This study was conducted to find out the problems of confusion in psychiatric diagnostic systems and mixed usages of diagnostic terms due to rapid changes of psychiatric diagnostic systems and their simultaneous uses. We analyzed and reviewed 837 articles of the Journal of the Korean Neuropsychiatric Association in the 1980s. And the results were as follows: 1) The 61 % of total atricles used diagnostic systems and they showed a trend of changing from DSM-II to DSM-III and to DSM-III-R, whereas ICD-9 and ICD-9-CM diagnostic systems have been used persistently. 2) Among 215 articles using more than 3 diagnostic terms, there were some inconsistencies between diagnostic terms and applied diagnostic systems. The articles using ICD-9 diagnostic system showed highest inconsistency as 58% followed by DSM-Hand DSM -m (44% ) and DSM-1H-R(41%). 3) Analyzing the articles applying diagnostic terms inconsistent with the applied diagnostic systems, we found the articles applying ICD-9 or ICD-9-CM h ad used DSM-HI diagnostic terms, those applying DSM-II had used unknow n diagnostic terms and those applying DSMHI or DSM -III-R h ad used DSM-H diagnostic terms largely. On preparing articles we should have the precise understanding and appropriate application about rapidly developing diagnostic systems.
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