Universität zu Köln

Moeller, Hans-Juergen, Bandelow, Borwin ORCID: 0000-0003-2511-3768, Bauer, Michael, Hampel, Harald, Herpertz, Sabine C., Soyka, Michael, Barnikol, Utako B., Lista, Simone ORCID: 0000-0001-6804-7858, Severus, Emanuel and Maier, Wolfgang (2015). DSM-5 reviewed from different angles: goal attainment, rationality, use of evidence, consequences-part 2: bipolar disorders, schizophrenia spectrum disorders, anxiety disorders, obsessive-compulsive disorders, trauma- and stressor-related disorders, personality disorders, substance-related and addictive disorders, neurocognitive disorders. Eur. Arch. Psych. Clin. Neurosci., 265 (2). S. 87 - 107. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-8491

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Abstract

Part 1 of this paper discussed several more general aspects of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and offered a detailed, paradigmatic analysis of changes made to the chapter on depressive disorders. This second part focusses on several other disorders, including bipolar and schizophrenia spectrum disorders. The respective changes and their possible consequences are discussed under consideration of traditional psychiatric classification, particularly from the perspective of European traditions and on the basis of a PubMed search and review papers. The general conclusion is that even seemingly small changes such as the introduction of the mixed feature specifier can have far-reaching consequences. Contrary to the original plans, DSM-5 has not radically changed to become a primarily dimensional diagnostic system but has preserved the categorical system for most disorders. The ambivalence of the respective decision-making becomes apparent from the last minute decision to change the classification of personality disorders from dimensional back to categorical. The advantages and disadvantages of the different approaches are discussed in this context. In DSM-5, only the chapter on addictive disorders has a somewhat dimensional structure. Also in contrast to the original intentions, DSM-5 has not used a more neurobiological approach to disorders by including biological markers to increase the objectivity of psychiatric diagnoses. Even in the most advanced field in terms of biomarkers, the neurocognitive disorders, the primarily symptom-based, descriptive approach has been preserved and the well-known amyloid-related and other biomarkers are not included. This is because, even after so many years of biomarker research, the results are still not considered to be robust enough to use in clinical practice.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Moeller, Hans-Juergen UNSPECIFIED UNSPECIFIED UNSPECIFIED Bandelow, Borwin UNSPECIFIED orcid.org/0000-0003-2511-3768 UNSPECIFIED Bauer, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Hampel, Harald UNSPECIFIED UNSPECIFIED UNSPECIFIED Herpertz, Sabine C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Soyka, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Barnikol, Utako B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lista, Simone UNSPECIFIED orcid.org/0000-0001-6804-7858 UNSPECIFIED Severus, Emanuel UNSPECIFIED UNSPECIFIED UNSPECIFIED Maier, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-406257
DOI:	10.1007/s00406-014-0521-9
Journal or Publication Title:	Eur. Arch. Psych. Clin. Neurosci.
Volume:	265
Number:	2
Page Range:	S. 87 - 107
Date:	2015
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-8491
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ALZHEIMERS ASSOCIATION WORKGROUPS; RESEARCH DIAGNOSTIC-CRITERIA; MILD COGNITIVE IMPAIRMENT; SKIN PICKING DISORDER; ALCOHOL-USE DISORDER; 15-YEAR FOLLOW-UP; SCHIZOAFFECTIVE DISORDER; NATIONAL INSTITUTE; AUDITORY HALLUCINATIONS; PSYCHIATRIC-DISORDERS Multiple languages Clinical Neurology; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/40625