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:
CreatorsEmailORCIDORCID Put Code
Moeller, Hans-JuergenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bandelow, BorwinUNSPECIFIEDorcid.org/0000-0003-2511-3768UNSPECIFIED
Bauer, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hampel, HaraldUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herpertz, Sabine C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Soyka, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Barnikol, Utako B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lista, SimoneUNSPECIFIEDorcid.org/0000-0001-6804-7858UNSPECIFIED
Severus, EmanuelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maier, WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
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:
KeywordsLanguage
MOOD DYSREGULATION DISORDER; BIPOLAR DISORDER; ANXIETY DISORDER; UNITED-STATES; FIELD TRIALS; PSYCHIATRIC CLASSIFICATION; SUBTHRESHOLD BIPOLARITY; PERSONALITY-DISORDERS; MAJOR DEPRESSION; DIAGNOSISMultiple languages
Clinical Neurology; PsychiatryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/41347

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