DSM-IV-TR: Diagnostic and Statistical Manual of Mental Disorders

Author(s):  
Ruth Chu-Lien Chao ◽  
Jessica Manita
CNS Spectrums ◽  
2000 ◽  
Vol 5 (9) ◽  
pp. 29-43 ◽  
Author(s):  
Stefano Pallanti ◽  
Leonardo Quercioli ◽  
Adolfo Pazzagli

AbstractThe concept of anxiety as a distinct comorbid disorder in schizophrenia has recently been rediscovered after having been neglected for a long period of time due to both theoretical and clinical approaches adopted from the appearance of the first edition of the Diagnostic and Statistical Manual of Mental Disorders in 1950. This rediscovery was accentuated by the fact that the concept of comorbidity in various psychiatric disorders has recently won widespread favor within the scientific community, and that the use of atypical neuroleptic medication to treat patients with schizophrenia has been reported to lead to the emergence of anxiety symptoms. Of the atypical neuroleptic medications used to treat schizophrenia, clozapine has most frequently been reported to induce anxiety symptoms. In this paper, 12 cases of patients with paranoid schizophrenia who developed social phobia during clozapine treatment are reported, and their response to fluoxetine augmentation is assessed. Premorbid personality disorders were also investigated; patients were assessed using the Structured Clinical Interview for DSM-III-R—Patient Version and the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (DSM-III-R=Diagnostic and Statistical Manual of Mental Disorders, Third Edition Revised; DSM-IV=Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition). In addition, the Scale for the Assessment of Negative Symptoms, the Scale for the Assessment of Positive Symptoms, the Liebowitz Social Anxiety Scale (LSAS), the Frankfurt Beschwerde Fragebogen (Frankfurt Questionnaire of Complaints), and the Brief Psychiatric Rating Scale were used to rate clinical symptomatology. All patients were reevaluated after 12 weeks of cotreatment with clozapine and fluoxetine. In 8 (66.6%) of the 12 cases, symptoms responded (≥35% LSAS score reduction) to an adjunctive regimen of fluoxetine. Furthermore, in 7 (58.3%) of the 12 cases, an anxious personality disorder (avoidant=33.3%; dependent=25%) was identified, but no significant differences in the prevalence of comorbid personality disorders emerged in comparison with a group of 16 patients with paranoid schizophrenia treated with clozapine who did not show symptoms of social phobia. The clinical relevance of the assessment and treatment of anxiety disorders is discussed in light of a clinical therapeutic approach that overcomes the implicit hierarchy of classification. Considering that the onset of anxiety-spectrum disorders (such as social phobia) can occur during the remission of psychotic symptoms in clozapine-treated patients with schizophrenia, a comprehensive approach to pharmacological therapy for patients with schizophrenia (or, at least for those treated with clozapine) should be adopted.


2014 ◽  
Vol 22 (1) ◽  
pp. 83-91 ◽  
Author(s):  
Margaret H. Sibley ◽  
Carlos E. Yeguez

Objective: Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) A-criteria for ADHD were expanded to include new descriptors referencing adolescent and adult symptom manifestations. This study examines the effect of these changes on symptom endorsement in a sample of adolescents with ADHD (N = 259; age range = 10.72-16.70). Method: Parent ratings were collected and Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR) and DSM-5 endorsement of ADHD symptoms were compared. Results: Under the DSM-5, there were significant increases in reported inattention, but not hyperactivity/impulsivity (H/I) symptoms, with specific elevations for certain symptoms. The average adolescent met criteria for less than one additional symptom under the DSM-5, but the correlation between ADHD symptoms and impairment was attenuated when using the DSM-5 items. Impulsivity items appeared to represent adolescent deficits better than hyperactivity items. Results were not moderated by demographic factors. Conclusion: In a sample of adolescents with well-diagnosed DSM-IV-TR ADHD, developmental symptom descriptors led parents to endorse slightly more symptoms of inattention, but this elevation is unlikely to be clinically meaningful.


2021 ◽  
Vol 1 (5) ◽  
pp. 673-682
Author(s):  
Rofiad Darojad Diyaningsih ◽  
Yuni Pratiwi

Abstract: This study aims to describe the forms of abnormal behavior, causes, and treatment of abnormal behavior in the anthology of Bingung short stories. This is qualitative research using a literary psychology approach with the object of the study being the anthology of Bingung short stories written by the student of UIN Maulana Malik Ibrahim Malang. There are 22 short stories in the anthology, 17 of which meet the criteria. The criteria for analysis are stories presenting a character with abnormal behavior. The behaviors being observed are those in accordance with the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) classification published by the APA (American Psychiatric Association). The results of this study indicate, first, that there are four types of abnormal behavior in the anthology, namely (1) anxiety disorders, (2) schizophrenia disorders, (3) dissociative disorders, and (4) abnormal behavior in childhood and adolescence. Second, the causes and treatment of abnormal behavior include (1) causes and treatment of anxiety disorders, (2) causes and treatment of schizophrenia, (3) causes and treatment of abnormal behavior in childhood and adolescence. Keywords: abnormal behavior; characters; the anthology of Bingung short stories Abstrak: Penelitian ini bertujuan untuk mendeskripsikan bentuk-bentuk perilaku abnormal, penyebab, dan penanganan perilaku abnormal dalam antologi cerpen Bingung. Penelitian ini menggunakan jenis penelitian kualitatif, sedangkan pendekatan yang digunakan adalah pendekatan psikologi sastra dengan objek kajian antologi cerpen Bingung karya mahasiswa UIN Maulana Malik Ibrahim Malang. Terdapat 22 cerpen dalam antologi cerpen Bingung, 17 diantaranya merupakan cerpen yang memenuhi kriteria untuk diteliti. Kriteria cerpen yang diteliti adalah cerpen yang di dalamnya menceritakan seorang tokoh berperilaku abnormal dengan bentuk-bentuk perilaku abnormal yang sesuai dengan pedoman penggolongan perilaku abnormal DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) yang diterbitkan oleh APA (American Psychiatric Association). Hasil penelitian ini menunjukkan, pertama, adanya empat tipe perilaku abnormal dalam antologi cerpen Bingung, yaitu (1) gangguan kecemasan, (2) gangguan skizofrenia, (3) gangguan disosiatif, (4) perilaku abnormal pada masa kanak-kanak dan remaja. Kedua, Penyebab dan penanganan perilaku abnormal meliputi (1) penyebab dan penanganan gangguan kecemasan, (2) penyebab dan penanganan pada gangguan skizofrenia, (3) penyebab dan penanganan pada perilaku abnormal pada masa kanak-kanak dan remaja. Kata kunci: perilaku abnormal; tokoh; antologi cerpen bingung


2011 ◽  
Vol 63 (3) ◽  
pp. 199-220 ◽  
Author(s):  
David E. Balk ◽  
Illene Noppe Cupit ◽  
Irwin Sandler ◽  
James Werth

The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) is being revised. A proposed revision hotly debated is to remove what is known as the exclusionary criterion and allow clinicians to diagnose a person with a major depressive episode within the early days and weeks following a death. The Executive Committee of the Association for Death Education and Counseling (ADEC) commissioned its Scientific Advisory Committee (SAC) to examine the debate over removing the exclusionary criterion and provide a written report. The DSM-IV-TR classifies bereavement as a clinical condition that is not a mental disorder. The exclusionary criterion states that within the first 2 months of the onset of bereavement a person should not be diagnosed as having major depression unless certain symptoms not characteristic of a normal grief reaction are present. We note these symptoms when discussing the exclusionary criterion, examine reasons (including research conclusions and clinical concerns) given for retaining and for eliminating the exclusionary criterion, offer extensive comments from experienced licensed clinicians about the issues involved, discuss diagnostic and treatment implications, and offer specific recommendations for ADEC to implement.


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