《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (1): 1-5.doi: 10.3969/j.issn.1006-9771.2019.01.001

• 专题 •    下一篇

基于ICD-11和ICF的智力残疾术语、诊断和分类研究

邹敏1,2,3, 孙宏伟1,2,3, 邱卓英1,2,4,5, 王胜男1,2,3   

  1. 1. 中国ICF研究院,山东潍坊市 261053;
    2. 世界卫生组织国际分类家族中国合作中心,北京市 100068;
    3. 潍坊医学院心理学系,山东潍坊市 261053;
    4. 中国康复研究中心康复信息研究所,北京市 100068;
    5.中国康复科学所,北京市 100068
  • 收稿日期:2019-01-06 修回日期:2019-01-07 出版日期:2019-01-25 发布日期:2019-02-18
  • 通讯作者: 邱卓英。E-mail: qiutiger@hotmail.com
  • 作者简介:邹敏(1982-),女,汉族,山东威海市人,博士,副教授,主要研究方向:发展与教育心理学、康复心理学、康复咨询学。
  • 基金资助:
    1.中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(No. 2017CZ-7; No. 2018CZ-4); 2.证据科学教育部重点实验室(中国政法大学)开放基金资助课题(No. 2018KFKT07)

Terminology, Diagnosis and Classification of Intellectual Disability Using WHO ICD-11 and ICF

ZOU Min1,2,3, SUN Hong-wei1,2,3, QIU Zhuo-ying1,2,4,5, WANG Sheng-nan1,2,3   

  1. 1. China Academy of ICF, Weifang, Shandong 261053, China;
    2. WHO-FIC Collaborating Center in China, Beijing 100068, China;
    3. Psychology Department of Weifang Medical University, Weifang, Shandong 261053, China;
    4. Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068, China;
    5. China Rehabilitation Sciences Institute, Beijing 100068, China
  • Received:2019-01-06 Revised:2019-01-07 Published:2019-01-25 Online:2019-02-18
  • Contact: QIU Zhuo-ying. E-mail: qiutiger@hotmail.com
  • Supported by:
    National Special Fund Projects of Based Research of Public Benefits for Institutes at Central Governmental Level (Leading Project of Major Scientific Research) (No. 2017CZ-7; No. 2018CZ-4) and Opening Project of Key Laboratory of Evidence Science (China University of Political Science and Law, Ministry of Education) (No. 2018KFKT07)

摘要: 目的 基于ICD-11和ICF,探讨当代智力残疾的术语和命名、诊断、分类架构和评定方法。
方法 采用ICD-11与ICF理论与方法,分析当代智力残疾的命名与术语、诊断标准、分类体系以及评定方法。
结果 应用ICD-11和ICF分别从疾病与功能的角度建立智力残疾的术语、疾病和功能诊断标准以及评定方法。ICD-11从疾病分类的角度将智力残疾命名为智力发育障碍,属于精神、行为或神经发育障碍的一个亚类。ICF将智力残疾确定为智力功能障碍(b117)和适应性行为功能障碍(d1~d9)。两种分类标准均确认智力残疾的发生年龄在18岁之前。
结论 基于ICD-11与ICF建立了智力残疾的命名和术语体系、分类架构、疾病和功能诊断标准与评定方法,为构建智力残疾康复服务体系提供理论支持与标准化工具。

关键词: 智力残疾, 术语, 诊断, 分类

Abstract: Objective To review the nomenclature and terminology, diagnostic criteria, classification and evaluation of intellectual disability using WHO ICD-11 and ICF.
Methods The theories and approaches of ICD-11 and ICF were adopted to analyze the nomenclature and terminology, diagnostic criteria, classification and evaluation of intellectual disability.
Results ICD-11 and ICF had established the nomenclature and terminology, diagnostic criteria, classification and evaluation of intellectual disability from the perspectives of content model of ICD-11 and functioning of ICF respectively. Intellectual disability had used nomenclature of disorder of intellectual development and one of sub-categories of mental, behavioral or neurodevelopmental disorders. Intellectual disability was also defined as both impairment of intellectual function (b117) and functional limitation of adaptive behaviors (d1-d9) using ICF. Occurrence age of intellectual disability was before 18 years old for diagnostic criteria of ICD-11 and ICF.
Conclusion The nomenclature and terminology, diagnostic criteria and classifications of intellectual disability have been reviewed and updated using the theories and approaches of ICD-11 and ICF. It provides theoretical supports, approaches, and standardized tools for the development of rehabilitation service for people with intellectual disability.

Key words: intellectual disability, terminology, diagnosis, classification

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