

2
3 2
4
5
6


I II
2 2

A.
B. 2
l
2
3
4

C.

I II

I II

A. II

B.
C. 2 2 A B

D.

II 12 4

300.4
A. 2

1
B. 2
l
2
3

4
5
6
C. 2 A B

D. 2 I

2
2 I
2
E.

F.
G.

H.

33
296.6F34.0

l.
2.
3.
4.
5.
6.
7.
8.
9.

1.
2.
3.

1.
2.

1.
2.
3.
4.
5.
6.
7.
8.
9.

1.
2.

(3)()
3F30-F39 ()
()

(30)
30F30

3 4

(1)
(2)
(3)
(4)

(5)
(6)
(7)
(8)

(1) 1
(2)
1

(30)
30.1F30.0 ()
30
(30)
30.2F30.1
30

(30)
30.3F30.2
30

(30)
30.4F30.8

(1) 2 1

(2)
(3)
(30)
30.41F30.8 >>
30.4 30.1
(30)
30.42F30.8 >>
30.4 30.2
(30)
30.43F30.8 >>
30.4 30.3

30.9F30.8F30.9
(31)
31F31

(31)
31.1F31.0
30.1 1
(31)
31.2F31.1
30.2 1

(31)
31.3F31.2
30.3 1

(31)
31.4F31.3
32.1 1
(31)
31.5F31.4
32.2 1

(31)
31.6F31.5
32.3 1

(31)
31.7F31.6

(1) 2

(2) 1
(31)
31.9F31.8F31.9
(31)
31.91F31.8 >>
12 4 30.1 30
32.1 32
(32)
32F32

4
(1)
(2)
(3)
(4)
(5)

(6)
(7)
(8)
(9)

(1) 2
(2)
2

(32)
32.1F32.0 ()
32
(32)
32.2F32.1
32

(32)
32.3F32.2
32

(32)
32.4F33

(1) 2 1

(2)
(3)
(32)
32.41F33.0 >>
32.4 32.1
(32)
32.42F33.2 >>
32.4 32.2
(32)
32.43F33.3 >>
32.4 32.3
(32)
32.9F32.8F32.9F33.8F33.9
(33)
33F34
(33)
33.1F34.0

2 2

(1)

(2)
(33)
33.2F34.1

2 2 2

(1)

(2)

(3)
(33)
33.9F34.8F34.9
(39)
39F38F39
5
3x.xx1F38

5
3x.xx2F38

5
3x.xx3F38
2
5
3x.xx4F38
1 2

CCMD-II-R ICD
1
2
3 300.01
4 300.21

5 300.22
6 300.29
7 300.23
8 300.3
9 309.81
10 308.3
11 300.02
12 300.81
13 300.11
14 300.7
15F41
16F41.0
17F41.1
18F41.2
19F41.3
20F41.8
21F41.9
22F40
23F40.0
24F401
25F40.2
26F40.8
27F40.9
281.
292.Liebowitz

303.
314.
325.

30021
4 10

l
2
3
4
5
6
7
8
9
10

11
12
13

300.21 300.22
A.

B.

C.

300.01
A.
l
2 I 1 1
a
b

C
B.
C.

D.

seParation dissociation

300.21
A.300.01 A
E.
C.D. 300.01 C D

300.22
A.
B.

C.

D. A

300.29
A.

B.

C
D.
E.

F. 18 6
G.

300.23
A

B.

C.
D.
E

F. 18 6

G.

H. A

300.3
A.
4
1

2
B.

C 1

E.

309.81
A.
1


B. 1
1

2
3

5
C. 2
3
1
2
3
4.
5
6

D. 2
1
2
3
4
5
E.BC D 1
F.

3
3

308.3
A.
1

2
B. 3
1
2
3

4
5
C. I

D.

E.

F.

G. 2 4 4
H.
I II

300.02
A. 6

B.
C. 6 3 6

1
1
2
3
4
5
6

D. I

E.

300.81
A. 30

B.
l4 4

22 2

31 1

41

C.12
1B

D.

300.11
A.

B.

C
D.

E.

F.

300.7
A.
B.
C. A

D.

E. 6
F.

F41

F41.0

F40.-
1
a
(b
C

F41.1

a
b
C

F32.F40.F41.0
F42.

F48.0
F41.2

F43.2

F34.1
F41.3
F41.1
F40F49
F42.F44.F45.0
F45.1F45.2
F43.2
F41.8

F41.9

NOS
F40

F45.2

F40.
F40.2

67

F40.

F40.0

F410
F4000
F40.01

F401

b
C

F40.2

b
C

F45.2

F22.0

F45.2F22.0
F40.8

F40.9

NOS
NOS

300.7
A

B.

C.

A.
B
C.

 CCMD-II-R ICD
1 300.12
2 300.13
3 300.14
4

300.12
A

B.

C.

300.13
A.

B.
C.

D.

300.14
A. 2

B. 2
C.
D.

300.6
A.

B.
C.

D.

CCMD-II-R ICD

1 302.4
2 302.81
3 302.89
4 302.2
5 302.83
6 302.84
7 302.3
8 302.82
9

302.4
A. 6

B.

302.81
A. 6

B.

C.

302.89
A. 6

B.

302.2
A. 6 13

B.

C. 16 A 5
12 13

302.83
A. 6

B.

302.84
A. 6

B.

302.3
A. 6

B.

302.82
A. 6

B.

A.

1. 4
(1)
2
3
4
5
2.

B.
1.

2.

C.
D.

CCMD-II-R ICD
1 307.1
2 307.51
3

4 307.46
550
650.0 307.1307.5F50.0
750.l 307.5F50.2
850.2 307.5F50.5
950.8 307.5F50.8
1050.9 307.5F50.9
11F50
12FO.0
13F50.1
14F50.2
15F503
16F50.
17FO.5
18F50.8
19F50.9

307.1
A.
85 85

B.
C.

D. 3

307.51
A.
1 2

B.

C. 3 2
D.
E.

A.

B.

307.46
A.
B.

C.
D.

E.

F.

50

50.0
307.1307.5F50.0

25
105 Quetelet

Quetelet 2
Quetelet 17.5 .

50.l
307.5F50.2

50.2
307.5F50.5

80

50.8
307.5F50.8

50.9
307.5F50.9

F50

NOSR63.0
R63.3
F98.2
F98.3
FO.0

a 15
Quetelets 175

R63.0
F50.8
F50.1
F50.0

F50.2

NOS

a
b
C

F503
F50.2

F50.

F38.F41.2 F48.9
ICD10 E66.

E66.1 ICD10

F30F39 F4049
F50.8 E66.

E66.-
NOSR63.2
FO.5
F44.
F45.2

NOSRll
F50.8

F50.9

CCMD-II-R ICD
1 347
2F51
3F51.0
4F.1
5F.2
6F51.3
751.
8F51.
9F51.8
10F.9

347
A. 3

B.
l
2REM

C.

F51

KleineLevin
G47.8 ICD10 G47.
G47.4G47.2G47.3
G25.3F98.0
R33.8
ICD10

ICD10

F51.0

ICD10 62.0

a
b
C
d

F43.0F43.2
F.1

.
F31.3F31.4F31.5

F33.F32.

(b

G47.4

F.2

G47.2
G47.2

b 1

F51.3

F51.4
3 4

C
d

F44.l

51.

F51.3

110

F51.

REM
REM

F51.8

F.9

321.39
A
B
C.
D.
E.

CCMD-II-R ICD

141.1
2F43
3F43.0
4F43.1
5F43.2
6F43.8
7F439
41.1
A. 3
B.
1
2
C. I I II
D.

E 6

6
6
F43

ICD10 X

F43.0


F44.2

23
F44.0

:
a

b
2448 3
F60.

F43.1

6
F620

F620

F43.2

F33

F4323
1 F4321
6
ICD10 Z

6 ICD10 H
2634 2719 2733
F4322F4323F4324 F4325
6 F4321

a
b
C

F93O
5

F4320
1
F4321
2
F4322
F412F413

F4323

F412F413

F4324

F4325

F4328
F43.8

F439

CCMD-II-R ICD
1
2 301.0
3 301.20
4 301.22
5 301.7
6 301.83
7 301.50
8 301.81
9 301.82
10 301.6
11 301.4
1260
1360.0 301.0F60.0
1460.l 301.2F60.1
1560.2 301.7F60.2
1660.3 301.3F60.3
1760.5 301.4F60.5
1860.8 301.8F60.8
1960.9 301.9F60.9
20
21
22F60.0
23F60.1
24F60.2
25F60.3
26F60.4
27F60.5
28F606
29F607
30F608

31F609
32
33F610
34F611
35(6) 6

36(60) 60
37(60) 60.1
38(60) 60.2
39(60) 60.3
40(60) 60.4
41(60) 60.5
42(60) 60.6
43(60) 60.7
44(60) 60.8
45(60) 60.9
46(61) 61
47(61) 61.1
48(61) 61.2
49(61) 61.3
50(61) 61.4
51(61) 61.4
52(61) 61.9
53(62)62
54(62)62.1
55(62)62.11 >>
56(62)62.19 >>
57(62)62.2
58(62)62.21 >>
59(62)62.211 >>>>
60(62)62.22 >>
61(62)62.23 >>
62(62)62.24 >>
63(62)62.25 >>
64(62)62.26 >>
65(62)62.29
66(62)62.3
67(62)62.31 >>
68(62)62.32 >>
69(62)62.39 >>

A.

2
3
4
B.
C.

D.
E.
F.

301.0
A.
4
1
2
3
4
5
6
7
B.

301.20
A.
4
1
2
3
4
5
6
7
B.

301.22
A.
5

.
1

3
4

5
6
7
8
9

301.7
A. 15 3
1
2
3
4
5
6
7

B. I8
C. I5 .
D.

301.83

5
l 5

3
4
5
5
6

7
8
9

301.50
5

1
2
3
4
5
6
7
8

301.81

5
l

2
3

4
5
6

7
8
9

301.82

4
l
2
3
4
5
6
7

301.6

 5
1
2
3
4

5
6
7
8

301.4

4
l

3
4

5
6
7
8
60

1.

2.
3.

1.
2.
18

60.0
301.0F60.0

1.

2.
3.
4.
5.
6.
7.

60.l
301.2F60.1

1.

2.

3.

4.
5.
6.
7.

60.2
301.7F60.2

18
1.
2.
3.
4.
5.
6.
7.
8.

9.
10.
11.
12.
18
1.

2.

3.

4.
5.
6.
7.
8.

9.
10.
60.3
301.3F60.3

1.
2.
3.
4.
5.

6.
7.
60.4 301.5F60.4

1.
2.
3.
4.
5.

6.

7.
8.
60.5
301.4F60.5

1.
2.

3.
4.
5.
6.
7.

60.8
301.8F60.8

60.9
301.9F60.9

03

16 17

b
c
d
e

F60.0

a
b
c

d
e
f
g

F22.-
F20.-
F60.1

a
b
C
d
e
f
g
h

i
Asperger F84.5
F22.0
F845
F20.-
F21
F60.2

a
b
C
d
e
f


F91.-
F60.3
F60.3

F60.30

F60.2
F60.31

F60.4

a
(b
C
d
e
f

F60.5

a
b
C
d
e
f
g

-
-F42.-

F606

a
(b
C
d
e
f

a
(b
C
d
e
f

F608
F60.0-F60.7
haltlose

F609

NOs
NOs

F60
F60
F608
F610
F60.

F611
F60.- F62-

Z73.1
6)
6F60-F69
(60)
60F60

1
(1)

(2)
(3)
(4)
()

18 2

(60)
60.1F60.0

(1)
(2) 3

(60)
60.2F60.1

(1)
(2)
3


)
(60)
60.3F60.2

18 18

(1) 3

(2) 18 3

(11)
(12)
(60)
60.4F60.30

(1)
(2) 3

(60)
60.5F60.4

(1)
(2) 3

(60)
60.6F60.5
2
70%

(1)
(2)
3

(60)
60.7F60.6

(1)
(2) 3

(60)
60.8F60.7

(1)
(2) 3

(60)
60.9F60.8F60.9

(61)
61F63

CCMD-3 4
(61)
61.1F63.0

(1)
(2)
(3)

(4) 1 3

(61)
61.2F63.1

(1)
(2)
(3)
(61)
61.3F63.2

(1)
(2)
(3)

(4) 1 3
(61)
61.4F63.3

(1)
(2)
(3)
(61)
61.9F63.8F63.9
(62)
62F64F65F66

62.1F64

(1)
1

(2) 6

(1)
1

(2) 6
(62)
62.11F64.0 >>

(1)

(2) 2
(3)
(62)
62.19F64.8F64.9 >>
(62)
62.2F65
(62)
62.21F65.0 >>

(1)

(2) 6
(62)
62.211F65.1 >>>>

(1)
(2)
(3) 6
(62)
62.22F65.2 >>

(1)

(2)
(3) 6
(62)
62.23F65.3 >>

(1)
(2)
(3)
(62)
62.24F65.8 >>

(1)
(2)
(3)
(4) 6
)
62.25F65.5 >>

(1)
1
(2)-
(3) 6
(62)
62.26F65.6 >>
-

(62)
62.29F65.8F65.9
(62)
62.3F66

CCMD-3
(62)
62.31F66.x1 >>

(1)
(2)

(3)

(62)
62.32F66.x2 >>

(1)
(2)

(3)
(62)
62.39F66.8F66.9 >>

CCMD-II-R ICD
1
2
3

A.
A1

B.
C.

A.
l
2
3
B. A
C.

A. 5
5
l2

3
4 1
l
2

3
4
5
6
7
8
9
10
11
B.

C.

D. AB C 2