4.1 Overview Of The DSM-5 Flashcards
What happened to the DSM-5 in May of 2013?
New DSM-5 published w new changes, including change from Roman numerals to Arabic numbers to express edition
What happened to the DSM-5, TR in March 2022?
DSM-5, TR is published, added further SDOH and cultural factors in diagnosis
Why was the DSM-5 and DSM-5, TR updated?
Recognized to reflect disorders across a continuum based on developmental and lifespan considerations
What does the DSM-5 and DSM-5, TR begin with?
Neurodevelopmental disorders:
- Intellectual disabilities and delays; communications disorders
- Autism spectrum disorders
- Attention-deficit/hyperactivity disorder
Does bipolar and related disorders and depressive disorders have separate chapters?
Yes
Where is bipolar and related disorders chapter(s) found in the DSM-5 and DSM-5, TR?
Bipolar found between schizophrenia spectrum and depressive disorders, reflecting the overlapping nature of bipolar disorder
What does anxiety disorders cover?
Includes generalized anxiety disorder, social anxiety disorder, panic disorder
What are the new separate chapters for other disorders related to anxiety disorders?
New separate chapters for obsessive-compulsive and related disorders and trauma- and stressor- related disorders
What vocabulary is no longer used in the substance-related disorders chapter?
No more “abuse” and “dependence”
What are the criteria set by in the substance-related disorders chapter?
Substance criterias only vary with sx presentation based on type of substance used
What are new disorders added in the substance-related disorders chapter?
- Gambling disorder
- Other behavioral excesses have been studied, but not yet included (internet, shopping, etc)
How are neurocognitive disorders categorized?
- Categorized into major and mild neurocognitive disorders
- Specifiers include type (Alzheimer’s, etc)
What are the 2 rating scales for depression that is clinically useful?
- Patient health questionnaire (PHQ-9)
- Beck depression inventory (BDI)
What does the patient health questionnaire (PHQ-9) consist of?
- 9 questions to screen for depression and suicidal thinking
- Patient rated
What does the Beck depression inventory (BDI) consist of?
21 item, patient rated
What is the mood disorders questionnaire (MDQ) designed to be?
Designed to be a patient-rated screening tool for bipolar 1 (mania and depression)
What are the rating scales for depression?
- Hamilton depression (HAM-D, HDRS)
- Montgomery-Asberg depression rating scale (MADRS)
What does the hamilton depression scale (HAM-D, HDRS) consist of?
- Clinician-related
- Gold standard
What does the montgomery-asberg depression rating scale (MADRS) consist of?
Clinical trials, gold standard
What are the rating scales for bipolar disorder and generalized anxiety?
- Young mania rating scale (YMRS)
- Hamilton anxiety rating scale (HAM-A)
What does the young mania rating scale (YMRS) consist of?
Clinician rated by patient report
What are the rating scales for schizophrenia used in clinical trials?
- Positive and negative syndrome scale (PANSS)
- Brief psychiatric rating scale (BPRS)
What does the positive and negative syndrome scale (PANSS) and brief psychiatric rating scale (BPRS) consist of?
- Gold standard
- Clinician-rated
What are the rating scales for movement side effects of antipsychotics?
- Simpson-Angus (SAS)
- Barnes Akathisia Scale (BARS)
What does the Simpson-angus (SAS) scale consist of?
- Evaluates drug-induced parkinsonian sxs
- Clinician-rated
What does the Barnes Akathisia scale (BARS) consist of?
- Clinician-rated
- Objective observation of akathisia
What are the rating scales for tardive dyskinesia/overall movement side effect?
- Abnormal involuntary movement scale (AIMS)
- Extrapyramidal symptoms rating scale (ESRS)
What does the abnormal involuntary movement scale (AIMS) consist of?
- Assesses tardive dyskinesia
- Clinician-rated
What does the extrapyramidal sxs rating scale (ESRS) consist of?
- Clinician-rated
- Assess parkinsonian sxs, akathisia, dystonia, and tardive dyskinesia
What are the overall psychiatric functioning assessments?
- Clinical global impressions (CGI)
- Global assessment of functioning (GAF)
What does the clinical global impressions (CGI) consist of?
- CGI-S = severity
- CGI-I = improvement
- Observer-rated
- Used to assess change over time
What does the global assessment of functioning (GAF) consist of?
- Clinician-rated
- Variable results based on clinician evaluation and experience
