Classification of Mental Illness-Ryst

Question 1

How often is the DSM reviewed?

Answer 1

every 5 years

we are currently on DSM-5

Question 2

What did the DSM-1 & DMS-II consist of?

Answer 2

1: presumed etiology; came out in 1952
2: glossary definitions

Question 3

What did the DSM-III consist of?

Answer 3

reconceptualization of explicit criteria

think about different axes 1-5

Question 4

DMS III-Revised? DMS-IV?

Answer 4

IIIR: criteria broadened; most hierarchies dropped
IV: requires clinically significant distress or impairment

Question 5

DSMV?

Answer 5

new approaches considered
not focused on axes
psychosocial stressors included

Question 6

How are psychiatric disorders criterion based? What is the relationship with culturally sanctioned behavior?

Answer 6

symptom severity, distress, disability considered

doesn’t matter if it is culturally sanctioned.

Question 7

What are the perceived shortcomings of DSM-IV?

Answer 7

High rates of comorbidity
High use of –NOS category
Treatment non-specificity
Inability to find a laboratory markers/ tests
DSM is starting to hinder research progress

Question 8

What is the structure of DSM-V?

Answer 8

I: Basics
II: Essential Elements–Diagnostic Criteria & Codes
III: Emerging Measures & Models

Question 9

What is a mental disorder according to DSMV?

Answer 9

clinically significant disturbance in cognition, emotional regulation, dysfunction
significant distress or disability in occupational, social etc activities

Question 10

Is a socially deviant behavior a mental disorder?

Answer 10

not necessarily

unless there is a disturbance

Question 11

Approaches to diagnostic criteria include which types of evidence?

Answer 11

antecedent validators-(similar genetic markers, family traits, temperament, and environmental exposure)
concurrent validators-(similar neural substrates, biomarkers, emotional and cognitive processing, and symptom similarity)
predictive validators-(similar clinical course and treatment response).

Question 12

What are some things included in the diagnostic & associated feature of disorder chapters in DSMV?

Answer 12

Diagnostic and associated features; prevalence; development and course; risk and prognosis; culture- and gender-related factors; diagnostic markers; functional consequences; differential diagnosis; comorbidity

Question 13

What are some possible disorders that need to be further studied?

Answer 13

Attenuated Psychosis Syndrome
Depressive Episodes With Short Duration Hypomania
Persistent Complex Bereavement Disorder
Caffeine Use Disorder
Internet Gaming Disorder
Neurobehavioral Disorder Due to Prenatal Alcohol Exposure 
Suicidal Behavior Disorder
Non-suicidal Self-Injury

Question 14

What are some factors that should be considered for patient treatment, but not necessarily diagnostic criteria?

Answer 14

Level 1 and Level 2 Cross-Cutting Symptom assessments
Diagnosis-specific Severity ratings
Disability assessment

Question 15

Are depression, anxiety, psychosis symptoms or disorders?

Answer 15

symptoms

can indicate multiple different disorders

Question 16

What is the criteria for major depressive disorder?

Answer 16

5/9
depressed mood, decr interests/pleasure, weight change, sleep change, agitation, fatigue, worthless/guilt feelings, decr conc and memory, thoughts of death
need to last 2 weeks & cause enough severity that there is functional impairment.