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Neurodevelopmental disorders: Cluster 2 of the proposed meta-structure for DSM-V and ICD-11

Paper 3 of 7 of the thematic section: ‘A proposal for a meta-structure for DSM-V and ICD-11’

Published online by Cambridge University Press:  01 October 2009

G. Andrews ,
D. S. Pine ,
M. J. Hobbs ,
T. M. Anderson  and
M. Sunderland
G. Andrews*
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, Australia
D. S. Pine
Affiliation:
National Institute of Mental Health, Bethesda, MD, USA
M. J. Hobbs
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, Australia
T. M. Anderson
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, Australia
M. Sunderland
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, Australia
*
*Address for correspondence: Professor G. Andrews, 299 Forbes Street, Darlinghurst, NSW, Australia2010. (Email: gavina@unsw.edu.au)
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Abstract

Background

DSM-IV and ICD-10 are atheoretical and largely descriptive. Although this achieves good reliability, the validity of diagnoses can be increased by an understanding of risk factors and other clinical features. In an effort to group mental disorders on this basis, five clusters have been proposed. We now consider the second cluster, namely neurodevelopmental disorders.

Method

We reviewed the literature in relation to 11 validating criteria proposed by a DSM-V Task Force Study Group.

Results

This cluster reflects disorders of neurodevelopment rather than a ‘childhood’ disorders cluster. It comprises disorders subcategorized in DSM-IV and ICD-10 as Mental Retardation; Learning, Motor, and Communication Disorders; and Pervasive Developmental Disorders. Although these disorders seem to be heterogeneous, they share similarities on some risk and clinical factors. There is evidence of a neurodevelopmental genetic phenotype, the disorders have an early emerging and continuing course, and all have salient cognitive symptoms. Within-cluster co-morbidity also supports grouping these disorders together. Other childhood disorders currently listed in DSM-IV share similarities with the Externalizing and Emotional clusters. These include Conduct Disorder, Attention Deficit Hyperactivity Disorder and Separation Anxiety Disorder. The Tic, Eating/Feeding and Elimination disorders, and Selective Mutisms were allocated to the ‘Not Yet Assigned’ group.

Conclusion

Neurodevelopmental disorders meet some of the salient criteria proposed by the American Psychiatric Association (APA) to suggest a classification cluster.

Keywords

ChildhoodDSM-Vdisordermeta-structureneurodevelopment
Type
Thematic section: A proposal for a meta-structure for DSM-V and ICD-11
Information
Psychological Medicine , Volume 39 , Issue 12 , December 2009 , pp. 2013 - 2023
Copyright
Copyright © Cambridge University Press 2009

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