Tourette and tic disorders in ICD-11: standing at the diagnostic crossroads

Revista Brasileira de Psiquiatria

Douglas W. Woods¹  Per H. Thomsen¹ 

关键词: Tourette disorder;    diagnosis and classification;    obsessive-compulsive disorder;    neurology;    behavioral neurology;   

DOI  :  10.1590/1516-4446-2013-1274

来源: SciELO

【 摘 要 】

This article reflects discussion by the WHO ICD-11 Working Group on the Classification of Obsessive-Compulsive and Related Disorders. After reviewing the historical classification of tic disorders, this article discusses their placement in ICD-11. Existing problems with diagnostic labels and criteria, appropriate placement of the tic disorders category within the ICD-11 system, and pragmatic factors affecting classification are reviewed. The article ends with recommendations to (a) maintain consistency with the DSM-5 diagnostic labels for tic disorders, (b) add a minimum duration guideline for a provisional tic disorder diagnosis, (c) remove the multiple motor tic guideline for the diagnosis of Tourette disorder, and (d) co-parent the tic disorder diagnoses in the disorders of the nervous system and the mental and behavioral disorders categories, with secondary co-parenting in the obsessive-compulsive and related disorders and neurodevelopmental disorders sections.

【 授权许可】

CC BY-NC   
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