ISSN 1671-3710
CN 11-4766/R

心理科学进展 ›› 2015, Vol. 23 ›› Issue (8): 1428-1436.doi: 10.3724/SP.J.1042.2015.01428

• 研究前沿 • 上一篇    下一篇



  1. (北京师范大学心理学院, 北京 100875)
  • 收稿日期:2015-01-22 出版日期:2015-08-15 发布日期:2015-08-15
  • 通讯作者: 王建平, E-mail:
  • 基金资助:


Changes of Schizophrenia Spectrum Disorder in DSM-5: #br# Dispute between Categorical and Dimensional Approaches

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

  1. (School of Psychology, Beijing Normal University, Beijing 100875, China)
  • Received:2015-01-22 Online:2015-08-15 Published:2015-08-15
  • Contact: WANG Jianping, E-mail:


美国精神病学协会(APA)于2013年5月发布了第五版的精神疾病诊断和统计手册(DSM-5), 与第四版相比, 呈现出较大的变化, 尤其是对维度的思路的强调, 引起了临床工作者和相关学者对精神疾病分类诊断中类别与维度的讨论。其中, 精神分裂症谱系中维度取代亚型的新思路便是此次争论的一个焦点, 维度论从信效度、临床实用性和科研价值角度批判传统亚型, 并提出其在临床治疗和病理机制方面的优势。同时, 总结了此次争论的其它观点, 并就精神疾病诊断的分歧与发展进行讨论。

关键词: 精神分裂症谱系, 类别, 维度, 信效度, 临床实用性


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.

Key words: schizophrenia spectrum disorder, categorical approach, dimensional approach, reliability and validity, clinical utility