A Specification Method for Diagnostic Systems in Large Industrial Environments

Comparison of Alcohol Use Disorders in DSM and ICD

SUCHT - Zeitschrift für Wissenschaft und Praxis / Journal of Addiction Research and Practice ◽

10.1024/0939-5911/a000663 ◽

2020 ◽

Vol 66 (3) ◽

pp. 143-153

Author(s):

Jessica W. M. Wong ◽

Friedrich M. Wurst ◽

Ulrich W. Preuss

Keyword(s):

Alcohol Use Disorders ◽

International Classification Of Diseases ◽

Clinical Use ◽

Diagnostic Systems ◽

Statistical Manual ◽

Diagnostic And Statistical Manual ◽

Dsm 5 ◽

Classification Of Diseases ◽

Historical Developments

Abstract. Introduction: With advances in medicine, our understanding of diseases has deepened and diagnostic criteria have evolved. Currently, the most frequently used diagnostic systems are the ICD (International Classification of Diseases) and the DSM (Diagnostic and Statistical Manual of Mental Disorders) to diagnose alcohol-related disorders. Results: In this narrative review, we follow the historical developments in ICD and DSM with their corresponding milestones reflecting the scientific research and medical considerations of their time. The current diagnostic concepts of DSM-5 and ICD-11 and their development are presented. Lastly, we compare these two diagnostic systems and evaluate their practicability in clinical use.

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The Psychophysiology of Anxiety and Mood Disorders

Zeitschrift für Psychologie ◽

10.1027/2151-2604/a000302 ◽

2017 ◽

Vol 225 (3) ◽

pp. 175-188 ◽

Cited By ~ 2

Author(s):

Peter J. Lang ◽

Lisa M. McTeague ◽

Margaret M. Bradley

Keyword(s):

Mental Health ◽

Heart Rate ◽

Brain Function ◽

Physiological Reactivity ◽

Research Domain Criteria ◽

Diagnostic Systems ◽

Psychophysiological Reactivity ◽

Diagnostic Categories ◽

New Research ◽

Research Domain

Abstract. Several decades of research are reviewed, assessing patterns of psychophysiological reactivity in anxiety patients responding to a fear/threat imagery challenge. Findings show substantive differences in these measures within principal diagnostic categories, questioning the reliability and categorical specificity of current diagnostic systems. Following a new research framework (US National Institute of Mental Health [NIMH], Research Domain Criteria [RDoC]; Cuthbert & Insel, 2013 ), dimensional patterns of physiological reactivity are explored in a large sample of anxiety and mood disorder patients. Patients’ responses (e.g., startle reflex, heart rate) during fear/threat imagery varied significantly with higher questionnaire measured “negative affect,” stress history, and overall life dysfunction – bio-marking disorder groups, independent of Diagnostic and Statistical Manuals (DSM). The review concludes with a description of new research, currently underway, exploring brain function indices (structure activation, circuit connectivity) as potential biological classifiers (collectively with the reflex physiology) of anxiety and mood pathology.

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