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 1: general aspects and paradigmatic discussion of depressive disorders. Eur. Arch. Psych. Clin. Neurosci., 265 (1). S. 5 - 19. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-8491

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Abstract

DSM-5 was published in 2013 after about 10 years of preparation. Part 1 of this paper discusses several more general aspects of DSM-5 and offers a detailed, paradigmatic analysis of changes made to the chapter on depressive disorders. The background for the changes is analysed on the basis of a PubMed search and review papers on the classification of mental disorders in general and on empirical knowledge about individual disorders. Contrary to the original plans, DSM-5 has not introduced a primarily dimensional diagnostic system but has widely preserved the categorical system of disorders. Also, it has not adopted a more neurobiological approach to disorders by including biological markers to increase the objectivity of psychiatric diagnoses but has maintained the primarily symptom-based, descriptive approach. The criteria for some disorders have been changed, including affective, schizophrenic and addiction disorders, and a few new disorders have been added. A minimal version of the dimensional approach was realised through the introduction of several transnosological specifiers and the option to make symptom- or syndrome-related severity and dimensional assessments. These specifiers and assessments might allow a more individualised description of a patient's psychopathological state and more personalised treatment. However, most of the symptom- and syndrome-related assessments are not mandatory and therefore may not be used 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:38-413473
DOI:	10.1007/s00406-014-0520-x
Journal or Publication Title:	Eur. Arch. Psych. Clin. Neurosci.
Volume:	265
Number:	1
Page Range:	S. 5 - 19
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 MOOD DYSREGULATION DISORDER; BIPOLAR DISORDER; ANXIETY DISORDER; UNITED-STATES; FIELD TRIALS; PSYCHIATRIC CLASSIFICATION; SUBTHRESHOLD BIPOLARITY; PERSONALITY-DISORDERS; MAJOR DEPRESSION; DIAGNOSIS Multiple languages Clinical Neurology; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41347