Dimensionality and stages of severity of DSM-5 criteria in an international sample of alcohol-consuming individuals

2014 ◽  
Vol 44 (15) ◽  
pp. 3303-3314 ◽  
Author(s):  
U. W. Preuss ◽  
S. Watzke ◽  
F. M. Wurst

Introduction.The DSM-5 alcohol use disorder (AUD) criteria proposal contains 11 criteria that include most of the DSM-IV abuse and dependence criteria plus craving. The aims of the current study in a large and international alcohol-consuming sample were to confirm the dimensionality of the DSM-5 AUD criteria and to differentiate grades of severity of DSM-5 AUD in subjects who pass the proposed DSM-5 diagnostic threshold of two criteria.Method.We used the World Health Organization (WHO)/International Society on Biomedical Research on Alcoholism (ISBRA) Study on State and Trait Markers of Alcohol Use and Dependence dataset. Subjects included in the analyses were aged ⩾18 years and were recruited in five countries: Australia, Brazil, Canada, Finland and Japan. Assessment of AUD and additional characteristics was conducted using an adapted version of the Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS). Dimensionality of the DSM-5 criteria was evaluated using factor analysis and item response theory (IRT) models. The IRT results led to the classification of AUD patients into three severity groups. External validators were used to differentiate statistically across subgroups.Results.A total of 1424 currently drinking individuals were included in the analyses. Factor and IRT analyses confirmed the dimensional structure of DSM-5 AUD criteria. More than 99% of the subjects could be allocated to one of the suggested severity subgroups. The magnitude of the external validators differed significantly across the severity groups.Conclusions.The results confirm the dimensional structure of the proposed DSM-5 AUD criteria. The suggested stages of severity (mild, moderate and severe) may be useful to clinicians by grouping individuals not only in the mild but also in the moderate to severe spectrum of DSM-5 AUD.

CNS Spectrums ◽  
2016 ◽  
Vol 21 (4) ◽  
pp. 349-354 ◽  
Author(s):  
Falko Biedermann ◽  
W. Wolfgang Fleischhacker

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) was published by the American Psychiatric Association (APA) in 2013, and the Work Group on the Classification of Psychotic disorders (WGPD), installed by the World Health Organization (WHO), is expected to publish the new chapter about schizophrenia and other primary psychotic disorders in 2017. We reviewed the available literature to summarize the major changes, innovations, and developments of both manuals. If available and possible, we outline the theoretical background behind these changes. Due to the fact that the development of ICD-11 has not yet been completed, the details about ICD-11 are still proposals under ongoing revision. In this ongoing process, they may be revised and therefore have to be seen as proposals. DSM-5 has eliminated schizophrenia subtypes and replaced them with a dimensional approach based on symptom assessments. ICD-11 will most likely go in a similar direction, as both manuals are planned to be more harmonized, although some differences will remain in details and the conceptual orientation. Next to these modifications, ICD-11 will provide a transsectional diagnostic criterion for schizoaffective disorders and a reorganization of acute and transient psychotic and delusional disorders. In this manuscript, we will compare the 2 classification systems.


Addiction ◽  
2015 ◽  
Vol 110 (3) ◽  
pp. 429-440 ◽  
Author(s):  
Meichun Mohler-Kuo ◽  
Simon Foster ◽  
Gerhard Gmel ◽  
Michelle Dey ◽  
Petra Dermota

CNS Spectrums ◽  
2016 ◽  
Vol 21 (4) ◽  
pp. 324-333 ◽  
Author(s):  
Anna Marras ◽  
Naomi Fineberg ◽  
Stefano Pallanti

Obsessive-compulsive disorder (OCD) has been recognized as mainly characterized by compulsivity rather than anxiety and, therefore, was removed from the anxiety disorders chapter and given its own in both the American Psychiatric Association (APA)Diagnostic and Statistical Manual of Mental Disorders(DSM-5) and the Beta Draft Version of the 11th revision of the World Health Organization (WHO)International Classification of Diseases(ICD-11). This revised clustering is based on increasing evidence of common affected neurocircuits between disorders, differently from previous classification systems based on interrater agreement. In this article, we focus on the classification of obsessive-compulsive and related disorders (OCRDs), examining the differences in approach adopted by these 2 nosological systems, with particular attention to the proposed changes in the forthcoming ICD-11. At this stage, notable differences in the ICD classification are emerging from the previous revision, apparently converging toward a reformulation of OCRDs that is closer to the DSM-5.


2001 ◽  
Vol 7 (2) ◽  
pp. 125-132 ◽  
Author(s):  
David Veale

The DSM–IV classification of body dysmorphic disorder (BDD) refers to an individual's preoccupation with an ‘imagined’ defect in his or her appearance or markedly excessive concern with a slight physical anomaly (American Psychiatric Association, 1994). An Italian psychiatrist, Morselli, first used the term ‘dysmorphophobia’ in 1886, although it is now falling into disuse, probably because ICD–10 (World Health Organization, 1992) has discarded it, subsuming the condition under hypochondriacal disorder.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
N. Sartorius

The International classification of diseases - which includes a chapter dealing with mental disorders - will be revised and its 11th Revision will be published in 2014.A special unit within the World Health Organization coordinates the process of revision and the numerous tasks that have to be undertaken to ensure full participation of the WHO member states in the process of revision as well as the consideration of evidence on which the classification is to be based.The Department of Mental Health and Substance Abuse Control of the WHO has created a special advisory group that should help it in considering the evidence and proposals made by scientists, governments, organizations and interested individuals and in producing the draft of the classification of mental disorders for inclusion into the 11th Revision of the ICD: This group has, in turn, developed several structures that will deal with the tasks that will arise in the revision process. At the same time the American Psychiatric Association has created a DSM 5 Task Force that should develop proposals for the 5th Revision of the Diagnostic and Statistical Manual that will be published in 2012.The lecture will describe the processes and structures that have been put in place by the two organizations and refer to the issues that have arisen or are likely to arise in the course of work that should lead to the proposals for the ICD 11 and the DSM 5.


Author(s):  
Robert Modrzyński

Kolejna rewizja podręcznika DSM (ang. Diagnostics and Statistical Manual of Mental Disorders – DSM-5) pojawiła się w 2013 roku i wprowadziła daleko idące zmiany w rozumieniu zaburzeń stosowania substancji psychoaktywnych. Najważniejszy przełom dotyczy rozumienia używania alkoholu. Odejście od dychotomicznego, zero-jedynkowego rozumieniauzależnienia od alkoholu i nadużywania pozwoliło na stworzenie nowej kategorii diagnostycznej zaburzeń używania alkoholu (alcohol use disorder – AUD). W artykule poruszono zagadnienie zmian w kryteriach diagnostycznych dotyczących zaburzenia używania alkoholu w świetle najnowszej klasyfikacji DSM-5. Zaprezentowano umiejscowieniekategorii zaburzeń używania alkoholu, jej definicję wraz z kryteriami diagnostycznymi. Dokonano również zestawienia objawów zaburzenia używania alkoholu wg DSM-5 z odpowiadającymi im kryteriami ICD-10 (ang. International Statistical Classification of Diseases and Related Health Problems). Na zakończenie artykułu przedstawiono liczne kontrowersje wokuł nowej kategorii. Podkreślono wyzwanie dla przyszłych badań, jakim jest planowanie leczenia w zależności od stopnia cieżkości zaburzenia używania alkoholu.


2016 ◽  
Vol 26 (1) ◽  
pp. 53-56 ◽  
Author(s):  
Francesco Bartoli ◽  
Giuseppe Carrà ◽  
Enrico Biagi ◽  
Cristina Crocamo ◽  
Antonios Dakanalis ◽  
...  

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