Classification of depressive disorders in the DSM-V: proposal for a two-dimension system.

Journal of Abnormal Psychology
Daniel N Klein

Abstract

The number of categories and specifiers for mood disorders has increased with each successive edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM). Many of these categories and specifiers can be viewed as an effort to map the various permutations of severity and chronicity that characterize the depressive disorders. However, this has resulted in a system that (a) is unnecessarily complex and unwieldy, (b) has created problems with artificial distinctions between categories and artifactual comorbidity, and (c) at the same time obscures what may be more fundamental distinctions. A potentially useful and more parsimonious approach to capturing much of the heterogeneity of depressive disorders is to classify the depressive disorders along 2 dimensions, 1 reflecting severity and the other, chronicity. Considerations in the development of these dimensions are discussed, and a set of examples is presented. Although further research and discussion are needed to determine the optimal form of these dimensions, the next edition of the DSM should consider replacing many of the existing categories and specifiers for depressive disorders with the simpler approach of classifying depressive disorders using the 2 dimensio...Continue Reading

References

Jun 1, 1990·Journal of Affective Disorders·J AngstW Wicki
Sep 1, 1990·The Journal of Nervous and Mental Disease·J P McCulloughW C Roberts
Aug 1, 1988·Journal of Abnormal Psychology·D N KleinE T Margolis
Sep 1, 1986·Comprehensive Psychiatry·M J GarveyV B Tuason
Jun 1, 1986·The British Journal of Psychiatry : the Journal of Mental Science·R M HirschfeldM B Keller
Feb 1, 1995·Journal of Consulting and Clinical Psychology·I H GotlibJ R Seeley
Feb 1, 1995·Journal of Abnormal Psychology·H LizardiS K Donaldson
Mar 1, 1996·The Psychiatric Clinics of North America·D N KleinM B Keller
Jun 5, 1996·Journal of Affective Disorders·S EvansL Gniwesch
May 1, 1997·Psychological Bulletin·G L FlettL Krames
Nov 21, 1997·Archives of General Psychiatry·L L Judd
Oct 26, 1999·The British Journal of Psychiatry : the Journal of Mental Science·H A PincusL E McQueen
Apr 4, 2000·Comprehensive Psychiatry·J AngstK R Merikangas
Jun 1, 2000·The American Journal of Psychiatry·D N KleinJ B Leader
Jul 15, 2000·Journal of Abnormal Psychology·P M LewinsohnA Zeiss
Sep 29, 2000·The American Journal of Psychiatry·P F SullivanK S Kendler
Dec 7, 2000·Psychological Bulletin·T A Widiger, L A Clark
Feb 15, 2001·Journal of Affective Disorders·J Angst, K R Merikangas
Mar 10, 2001·Depression and Anxiety·T Yang, D L Dunner
Jun 28, 2001·Journal of Affective Disorders·L M KoranM B Keller
Jan 16, 2002·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Jonathan W StewartFrederic M Quitkin
Apr 26, 2002·Journal of General Internal Medicine·Ronald T Ackermann, John W Williams
Jul 5, 2002·Journal of Health and Social Behavior·Ronald C Kessler
Sep 7, 2002·Clinical Psychology Review·Kate E Hamilton, Keith S Dobson
Nov 20, 2002·Comprehensive Psychiatry·Stewart A Shankman, Daniel N Klein
Mar 26, 2003·Journal of Abnormal Psychology·Lawrence P RisoChristi S Ulmer
Jun 6, 2003·Journal of Abnormal Psychology·Steven R H Beach, Nader Amir
Jun 6, 2003·Journal of Abnormal Psychology·Jonathan W StewartFrederic M Quitkin
Jul 15, 2003·Journal of Clinical Psychology·Lawrence P Riso, Cory F Newman
Jul 15, 2003·Journal of Clinical Psychology·James H Kocsis
Nov 11, 2003·Journal of Affective Disorders·Peter M LewinsohnPaul Rohde
Dec 17, 2003·Journal of Abnormal Psychology·James P McCulloughPhillip L C Banks
Feb 3, 2004·The British Journal of Psychiatry : the Journal of Mental Science·Lars Vedel Kessing
Apr 2, 2004·The American Journal of Psychiatry·Daniel N KleinJohn R Seeley
Jun 23, 2004·Journal of Affective Disorders·N Kennedy, E S Paykel
Jun 24, 2004·The Australian and New Zealand Journal of Psychiatry·Peter Ellis, UNKNOWN Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for Depression

❮ Previous
Next ❯

Citations

Mar 31, 2012·Clinical Psychology Review·Anna R Van MeterRobert L Findling
Jan 1, 2012·Health Psychology Review·Jonathan A ShafferKarina W Davidson
Mar 31, 2009·Annual Review of Clinical Psychology·David Watson
Jul 14, 2010·Journal of Biomedical Semantics·Mikael NyströmHåkan Orman
Apr 12, 2016·Clinical Psychology : a Publication of the Division of Clinical Psychology of the American Psychological Association·Alyson K Zalta, Stewart A Shankman
Feb 9, 2016·European Psychiatry : the Journal of the Association of European Psychiatrists·A JobstF Padberg
Oct 30, 2012·Journal of Psychiatric Research·Stewart A ShankmanJames H Kocsis
Mar 3, 2012·Journal of Affective Disorders·Jenifer A Murphy, Gerard J Byrne
May 31, 2011·Journal of Affective Disorders·Michael S GaffreyJoan L Luby
Aug 10, 2010·Progress in Neuro-psychopharmacology & Biological Psychiatry·Ann Gardner, Richard G Boles
Dec 8, 2015·Biological Psychology·Anna WeinbergStewart A Shankman
Mar 19, 2016·Journal of Clinical Psychology·Annette van RandenborghJulius Kuhl
Dec 30, 2014·European Journal of Personality·C Emily Durbin, Brian M Hicks
Mar 25, 2014·Journal of Affective Disorders·Brady D NelsonGreg H Proudfit
Nov 5, 2013·Journal of Affective Disorders·Thorsten BarnhoferJ Mark G Williams
Dec 19, 2012·Journal of Affective Disorders·Clóvis Alexandrino-SilvaLaura Helena Andrade
Sep 2, 2011·The Australian and New Zealand Journal of Psychiatry·Alex J MitchellAsma S Muhyaldin
Nov 26, 2013·Clinical Psychological Science : a Journal of the Association for Psychological Science·Paul RohdeJeff M Gau
Apr 30, 2017·Clinical Psychological Science : a Journal of the Association for Psychological Science·Anna Weinberg, Stewart A Shankman
May 9, 2019·Annual Review of Clinical Psychology·Ayelet Meron Ruscio
Apr 7, 2009·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Eduard Vieta
May 14, 2019·Journal of Behavioral Addictions·Johannes FussChristine Lochner
Oct 14, 2016·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Kalsea J KossDante Cicchetti
May 30, 2020·Journal of Psychiatry and Brain Science·Stewart A ShankmanSebastian Walther
Jun 28, 2019·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Daniel N Klein

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.