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Research planning for the future of psychiatric diagnosis

Published online by Cambridge University Press:  15 April 2020

D.A. Regier ,
E.A. Kuhl ,
W.E. Narrow  and
D.J. Kupfer
D.A. Regier*
Affiliation:
American Psychiatric Institute for Research and Education, Division of Research, American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209, United States
E.A. Kuhl
Affiliation:
American Psychiatric Institute for Research and Education, Division of Research, American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209, United States
W.E. Narrow
Affiliation:
American Psychiatric Institute for Research and Education, Division of Research, American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209, United States
D.J. Kupfer
Affiliation:
Western Psychiatric Clinical Institute and the University of Pittsburgh Medical Center, PA 3811 O’Hara Street, Pittsburgh, PA 15213-2593, United States
*
*Corresponding author. Tel.: +703 907 8630; fax: +703 907 1087. E-mail address:dregier@psych.org(D.A. Regier).
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Abstract

More than 10 years prior to the anticipated 2013 publication of DSM-5, processes were set in motion to assess the research and clinical issues that would best inform future diagnostic classification of mental disorders. These efforts intended to identify the clinical and research needs within various populations, examine the current state of the science to determine the empirical evidence for improving criteria within and across disorders, and stimulate research in areas that could potentially provide evidence for change. In the second phase of the revision process, the American Psychiatric Institute for Research and Education (APIRE) recently completed the 5-year international series of 13 diagnostic conferences convened by APA/APIRE in collaboration with the World Health Organization and the National Institutes of Health (NIH), under a cooperative grant funded by the NIH. From these conferences, the DSM-5 Task Force and Work Groups have developed plans for potential revisions for DSM-5, including the incorporation of dimensional approaches within and across diagnostic groups to clarify heterogeneity, improve diagnostic validity, and enhance clinical case conceptualization. Use of dimensions for measurement-based care has been shown to be feasible in psychiatric and primary care settings and may inform monitoring of disorder threshold, severity, and treatment outcomes. The integration of dimensions with diagnostic categories represents an exciting and potentially transformative approach for DSM-5 to simultaneously address DSM-IV's clinical short-comings and create novel pathways for research in neurobiology, genetics, and psychiatric epidemiology.

Keywords

DSM-5ICD-11Psychiatric nosologyClassification of psychiatric disorders
Type
Original articles
Information
European Psychiatry , Volume 27 , Issue 7 , October 2012 , pp. 553 - 556
Copyright
Copyright © European Psychiatric Association 2012

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