scholarly journals Vaginismus: Frequency, Definitions, Diagnostic Criteria, Formation

Health of Man ◽  
2021 ◽  
pp. 22-31
Author(s):  
Garnik Kocharyan

The article deals with the frequency of vaginismus, its definitions and criteria, which are presented in encyclopaedical sources, the International Classification of Diseases, 10th and 11th Revisions (ICD-10 and ICD-11), the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (USA) (DSM-V), as well as in publications made by some authors. It is reported that while ICD-10 presents psychogenic and biogenic variants of vaginismus separately, in ICD-11 the differentiation of sexual disorders into psychogenic and organic ones is cancelled. ICD-11 considers the brain and body as a unity, sexual dysfunctions being caused by an interaction of physical and psychological factors. In this way, a difference between the organic and inorganic is eliminated, organic and inorganic disorders being united. In ICD-11 vaginismus is reclassified into sexual pain-penetration disorder without dividing it into organic and inorganic forms and has its united code, HA20. The diagnosis “dyspareunia” in ICD-11 is preserved, but it is not divided into inorganic and organic variants. DSM-V uses the term “genito-pelvic pain/penetration disorder”. In this case it means a combined diagnosis, which unites vaginismus and dyspareunia. The decision about expediency of using such a generalized diagnosis in this classification is taken on the ground of the fact that both above sexual dysfunctions are highly comorbid and hardly differentiated from each other. Also the article lists the muscles, involved in the process of contraction in vaginismus, and discusses the possibility of existence of the phenomenon of capture of penis (penis captivus) in people. Besides, sociogenic, psychogenic and somatic factors, which can participate in the formation of the characterized pathology, are listed in detail.

2017 ◽  
Vol 38 (6) ◽  
pp. 433 ◽  
Author(s):  
Emiy Yokoyama-Rebollar ◽  
Sara Frías ◽  
Victoria Del Castillo-Ruiz

La discapacidad intelectual (DI) o retraso mental tiene una prevalencia del 2-3% en la población general y se define como una alteración del neurodesarrollo que inicia antes de los 18 años. Se caracteriza por limitación importante en el funcionamiento intelectual y en el comportamiento adaptativo en áreas como comunicación y uso de fuentes para la misma, autocuidado, relaciones sociales o interpersonales, autodirección, funciones académicas, salud y seguridad.1,2 La DI se determina por un coeficiente intelectual (CI) menor de 70 puntos mediante escalas como la International Classification of Diseases (ICD-10), Diagnostic and Statistical Manual of Mental Disorders (DSM V) y la clasificación World Health Organization (WHO).


Author(s):  
Timo D. Vloet ◽  
Marcel Romanos

Zusammenfassung. Hintergrund: Nach 12 Jahren Entwicklung wird die 11. Version der International Classification of Diseases (ICD-11) von der Weltgesundheitsorganisation (WHO) im Januar 2022 in Kraft treten. Methodik: Im Rahmen eines selektiven Übersichtsartikels werden die Veränderungen im Hinblick auf die Klassifikation von Angststörungen von der ICD-10 zur ICD-11 zusammenfassend dargestellt. Ergebnis: Die diagnostischen Kriterien der generalisierten Angststörung, Agoraphobie und spezifischen Phobien werden angepasst. Die ICD-11 wird auf Basis einer Lebenszeitachse neu organisiert, sodass die kindesaltersspezifischen Kategorien der ICD-10 aufgelöst werden. Die Trennungsangststörung und der selektive Mutismus werden damit den „regulären“ Angststörungen zugeordnet und können zukünftig auch im Erwachsenenalter diagnostiziert werden. Neu ist ebenso, dass verschiedene Symptomdimensionen der Angst ohne kategoriale Diagnose verschlüsselt werden können. Diskussion: Die Veränderungen im Bereich der Angsterkrankungen umfassen verschiedene Aspekte und sind in der Gesamtschau nicht unerheblich. Positiv zu bewerten ist die Einführung einer Lebenszeitachse und Parallelisierung mit dem Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Schlussfolgerungen: Die entwicklungsbezogene Neuorganisation in der ICD-11 wird auch eine verstärkte längsschnittliche Betrachtung von Angststörungen in der Klinik sowie Forschung zur Folge haben. Damit rückt insbesondere die Präventionsforschung weiter in den Fokus.


2010 ◽  
pp. 53-66

Vengono presentati i principali sistemi di diagnosi psichiatrica, e precisamente le ultime edizioni del Diagnostic and Statistical Manual (DSM) dell'American Psychiatric Association (il DSM-III del 1980, il DSM-III-R del 1987, il DSM-IV del 1994, il DSM-IV-TR del 2000, e il DSM-V previsto per il 2013), la 10a edizione dell'International Classification of Diseases (ICD-10) proposta nel 1992 dall'Organizzazione Mondiale della Sanitŕ (OMS), e il Manuale Diagnostico Psicodinamico (PDM) prodotto dalla comunitŕ psicoanalitica internazionale nel 2006. A proposito dei DSM, vengono discussi alcuni problemi metodologici quali le dicotomie validitŕ/attendibilitŕ, categorie/dimensioni e politetico/monotetico, e anticipati alcuni dibattiti critici a proposito del futuro DSM-V. Infine, vengono discusse le seguenti problematiche: la psicopatologia "descrittiva" e "strutturale"; la diagnosi come "difesa" del terapeuta; l'aspetto scientifico e l'aspetto filosofico della diagnosi; i tentativi di "sospensione" del giudizio e dei nostri preconcetti; la dicotomia nomotetico-idiografico.


CNS Spectrums ◽  
2016 ◽  
Vol 21 (4) ◽  
pp. 304-309 ◽  
Author(s):  
Stefano Erzegovesi ◽  
Laura Bellodi

Twenty years have passed from the International Classification of Diseases, Tenth Revision (ICD-10) to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and, in the meanwhile, a lot of research data about eating disorders has been published. This article reviews the main modifications to the classification of eating disorders reported in the “Feeding and Eating Disorders” chapter of the DSM-5, and compares them with the ICD-10 diagnostic guidelines. Particularly, we will show that DSM-5 criteria widened the diagnoses of anorexia and bulimia nervosa to less severe forms (so decreasing the frequency of Eating Disorders, Not Otherwise Specified (EDNOS) diagnoses), introduced the new category of Binge Eating Disorder, and incorporated several feeding disorders that were first diagnosed in infancy, childhood, or adolescence. On the whole, the DSM-5 revision should allow the clinician to make more reliable and timely diagnoses for eating disorders.


1994 ◽  
Vol 6 (4) ◽  
pp. 66-68
Author(s):  
M.J.A.J.M. Hoes

Gedurende de laatste jaren zijn nieuwe edities van twee grote classificatiesystemen uitgebracht. De American Psychiatric Association heeft in 1994 de vierde editie van de Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) gepubliceerd en de Wereldgezondheids-organisatie in 1991 de tiende editie van de International Classification of Diseases (ICD-10). Van de laatste is hier het vijfde hoofdstuk (V of F) over psychische stoornissen van belang.Vergeleken met de DSM-III (-R) uit 1980 (1987) is de DSM-IV qua structuur niet veranderd. Vergeleken met de DSM-III-R zijn er wel quantitatieve verschillen: 105 veranderde categorieën op as-I, 3 veranderde op as-II, 9 nieuwe voorstellen voor klinische aandacht, 13 nieuwe diagnoses, terwijl 8 classificaties verwijderd zijn en as-IV anders is gestructureerd, naar type belasting in plaats van ernst van belastende factoren.


Author(s):  
Steven R.H. Beach ◽  
Heather M. Foran ◽  
Richard E. Heyman ◽  
Amy M. Smith Slep ◽  
Anthony R. Cordaro ◽  
...  

Efforts to expand and update the description of relational processes in theDiagnostic and Statistical Manual of Mental Disorders(DSM) to enhance its clinical utility began with DSM-IV, but met with limited success. The current effort to revise the description of relational problems has focused on both the DSM-V and theInternational Classification of Diseases(ICD)-11, with an emphasis on (1) documenting a solid empirical foundation for inclusion of relational processes in these diagnostic systems and (2) creating categories and symptom sets that reflect that empirical foundation. In this chapter we describe the process that led to the current revisions, along with steps that were taken to ensure broad consensus and relevance for a range of countries and cultures. We also briefly recap several arguments for continued attention to relational processes as well as additional changes that might be considered in future revisions. Finally, we also briefly discuss the issue of whether some relational processes are better thought of as categories in addition to being dimensions. Scientific aspects of the project have been very productive. However, revision of relational problem descriptions in DSM-V was limited and final revisions to the ICD-11 are still underway.


2021 ◽  
Vol 40 (08) ◽  
pp. 598-608
Author(s):  
Ulrich W. Preuss ◽  
Eva Hoch ◽  
Wong Jessica Wei Mooi

ZUSAMMENFASSUNGDie ICD-10-Kriterien für alkohol- und substanzbezogene Abhängigkeit und schädlichen Gebrauch sind seit 1991 gültig. Ziele des Reviews sind, die Änderungen und Erweiterungen der Diagnosen zu substanzbezogenen Störungen im ICD-11 (International Classification of Diseases Version 11) am Beispiel der Alkoholkonsumstörungen zu erläutern sowie Gemeinsamkeiten und Unterschiede zum DSM-5 (Diagnostic and Statistical Manual 5), das vor allem in den USA gebräuchlich ist, darzustellen. Darüber hinaus folgt eine kritische Betrachtung des Übertrages von ICD-10- auf -11-Diagnosen sowie Limitationen und Kritik an der Konzeption des ICD-11 und hinsichtlich der Verwendbarkeit in der Praxis.


CNS Spectrums ◽  
2001 ◽  
Vol 6 (11) ◽  
pp. 890-890
Author(s):  
Michael Trimble

Rumor has it that the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) is on the way. Apart from giving the American Psychiatric Association an enormous financial boost, this should be an opportunity to improve on some of the terrible intellectual lapses of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Revised (DSM-IV-R), to bring DSM and the International Classification of Diseases (ICD) schemes closer together, and to expand on biological and other markers as diagnostic components in the classificatory process. It is hoped that more than the first of these possibilities will be realized.Since the publication of the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, (DSM-III), the DSM manuals have brought a measure of good sense to clinical practice and have improved communication among researchers, so that at least in theory schizophrenia is similar on both sides of the Atlantic, and most probably is similar on both coasts of the United States. The slavish adherence to listed criteria has developed a sense of renewed interest in phenomenology of a practical kind, and exclusion criteria mean that not all individuals who visit a psychiatrist's office can be guaranteed a diagnosis. The distinction between Axis 1 and Axis 2 categories and the removal of any psychoanalytic taints was a stunning acceptance of Jaspers pace Freud.


2014 ◽  
Vol 56 (3) ◽  
pp. 279 ◽  
Author(s):  
Aarón Salinas-Rodríguez ◽  
Betty Manrique-Espinoza ◽  
Gilberto Isaac Acosta-Castillo ◽  
Aurora Franco-Núñez ◽  
Óscar Rosas-Carrasco ◽  
...  

Objetivo. Identificar un punto de corte válido para la Escala de Depresión del Centro de Estudios Epidemiológicos (CES-D) de siete reactivos, que permita clasificar a los adultos mayores según presencia/ausencia de síntomas depresivos clínicamente significativos. Material y métodos. Estudio de tamizaje con 229 adultos mayores residentes de los estados de Morelos y Tlaxcala en México, que fueron parte de la muestra de la Encuesta Nacional de Salud y Nutrición, 2012. Se estimó la sensibilidad y especificidad asociada con el punto de corte seleccionado usando los criterios diagnósticos del ICD-10 (International Classification of Diseases, 10th revision) y del DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, fourth edition). Resultados. El punto de corte estimado fue CES-D=5. De acuerdo con el ICD-10, los valores obtenidos de sensibilidad y especificidad fueron de 83.3 y 90.2%, y un valor ROC de 87% y, según el DSM-IV, los valores fueron 85, 83.2, y 84%, respectivamente. Conclusiones. La versión abreviada del CES-D puede ser utilizada como una prueba de tamizaje para identificar casos probables de adultos mayores con síntomas depresivos clínicamente significativos.


1991 ◽  
Vol 159 (S14) ◽  
pp. 46-51 ◽  
Author(s):  
Andrew Sims

The psychiatric section, entitled ‘Mental, Behavioural and Developmental Disorders‘ of the International Classification of Diseases, is currently in the process of revision, and ‘ICD—10‘ will shortly become available. This revision will be based partly on its immediate predecessor, the 9th Revision of the International Classification of Diseases (ICD—9; World Health Organization, 1978), and also upon the American Diagnostic and Statistical Manual (DSM—III—R; American Psychiatric Association, 1987). ICD—10 describes and lists symptoms required for making each specific diagnosis and it also refers to inclusions and exclusions. The symptoms themselves, however, are not defined nor described, and an ill-informed method of evaluating symptoms or a lack of thoroughness in their ascertainment will result in mistaken diagnoses. The descriptive psychopathologist clearly has a part to play in encouraging accurate usage.


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