DSM-5 Flashcards
DSM-5 and DSM-5, TR
May 2013–publication of the DSM-5 with many changes made, including moving from Roman numerals to express edition to Arabic numbers
March 2022–publication of the DSM-5,TR, added further SDOH and cultural factors in diagnosis
From the Preface: “Some symptom domains, such as depression and anxiety, involve multiple diagnostic categories and may reflect common underlying vulnerabilities for a larger group of disorders.”
Challenging, but positive, transition for mental health providers
reorganized to reflect disorders across continuum based on developmental and lifespan considerations
Begins with…
Neurodevelopmental disorders
Intellectual disabilities and delays; communication disorders
Autism spectrum disorders
Attention-deficit/hyperactivity disorder
Schizophrenia Spectrum, Depression, Bipolar disorder
Bipolar and related disorders and depressive disorders have separate chapters–with bipolar found between schizophrenia spectrum and depressive disorders–reflecting the overlapping nature of bipolar disorder
The anxiety disorders
Anxiety disorders–includes generalized anxiety disorder, social anxiety disorder, panic disorder
New separate chapters for Obsessive-Compulsive and related disorders and Trauma-and Stressor-related disorders
Substance-Related disorders
No more “abuse” and “dependence”
Set criteria for all substance that only vary with symptom presentation based on type of substance used:
Includes gambling disorder–other behavioral excesses have been studied, but not yet included
We finish up with…
Neurocognitive Disorders (formerly known as dementia)
Categorized into major and mild neurocognitive disorders
Specifiers include type (Alzheimer’s)
Patient Health Questionnaire
PHQ-9
9 questions to screen for depression and suicidal thinking
Patient-rated
Beck Depression Inventory
BDI
21-item, patient-rated
5th and 6th grade level to understand
0-13=minimal/mild
14-19=mild
20-28=moderate
29-63=severe
Mood Disorders Questionnaire
MDQ designed to be a patient-rated screening tool for bipolar 1
Not designed to identify bipolar 2 (hypomania and depression)
3 questions
13 items in Question 1–Must have > questions answered “yes”
Question 2–Answer “yes”–several of the question 1 items have happened at the same time
Question 3–Answer “moderate” or “serious” problem
Hamilton Depression (HAM-D, HDRS)
21-item scale, first 17 items are scored, clinician-rated
Validated in clinical trials, GOLD STANDARD for evaluating change over time
0-7=normal
8-13=mild
14-18=moderate
19-22 severe
> 23=very severe
Montgomery-Asberg depression rating scale (MADRS)
10-item, clinician-rated
validated in clinical trials, gold standard
may be more relevant based upon comparison to BECK and to treatment effects vs. HAM-D
0-7 normal
8-15 mild
16-25 moderate
26-31 severe
> 32 very severe
Young Mania Rating scale
11-item, clinician rated by patient report
Hamilton Anxiety Rating scale
HAM-A
14-item, clinician rated
psychic and somatic anxiety
Positive and Negative Syndrome Scale
PANSS
Gold standard scale–20% reduction in symptoms indicated antipsychotic efficacy
30-item, clinician-rated
