Proposed revisions and draft criteria for DSM-5 categories published

Proposed revisions and draft criteria for DSM-5 categories were published by the American Psychiatric Association (APA), on 10 February

Shortlink for this ME agenda posting: http://wp.me/p5foE-2LT

The material in this posting also appears on my new site Dx Revision Watch
A version of this text was published in two parts, via the Co-Cure mailing list, on 10 February.

Information around proposed revisions and draft criteria for DSM-5 categories currently classified under DSM-IV “Somatoform Disorders” is published below.  The public comment period runs from 10 February to 20 April.

American Psychiatric Association DSM-5 Development

Proposed Draft Revisions to DSM Disorders and Criteria are published here on the APA’s relaunched DSM5.org website

http://www.dsm5.org/Pages/Default.aspx

 

Selected material for proposed revision of “Somatoform Disorders”

Ed Notes:

1] The APA appears to be adopting the use of “DSM-5” rather than “DSM-V” for the next edition of its Diagnostic and Statistical Manual.

2] CSSD in the text below is an acronym for “Complex Somatic Symptom Disorder”. Do not confuse this with “CISSD Project” (Conceptual Issues in Somatoform and Similar Disorders Project), an unofficial project undertaken between 2003 and 2007, initiated and co-ordinated by Dr Richard Sykes, PhD, former Director of Westcare UK; Principal Administrators, Action for M.E. Four members of the CISSD Project workgroup, Michael Sharpe, Arthur Barsky, Francis Creed and James Levenson have served on the DSM-5 Somatic Symptoms Disorders Work Group since 2007. A fifth member, Javier Escobar, is a member of the DSM-5 Task Force, the DSM-5 Psychiatric/General Medical Interface Study Group and serves as Task Force liaison to the DSM-5 SSD Work Group.

3] I have published selected material from the APA’s new webpages below, for the proposed revisions to the DSM-IV categories currently classified under “Somatoform Disorders”. There are also some associated PDFs which will need to be referred to.

There is a degree of correspondence between the current “Somatoform Disorders” section in DSM-IV and the equivalent section in ICD-10: Chapter V. The table below sets out how DSM-IV and ICD-10 currently correspond for their respective Somatoform Disorders classifications.

Note that Chronic fatigue syndrome is not categorized in DSM-IV and neither is Neurasthenia  (ICD-10: Chapter V at F48.0)  http://www.psychnet-uk.com/dsm_iv/dsm_iv_index.htm 

Current DSM-IV Codes and Categories for Somatoform Disorders and ICD-10 Equivalents

Source: Mayou R, Kirmayer LJ, Simon G, Kroenke K, Sharpe M: Somatoform disorders: time for a new approach in DSM-V. Am J Psychiat. 2005;162:847–855.

We have no information on how closely the ICD Topic Advisory Group for the revision of Chapter V: Mental and Behavioural Disorders (TAG MH) is collaborating with the DSM-5 Somatic Symptom Disorders Work Group over the revisions of their respective “Somatoform Disorders” sections.

Until the iCAT platform is launched and the ICD-11 Alpha Draft published (ETA May 2010), it is not apparent what changes TAG MH might be proposing for the structure, content and classifications of its corresponding Chapter V: F45 – F48 codes, or to what extent ICD Revision intends that any changes to its own “Somatoform Disorders” codings will mirror Task Force proposals for DSM-5 – if the DSM-5 Task Force were to approve radical changes.

4] The public comment period runs from 10 February to 20 April and an online registration process is required. This comment period will be followed by field trials and beta draft. The current publication date for DSM-5 is May 2013.

Comprehensive DSM-5 Development Timeline

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The American Psychiatric Association (APA) has today released draft proposals for revisions and draft criteria for DSM-5.

Draft Proposals for DSM-5 Categories are published here on the APA’s relaunched DSM-5 website:

http://www.dsm5.org/Pages/Default.aspx

The public comment period will be open from 10 February to 20 April. There is an online registration requirement for submitting comments.

Open the APA 10 February News Release here in PDF format: Diag Criteria General FINAL 2.05

http://www.dsm5.org/Newsroom/Documents/Diag%20%20Criteria%20General%20FINAL%202.05.pdf

or read the text of the News Release here in Post #16

APA publishes proposed revisions and draft criteria for DSM-5 (DSM-V) categories

The new DSM-5 webpages are here: http://www.dsm5.org/Pages/Default.aspx

American Psychiatric Association DSM-5 Development

Proposed Draft Revisions to DSM Disorders and Criteria

[Content superceded by third draft releases May 2, 2012.]

Ed: Source: Academy of Psychosomatic Medicine, Nevada, November ‘09 Annual Meeting slide presentation, Francis Creed, MD, FRCP: Can We Now Explain Medically Unexplained Symptoms?   See this posting

*Somatoform Disorders Not Currently Listed in DSM-IV
Complex Somatic Symptom Disorder

Ed: Key Document: Full Disorder Descriptions PDF: APA Somatic Symptom Disorders description January29 2010

Ed: Key Document: Full Rationale PDF: APA DSM Validity Propositions 1-29-2010

Please see full disorder descriptions here.

Key Document: Full Disorder Descriptions PDF: APA Somatic Symptom Disorders description January29 2010

Please see the full rationale document here.

Key Document: Full Rationale PDF: APA DSM Validity Propositions 1-29-2010