Mental health in mainland China
Dinesh Bhugra, Samson Tse, Roger Ng, Nori Takei in Routledge Handbook of Psychiatry in Asia, 2015
Under the leadership of the Ministry of Health, the seven-region epidemiological survey of mental disorders was completed in 1993 in seven of the same 12 regions examined in 1982. Like the 1982 survey, this survey was supported by the WHO. The study methods and procedures were similar, but several new instruments were added, including the Negative Symptom Assessment Scale, the Wechsler Intelligence Scale for Children (WISC), the Adult Intelligence Disability Assessment Instrument, the Chinese Classification of Mental Disorders-Second Version (CCMD-2), ICD-10 and the instruments as well as tables used in the International Collaboration Research for Schizophrenia. As in the 1982 survey, each participating center studied 500 rural and 500 urban households. The final total sample was therefore 7,000 households, with 23,333 persons.
The mind-body connection: patients with somatic complaints with no organic cause
Julie M Schirmer MSW, Alain J Montegut MD, Stephen J Spann MD, Gabriel Ivbijaro MD, Alfred Loh MD in Behavioral Medicine in Primary Care, 2017
The second scenario takes place in China and is typical of shenjing shuairou or neurasthenia, commonly seen in Asian countries, where physical diagnoses are much more acceptable than psychological causes of functional impairment.4 It is described as a decrease in vital energy (qi). The Chinese Classification of Mental Disorders (CCMD-2) states that three of the following five symptoms are required: weakness, emotional disturbance, excitement, tension-induced pain, and sleep disturbance.5 This disorder overlaps with the Western medical diagnoses of somatization disorder, depression, anxiety, and chronic fatigue syndrome.
Topiramate mitigates weight gain in antipsychotic-treated patients with schizophrenia: meta-analysis of randomised controlled trials
Published in International Journal of Psychiatry in Clinical Practice, 2019
Kah Kheng Goh, Chun-Hsin Chen, Mong-Liang Lu
We included randomised controlled trials, both double-blinded and open label designs, with controlled comparison group of topiramate intervention (combination, augmentation or add-on) in patients with schizophrenia spectrum and other psychotic disorders (schizophrenia, schizoaffective disorder, brief psychotic disorder, schizophreniform disorder and delusional disorder) treated with SGAs with measurement of body weight or BMI as primary or secondary outcomes. Intervention groups were those treated with topiramate at fixed-dose or variable-dose. Comparison groups were those treated with placebo or those with no treatment. The context of the studies was not restricted to outpatients or inpatients as long as outcomes measurement were able to be completed. SGAs included amisulpride, aripiprazole, asenapine, clozapine, iloperidone, olanzapine, paliperidone, quetiapine, risperidone and ziprasidone. Schizophrenia spectrum and other psychotic disorders are defined and diagnosed through any recognised diagnostic criteria such as the Diagnostic and Statistical Manual of Mental Disorders (DSM), the International Statistical Classification of Diseases and Related Health Problem (ICD) and the Chinese Classification of Mental Disorders (CCMD) (Chen, 2002) were verified.
Childhood Adversities in Narcissistic Personality Disorder in China
Published in Psychiatry, 2021
Ying Qiao, JunJie Wang, Li Hui, JiJun Wang, LinLin Zhou, Yi Qiao, TianHong Zhang
The controversy surrounding the diagnostic classification of personality disorder (PD) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5; American Psychiatric Association, 2013), has garnered little attention and debate in the Chinese psychiatric field. Few articles published in the Chinese literature have addressed the DSM-5 PD classification, especially for narcissistic personality disorder (NPD), which generally has been overlooked in Chinese clinical practice. NPD is characterized by distinct personality features of exaggerating (in fantasy or behavior), requiring praise, and lacking empathy (Caligor et al., 2015). In the Chinese Classification of Mental Disorders, Third Edition (CCMD-3), published in 2001, NPD was classified as a category of other or unspecified personality disorders. Therefore, the current situation of NPD diagnosis in China results in this category being completely overlooked under the current diagnostic system.
Comparing English-Language and Chinese-Language Assessment of DSM-5 Personality Disorders and Interpersonal Problems in Chinese Bilingual Speakers
Published in Journal of Personality Assessment, 2022
Leila Z. Wu, A. Esin Asan, Alexandra L. Halberstadt, Aaron L. Pincus
In China, clinical diagnostic practice is guided by a Chinese nosology while clinical research typically employs translated measures (self-reports, semi-structured interviews) of the Diagnostic and Statistical Manual of Mental Disorders—5th Edition (DSM-5; American Psychiatric Association, 2013) personality disorders (e.g. Huang et al., 2012, 2014; Jiang et al., 2019; Ma et al., 2010; Wang et al., 2019, 2012). The current Chinese Classification of Mental Disorders (CCMD-3; Chinese Society of Psychiatry, 2001) reflects an integration of international classification schemes and Chinese cultural-bound phenomena (e.g. Qigong-induced mental disorders; Lee, 1996; 2001). The CCMD-3 classifies personality disorders into paranoid, schizoid, dissocial, impulsive, histrionic, anankastic, anxious, dependent, and unspecified subtypes (Zhang et al., 2012). The definitions of these disorders are based on the clinical descriptions of disorders in the International Classification of Disorders (ICD; World Health Organization, 2020) and DSM (Chen, 2002). Some CCMD-3 personality disorders use different labels for similar diagnoses found in the DSM-5 (Lai et al., 2012), such as impulsive (CCMD-3) and borderline (DSM-5), dissocial (CCMD-3) and antisocial (DSM-5), anankastic (CCMD-3) and obsessive–compulsive (DSM-5), and anxious (CCMD-3) and avoidant (DSM-5) personality disorders. Paranoid, schizoid, histrionic, and dependent personality disorders have largely overlapping descriptions in both diagnostic systems. Schizotypal and narcissistic personality disorders appear in DSM-5 but do not have counterparts in the CCMD-3.
Related Knowledge Centers
- Diagnostic & Statistical Manual of Mental Disorders
- Fatigue
- Major Depressive Disorder
- Schizophrenia
- Borderline Personality Disorder
- Neurasthenia
- Medical Guideline
- Mental Disorder
- Diagnostic & Statistical Manual of Mental Disorders
- Somatic
- Nervous System Disease