You are on page 1of 212
arbi Opi Moka ha ia ICD-10 Clasificarea tulburarilor mentale side comportament Simptomatologie si diagnostic clinic Tantemcaie ‘te Pring Sons oma, Deora ae ng de: “ducer: ‘evens ado Academician pro de Mes Laniscu de Rad Tenors (r Ravan Paes Pi de Mies Debeen fr Moria lees ‘ Oviia cous 3c a. 1693) He OLE Onna Mandl Sansone o sete pci Nar Unie tnd co pina rina sa aa nro Pt ‘edi ane onomtepi ort Ik peat pment in 170 fo hind aon exert in pad fae ol ‘etn tm tg pnd onl 30 on mild be eee emi dado it prot sy oe, Ini ate Oponi Mondi Sani promenade tor sa sn ls prone mateo, tee ‘nor de med datas rer mane dna sd ‘Senor defame rrr dwn a ‘pean spain inplementars pga doen sn ‘Ae oman ag de inci mare rite de ett, am a ‘Etta nee Sa cad pnd image pp ae {ere promos are noe pl sae sb i ela mati a alba anne, nln eee pn Stonar tar Sole gil pn Poin cot ST oa ‘muir ar, promarrn tai nan fi ea oe [BET pnts itunes nn yaar uo rao ppt aie nga preheat dane sn Pou gure wt pres tn domes nrg ae te ‘wear ears itrafoa ite praony amor ss ‘Ror er hi ein, ei ne fret re mars, A ttre Sage einer ‘ule ufone in damental sn enn Cac Saar Teena i Prone a ve re dat Pabse OMS ress pride ome de ink ae ate og a dad ea nd iis pel pa ea de a 10 aie a IC inte 0 lar at op 900 de ‘art mene compart et rapa ama ae vest | USReAgEA Co 10 ATURoheLce MEIALE § OE COMFORT ALAN in ae nib bre nein amar ‘srt abt dap tt le tt (ld aon pe cece tice decane dn fr ie ln pret prin simple in eine face “EO impure te none onparoedar at pn emce SPrplrl gnc dere art, tits 9nd ae adda dre sng te Sr evar par gute ‘Fee Pte ma tbr ft pest ure parr ae capris “lee pentu ierfree tlc rept ec oe Pte rfl Ane an ae mportant of fim tar erent Ghent numeri Se i! ar marae Sn ct oi na defeat darn ‘Mic‘npartante se ute Coca a fe Sloe a numer eee raion Preto: a nceputsl anor 0 Departament pantry Sintate Ment ‘OMS implica ci fntean progam ener tmbunti dig ‘tlre tlbararor atte Tn acen periods OMS ® ogunizat o serie de intrunis pnt tecren in ovata camo Unlelorprvind acest prablems,intrani ere au imple ea ‘epreentangialierilrdsapin a irae eld pelltic fin intreagn Tama, OMS a propos eondan programe desecrate supra rrr de clare 9 aspen ftir de care pine ‘encardana diagnostic, «teat promlga proce pene 9 ‘notre unitark a atervunor nregstrate pe bands vio aor iiloce de crete Au resutat numerous popune! por aber stirs clasifiira ulburnor mentale ca rare ua pees do Sonu extne ele nu fet wsat pnt crearoe Pla Bat TOD UCD. De acemenen, a fst rest un post cating dete Secret eategri do tulbure mentale cried In 10D-8 Aste din endl set program a at earl stables ne eae de expert ante eae a cota arte napa probleme legate de imbansttre sasicrior palates Ani "70 au edu o cepee a intereeuluipenru problem imbind titi elasiedror pair nega lama, La senain con ‘ot extinderen conactelorintrnafionle,clbeerea nor st ‘mulcenre apa 9 repénren anor noi tatament, Penta a ‘toy fdltatee presets digo, aman ayaniay ihintee najiomale au preooiat wsten deere iamante ‘eciiee I special Anacapa PahintrichAmerna dees publ) Aen Edi Manali de Diagonty Statics coe 'eincurporate in clstemel ss de casiere iter operational In 1978 OMS iniat un pret pe ternen lang tn elaorare ca Adoinstratin entry Abuzul de all, droga Snatte Ment Statelor Unit, deotinat =f tater inbundtives tm eotinuare 2 sponcaetaICO IDA TABIRARLGR VINTLEDE COM ORTAEN Tanifedlor«dagnotclrtaborilor metal «i problemelr ented lol! deg ered tnd ers 2 ce eens de gina apatinnd ier tai i cub Sa eet teat eats cantina din dieite domes, we at roa pntr erste tore, In 182 ‘Behe Zopenage in Deneve)» are confers iiaraonals ‘na probleme declare dag co pl cha aime etre fete ny cdrulssirlr i a dees Treen lp le erento eine. Molle poets a ee arte ca rmare a recomandarir conten ee nul div aren ica cere de ereare din 1 aren xp dvr tara Cops Teron se Dian stmt Gia tile pene 2: meer mentale to granu populate generals tm deri ft, Un ect nara evra pe deren ws isrunent de eae i tact (SCAN), Un al uta tit petra del SPRY tren do gran 2 tlburilor de personae fd Som thitinare Internet Tulburdror de Personals pls, oft erent, au af Ter, a ste leanne ren tle lve ele tree wa, oat ont iss ak cm a ava consti th dezotaen defile Po ae a avne a Clanic etroationale « Nala Pro ERIN dE Binstte Cone 9), dni care a du or le tae nstrametaor 9 scome, Conertien eile eae in niger de lngostic Gove lotore pers Were Sconisencr, abet erepetilr gt Salty Ce de ratgres 2 1eD-10« aja de aeoence ef re fromtsr de evan. Revatel sl fot un st ey a poten CD10 pent insrumenele do evar, care te er Pec nccsate aie tube i func de “he eopris in Capital V() a TCD-10. “acontoinga do ln Copenhagn #3 rxomanda de steneen sures ant ilar teiionele piace nara ska ete ae 0, Arm Tura 2 a pera msi mur pai era rank un valu cee cupinde ote de poset e ae eign elaclr patie conemporane ot ‘Preporereeplicaren cet! lel Dario lini wi ndreptare ‘Gngnnte, reprints neumonara ortrr a numa en ee ‘it conrbitnslaborarn inp doa mal an Lurene [rn cilern revi major, Sere in ele dup consul xine co [ropart de expert cle pace aioe gitar natant indians Baia 1987 x cont bor Nelda wriae Ain pete 40d aca cnalit col a mare fr de cerstare in ‘eu tip dint mbanstajeans Sings pant Reltase (Bt foe pat nalzaren ndeparlor ‘Accs Jorare ete prin. din sei de pba deeokato Sextet Yip acon ete er oe ede ingnoic pnts crear, ena derunta medic gene fino penetrs wales sep ce por ‘enteral cian inieDo, cD ICD Modul ier ass pune dni neta cxmaeren se gh cps decries torre in ea Wee ot tenet Gaeta acne asiere,ecaen Se ‘slums ste in mod porta somes decree satan ral mare Ge nd neal Ge sesatata Sin rena fe {Spon utp actif mn ssl de ¢ are ‘Sor aagnr Tete aie mare ae ma de pte {eet prc sone tat ett acter {imal une Chinen 9 ndrparle agri a a tendon {Sin ro ll re ait ‘nels du tnbanipine cara sips rca logice ale textului englexeac gi ale celor in alte limbi. " Oclasifare et un mod de epi Tames Ia un men dat Pa hin progres yt expel ln ere va contrib acest ‘lie vor n,m ina intent la nett tei To ‘nate Sper ch cnt revs vor reultatl une clara ‘Fine won a fl de cod productive ce ce crew dat Te prodcarn textl de ats [NORMAN SARTORIUS, Director el Seon de Sndtats Mental a Organiatie! Mondiale» Sansa LASRCArEA CD 0 NUK RENAE Ye CONPORTANENT Potent: 1 Kramer, M otal Cascava ICD. « thorn mentale © ‘rose in reiath a cnn bundle enti. Acta ppehititaseandinorioa, 88: 201.252 1979, 2. Sartori, Caleta o perspaiv intraponl. Peharc nals, 6.22.35 (1978, 5. Jablony, Atal. Diagnosis i lsifeauatulburlor mon {llega probleme ne lca yi dog age de erent entry ani 80. Pncholagical medicine, 1: 07-021 (1989) 4. Talburet mentale, pobeme eat de lea dog: erp navman esr dagnotaat yn lr Kees, yenpta medic, 085 eterratonal Congres Series. 65) Rebing, L ot a. Interval international compe de diagnostic (CIDD, Archies of general porary, 4: 1009-1077 1980, 3 Wing, Jo SCAN: Programe penta esr clin tn ae ropa Archie of mera phi, 4: 59-69 190 7. Loranger, Wea. tut it intentional WHOVADAMEA (OMSAdminstrafia SUA penta probleme lepte de Sata Mentals, dog scl a talbrdor de personaltate: 9p 6 context. Journal f peronaity disorders, 65, 29606 3981) 5. Leica termenior de piionie sind mental. Val 1 (Genoes, WHO, 1989. 3 Casiearea intrnaina a bar poemelr de ndtate. Edisee1De, Va Ist tobe Vol 2 Maul dewiliare Vl 3 Index. Gen, WHO, 1992 10. Sartori, Net le). Sure rail liar pth ‘mid Trento, Hoes and Hate, 190. tts Sereno Net al(ed) Clasfearea paint in perpectisé Intentional, Brith jana of chin, 8H opel) Sarorias, Net a, Progrese i pies una ib commun tn ‘shite: eralatl olan tneptarlr lier in lesfeues OMS a Tulburve Mestale de Compote Ain ICD 10. Archive of general pryehity aa ipa ‘Muljumi Malte persoane sl ongalai a contrib a prodcarn act! ls Feit tllurinr mentale compertamentale din ICD10, sa dervoltaren terior creo jee eld rahul penta TOD-10, {dsexemplo, a impect cretion din poste 40 of; tn ted claret mpl st presenti ota comple «ttre par Tispantior. esta de ma oe ote 0 menicare «crgniafilor Dsonnalor 9 iroreonrbuje «fhe butedtare pentru eres textelr dn indreparle ela 1CD-10, cei cae a cont versus iii protatpa las inep tartar sunt ine nist prinpallerpatipn, numele lo ind Iarete coun atene De dabonah, Dirdar Medical Principal al ‘Es de Sindtate Mantall OS in Genera a cordonat aces: Ui parce a programa giant aos o conte mar la see 10 wereune modi «clic wf pu Gl loro tap ce proper privind elanfntea au fot aeamBlte date sre Gdecutare cntallor de expr a8 OMS sh maitor altor persane, “nel pool in ma ox Aste tae fot condase conform “tl prota! reat de persnatal OMS, ew jut Oe J. Bure, Dr ‘UH, Caoper, Dr. Messch, au cupin un mr mare do eonte, ‘Sciror munch fost cordon do Cntr de Ceordonare Fld ‘Taleurlr(COPT, Aewrts CCFT Osate malo) au avut de ame eo suring den elabors trode ehivlnta ale TCD. tn iba ‘eet ar eect DrASertorise 9 svat rlapunderes general peta munca privnd Slaiearestulburir mentale s comportamentale din ICD 10,9 pentru crenrea deumentelor agit In curt dup acste stad, Dr. J. Cooper fanctiont cg Constant Sef al poeta fate gi sug sale wu elit ‘Ships de corlnare OMS. Prato membes acete! echipe ea 3 ‘umirst Dr. Jvan Drnmalin, ar alerts 160-10 dea ncoatal Pacer, cerpeci ln laborten ropunerir, gi Dos ¥en ‘area ccupt in med consis efit de nent arin ‘Miminstratve legate de teil ld alo gale acti legato de roc. Mr A, Lous ne oer ajatral abe genera in odanaree ‘ert paralsle ICD-I0 in goneral gt net ccc, in paral, irl. . Gamera creat ndesl ‘Un namar de a consulta natn i pail pe De A Bert, rLDiling Dr J. Lipr or, De: Pll Dr. D. Ree, Dr ater { DeN.Wig ta fat de asemenea pater impetus, ‘Bs nama en ai centr el ral Gr fain propane Indreptare tn domene lar de exper, lovante pent tale ‘hist ale gropurlar de (in eave sunt specials Pentel ler spin a at vital pont est pret ‘numirat Adminiteafia SUA petra bral de Ales Dro Sie tate Mental, eave nea art spl afa genera i ave ‘regttare le prottpaa versus ICD-30 care iar coe Torres fate practi intr popu cry her la (CD10 ‘ale care fern In cu dra prs edie « Manuals de Daven Stout a Asti Place American (DSM, coital de ‘expert al OMS penraICD-10, cond da DB. Stine Aci tin Panini Mondial cre, pin pepditie au, Dr Sefai ‘omiletl special penta dasifenre 4 tambltsenetarile mamere ‘or publ care formed cet aslo at lt pias {In Ginpale-role-aror ga Goalies sage Alte oan eguvernamentale ofl are rf de fra eu OMS) led Federafin Mondils pest Santas Mental, Acai dla ‘entra Resbtare Puowls, Aca. Mondial de Phare ‘Sov, Federain Mondial de Neurol gt Unsunes Itarationl 4 Sosettibr Paolo, ea aia in mule flan, ca Cente Colaorative OMS pert ereare prope in State Mantle ‘Sines 40 de ih Gurerele trl mombre ale OMS, ia partialar ale Dele ‘German, Olen, Spans i Stator Unites au epi ie! pr ‘esa dervltr lanes alburarlor mentee de ompertament Prin contributor lr in OMS, sé prin april finanela aed Sotrle care an paript I cet peat Atl propuneie din CD10 sant route nt proses de cla borate adoveratul sane al caval, ate mse persone net tap din numorose jr. Blea fet erste tn specail Yor eri at sigur pentru mun male peroupe internat de stra ‘elmer mental filer acetrs in iteage fe Nic 0 clastfcare mu ete perfect cu Simpl, pe minarh os ang Aajele gi expenenta moat tna x creté lifnre ree su posiile tmbunieat gi ximpliir ueroae. Sarena cols Seamblar comentarilor el erlstalr terse lait va ‘inane fn ontinaare in more mien’ pe seana centeler care wa felaborat co ONS pont create sos cafe Adve or unt date mn jos eperanja ct vor continua of lcreze a Sunt trea clenot OMS «material suit ied ute npn Imeontinsare, ja. cum, at de gener ue pn acum "Numoroae publica aut naptere pe ass rapoartalar de esate te eller legate de 16D.10, © ltd srpletd a ecttor bli reprint ale arsclelr pote bina a Seta de ‘Skodtate Mental, OMS, 1211 Geneva 25, Beta Centrale coordonative ale ela- Hcl Dieta tr De. A Bertaae, nette of Papchiatre Damegraphy, Pyehisec Hospital, Univesity of Aas, Rsk, Denark Dr D. Catan, Department of aye, State Uiversty of Canina, Sampins, Bea Dr. 8. Chamnabasevanna, National Inatiate of Mostal Heath and Neuroscinow,Bongslore Inia de H. Ding, Pechintrie Cie of th Medial Shia, Lack, 0 are Dr. Gelder, Department of Pancha, Oxlrd Uiveralty Hoel, Wernaord Hempel, Hea, Eagan. Ds. D. Kamal, Unversity of Neple, Fist Fay of Matson and ‘Sergey, Institute Matic! Pascal nd Paha, Nap, nly Dr. Ja. Lapeer Je, Lipeetbor Cin, Pete de Hiro, Madi, Spain Dr. G. Mltop, The Wellington Cine Seba, Walington Hospital Welingtn, New Zealand Ds. ¥. Naan, Department of Neuropsychiatry, Nagata Usversity, ‘Schoo of Medicine, Negasa, pan De. A. Okabe, Deparment of Prychiatry, Aln Shams University, (air, Hest. Dr. 6, Pll, Department of Neuropsychiatry, Centre bogpitalior de Lixenbourg, Lsentoar Dr. D, Regier, Dirctor, Division of Clinical Reese, Nation! Instat of Meta Health, Rell, MD, USA Dr. §, Tin, All Uion Research Contr f Mets Hest, Iativate of Paychintry, Academy of Medel Secu, Nosciw, Russian Federation: Dr. Xa Tao'Yuen, Department of Pychiatry, Shanghai Payeistee Hospital, Shanghai, Chi, [x Draco a cntoor de Flea De. J, Cooper, Department of Prehintry, Ques Meza Contre, [Nottingham Bogand. Dr. R Takahashi, Departament of Pcie, Tokyo Modiel end Dental University. Tak, Jepan, n LASRCAPEACD 0 UBLRAIRCR MENIAE I COMPORTAME rN. Wig, Regional Advise fr Mental Health, World Health Orgae ination, Hagel Office forthe Eastern Mediterancan, lexan, Bont Dr, Yang Deen, Hunan Medical Calg, Changsha, Hunan, China Introducere apittl V a ICD10, Tlburet mentale i comportamentale, ete tieponii in ma male versa dere dapate dale cpu. ‘Aout versine, Decisis Indep dag, ete de ‘Sota tanh in pretien gnarl pace ci In S609 ‘dena. Cron de diagnostic pra crear este Gstia sr ‘orl de sector tree flat impresnd ea seems care ‘Gloearal malt mal star pretaut pnt Capital VE in ICDeal 10 ropes eee dentnatmfaas de tee coiatr au d tre [rit soci, area pct de feria petra compat late eu ate store de clasfare. nu se rcomandh a files de thie pein dn doce nag morale, Sat acus Sp pe ‘ire ernst a ample dst nero dn dome ‘bl natin rejenun debs gd nomen etn os 9 athe ‘alsa Dexter line gf Indeptare dagrostn coat uncal de priv i dolar deter vers, Tea tat Pos pnts eta potlemel deincompatitate dine de ete important en ultra teak sont intrdcere generals {ide auenenes ah cleat tent sntaducere agonal ot textle ‘rleatve de a ncpatal ifeeor nto nddane Ast era ‘eta orrem de important in special penta scorn FZ3, Tuburii frtce sete raptor) Din enuna dealer indelungate 9 Einecunseste accte eu denrerea canoes acstar tbr tu ont tte proce speciale in explenren modal im care ‘ordst nerea, entra fecaretulburae ft previsutdo desire a pensgalelor ftuetur lice ap a corer ste (ncundar) ino Ante dar al pain specie, Pentru majors calor a fst previcute Indrptare agnosie cae nde nul 9 mparants ‘implomelrncerare de oi otra abiren unui dnote dar Inert st concept linc gre un ana nl Alexbiate n hare dao npc ci, tn spc ana sls sae tebe bite agers pra nine de den ‘nro noun sempre ora, emma ‘Sour coda deer lit give gael penta un sep ‘pectic de br mate do osc saplimentare pss Ras ‘Sarre pra Diagnostic ctesansdert nd crt std snd intranet car ‘rei de ingosti prevzute ty ndreptaral dag, Dac crite ‘ile unt doar patil tran ot recomanda totum iestates ‘na diagnos. nat ee eagetiinal sau cre atanesh ‘strle de diagnste rein a decd eof Irepisttan naa tia ciate de nerds (cum af Gagnetcaleprevanal? daes ‘swteapeh steangerea mat multor informa, na temtatinay 36 Sngtoetie doch ponbtatenstrngiri mi ltr infra ate ‘shia Critere privind dara simple au en top doce fer ‘area user Indroptare genorale gu coat caine sete el rebule sgl bese jets eins pont decide et de vrs ete un anu dagen al near drat simpealot stern mare al mic de cea prov n tnepae paren gon neo ia ttm Iesarac ele pot serv ea um aidemensire al erin pac nie cae pot gists te fora compli ajar tense piste: Yor eat lt pa re de tare, Anette ma esto near fasrn terior dignoetce pens ‘rectare ctr pre i dn ma slave. cst etre Indeptre na petit impli erties, ee peti euprinds informa omglate newprn ect tale a ‘snap privndtlburrie respi Ble sunt. par ipl, tn “de simptome gi comentri apr ero un nae lang de onal ni din ent malo fr au eat deacon ea ropreinobed reson 1 ene dine ee tris oder tlre Piincpalete aforente ante contol V ) a 1CD-10 sleoptellV aCe Pinel generle cl 60-10 {0D.10 ete mult ma eprnator dct ICD In ICD eu it fo she coda merc (00-99), n timp ee in I-40 aa ft adaptate ‘Sidi elfnsmere, tant pe oda formate dint snr ert mati de do numere I nivel de core de 9 carectre'AD0Z90 [owe fcra larg semniicat mara ager de liar, © Alien aman se face pin oub-dizrea lative ul al ‘Hig eau al on caractar Capt din TCD. cae se velo Ia {albus mentale are ams 30 de etagort en rt cralre (200. 1519}; Coit V (Fl ICD-10 ae 10 do satel d ego 0 parte {ntredccres nor echinbar to eel desir ai fovea se revised intro ler, YoD-10 ca un irrog ec detinat of oeasfieae oneal wane amit de ttburan si probleme nate de inate, Une tuarar in aoa fal de units driva din olotren elu al ea ‘au al Gln ceacar pentru specifica mal multor dali. Potro ‘at, etegorle nu ot sondennte per perme ormare noe ‘ropa larg rasepible dos ‘lots impreand, de empl fa jena de bats aa tn pracea redial general. Hato prec fare mullanilés Capt V F) al ICD-10 go versune deta prc cence palate penta cop ice Fa ‘Enpmoria include de smenenclaiche care snp inrmtile tema sunt coninte tp ICD, dr care aa ampli medina sau Je Stata important, de ex caiara defor, incapactstioe sav handicap lasgceren prcrior in medising, = cancaree ‘sie interscunledinte pace lies da Newoz0 sl pshoze Divelune tradional date neve pte car ra evident fn 1CD.# (en toate ch mod dltorat nu em fest ne ineear et fxplica azete eoncpte) aa apere in HCDA0 Tog sermon 6 -norotie” fot fl owsonl gl aare, ex. nth na mare trip de tlburiet Fa0.80, Tlbarist noe, legate de trae omatafrme’. Majrittee llburtrior considerate tendon co ‘nevrtee pot Ht reisite tn Seciupen F.5. Concept de aevoed “depres for retiut tm CD10, Tlburre mu sunt eats In funcie de dibotomin setronh pio pe baz unc teme co ‘tune a @unee craters deserve comune coe ce feat ‘lgeon cose casi Do exemple, cotimia (F340) ete opin i prop F039, Tulburit ale Spent! fective), ma rind decat tm grupo FOU-POO

You might also like