精神障碍诊断与统计手册（第五版 修订版）（DSM-5-TR）美国精神医学学会编著 张道龙译

《精神障碍诊断与统计手册》（DSM）被誉为精神医学领域的”圣经”，2022年3月美国精神医学学会（APA）在DSM-5的基础上推出了DSM-5-TR。该版本对绝大多数障碍的文本进行了修订；增加了“延长哀伤障碍”的诊断；将最初发布的 DSM-5 诊断标准与对 70 多种障碍的修改（大部分做了澄清）相整合；全面更新了“介绍”和“使用手册”部分，并为重要术语提供上下文背景，以指导临床工作者使用；采用了更新的ICD-10-CM编码，并新增了50多个有关物质中毒、物质戒断和其他障碍的编码。
DSM-5-TR是精神卫生临床工作者和研究人员不可或缺的临床实践资源，对于精神障碍的诊断具有重要的指导意义。期盼DSM-5-TR中文版的问世，为国内广大相关专业人员提供极具价值的参考和借鉴。

美国精神医学学会于2013年5月推出了美国精神障碍分类与诊断标准的最新版本——《精神障碍诊断与统计手册（第五版）》（DSM-5）。DSM被誉为精神障碍领域的”圣经”，是一本美国及其他国家常用的诊断精神障碍的指导手册。为了能进一步改进精神疾病的诊断、治疗、科研和在所有临床工作者中产生一种共同语言，DSM-5对所有精神疾病进行了重新定义和分类，并制订了精确和具体的诊断标准，因而极具实用价值。
《精神障碍诊断与统计手册（第五版-修订版）（DSM-5-TR）》（DSM-5-TR）是DSM-5的文本修订版。该版本对DSM-5的绝大多数障碍的文本进行了修订，更新了相关特征、患病率、发展与病程、风险与预后因素、与文化相关的诊断问题、诊断标志物、与自杀想法或行为的相关性、鉴别诊断等内容；增加了“延长哀伤障碍”的诊断；将最初发布的 DSM-5 诊断标准与对 70 多种障碍的修改（大部分做了澄清）相整合；全面更新了“介绍”和“使用手册”部分，并为重要术语提供上下文背景，以指导临床工作者使用；采用了更新的ICD-10-CM编码，并新增了50多个有关物质中毒、物质戒断和其他障碍的编码。
DSM-5-TR是精神卫生临床工作者和研究人员不可或缺的临床实践资源，对于精神障碍的诊断具有重要的指导意义。期盼DSM-5-TR中文版的问世，为国内广大相关专业人员提供极具价值的参考和借鉴。

美国精神医学学会（American Psychiatric Association, APA）
，美国精神科医生的专业组织，在行业内具有全球性的影响力。现有约38000名会员，大部分在美国。其出版物除学术期刊及小册子以外，最为人熟悉的就是《精神障碍诊断与统计手册》，简称“DSM”。这本手册是美国主要诊断精神障碍的重要标准，也是全世界许多国家在诊断精神障碍上的重要参考。
【美国】张道龙
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张道龙，毕业于哈尔滨医科大学并完成神经病学住院医师培训，中国大陆首位毕业于美国芝加哥大学精神医学系的精神科医生，河北医科大学、齐齐哈尔医学院等国内医学院客座教授。现就职于美国帕洛阿托退伍军人医学中心(斯坦福大学教学医院)，珠海市第三人民医院国际精神心理服务部首席专家。深耕精神心理30余年，亲自诊治中美来访者及患者超过20万人次，曾获得美国精神医学学会促进少数族裔精神健康奖;北美华人医师联盟 2017年度、2018年、2022年“医学教育奖”，第一位将美式 EAP 员工帮助计划、SAP学生帮助计划引进中国的专家，历时10余年翻译、编写完成12本教材

目　　录
第一部分
DSM-5 基础
介绍································································································································5
使用手册 ·······················································································································21
DSM-5 司法谨慎使用声明 ···························································································29
第二部分
诊断标准与编码
神经发育障碍 ···············································································································35
精神分裂症谱系及其他精神病性障碍 ··········································································97
双相及相关障碍 ·········································································································135
抑郁障碍 ····················································································································· 171
焦虑障碍 ····················································································································· 209
强迫及相关障碍 ········································································································ 257
创伤及应激相关障碍 ··································································································289
分离障碍 ····················································································································· 323
躯体症状及相关障碍 ··································································································343
喂食及进食障碍 ·········································································································365
排泄障碍 ····················································································································· 391
睡眠-?觉醒障碍 ··········································································································399
性功能失调 ················································································································· 469
性别烦躁 ····················································································································· 501
破坏性、冲动控制及品行障碍 ··················································································· 511
精神障碍诊断与统计手册（第五版-修订版）（DSM-5-TR）
物质相关及成瘾障碍 ··································································································533
神经认知障碍 ············································································································· 657
人格障碍 ····················································································································· 721
性欲倒错障碍 ············································································································· 765
其他精神障碍和额外编码 ··························································································789
药物所致的运动障碍及其他药物不良反应 ································································793
可能成为临床关注焦点的其他状况 ···········································································807
第三部分
新出现的量表和模式
评估量表 ····················································································································· 827
文化与精神障碍诊断 ··································································································841
人格障碍的 DSM-5 替代模式 ····················································································859
需要进一步研究的状况 ······························································································877
附录
DSM-5-TR 诊断和 ICD-10-CM 编码的英文字母排序 ··············································899
DSM-5-TR 诊断和 ICD-10-CM 编码的数字排序 ······················································943
索引 ·························································································································· 1001