Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders: Phase I of the AREDOC project.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Parker Gordon, Tavella Gabriela, Macqueen Glenda, Berk Michael, Grunze Heinz, Deckersbach Thilo, Dunner David L, Sajatovic Martha, Amsterdam Jay D, Ketter Terence A, Yatham Lakshmi N, Kessing Lars Vedel, Bassett Darryl, Zimmerman Mark, Fountoulakis Kostas N, Duffy Anne, Alda Martin, Calkin Cynthia, Sharma Verinder, Anand Amit, Singh Manpreet K, Hajek Tomas, Boyce Philip, Frey Benicio N, Castle David J, Young Allan H, Vieta Eduard, Rybakowski Janusz K, Swartz Holly A, Schaffer Ayal, Murray Greg, Bayes Adam, Lam Raymond W, Bora Emre, Post Robert M, Ostacher Michael J, Lafer Beny, Cleare Anthony J, Burdick Katherine E, O'Donovan Claire, Ortiz Abigail, Henry Chantal, Kanba Shigenobu, Rosenblat Joshua D, Parikh Sagar V, Bond David J, Grunebaum Michael F, Frangou Sophia, Goldberg Joseph F, Orum Margo, Osser David N, Frye Mark A, McIntyre Roger S, Fagiolini Andrea, Manicavasagar Vijaya, Carlson Gabrielle A, Malhi Gin S
Аннотация
METHOD: The first stage of the process consisted of reviewing Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and recent International Classification of Diseases criteria, identifying their limitations and generating modified criteria sets for further in-depth consideration. Task Force members responded to recommendations for modifying criteria and from these the most problematic issues were identified.
RESULTS: Principal issues focussed on by Task Force members were how best to differentiate mania and hypomania, how to judge 'impairment' (both in and of itself and allowing that functioning may sometimes improve during hypomanic episodes) and concern that rejecting some criteria (e.g. an imposed duration period) might risk false-positive diagnoses of the bipolar disorders.
CONCLUSION: This first-stage report summarises the clinical opinions of international experts in the diagnosis and management of the bipolar disorders, allowing readers to contemplate diagnostic parameters that may influence their clinical decisions. The findings meaningfully inform subsequent Task Force stages (involving a further commentary stage followed by an empirical study) that are expected to generate improved symptom criteria for diagnosing the bipolar I and II disorders with greater precision and to clarify whether they differ dimensionally or categorically.