Presentation Information
[SY-14-01]DSM-5-TR Overview
*Michael B First (Columbia University(United States of America))
Keywords:
DSM-5-TR,ICD-11,DIagnosis,Classification
DSM-5-TR, the latest edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, is the product of two separate but complimentary revision processes: the DSM iterative Revision Process (2014-2021) and Text Revision Development Process (2018-2021). Approved changes to criteria that were the product of the DSM iterative revision process were integrated on an ongoing basis into the on-line version of DSM (psychiatryonline.org/dsm), with notices of changes posted on the DSM-5 website (dsm5.org) . The goal of the text revision process was to comprehensively review and update the DSM text (hence “TR” designation) which becomes incrementally obsolete owing to advances in psychiatric knowledge. Moreover, the inclusion of new DSM text sections more closely tied to etiology and pathophysiology and thus more rapidly evolving (i.e., Risk and Prognostic Factors, Diagnostic Markers) increases susceptibility of the text to becoming outdated. The texts for most disorders had a least some revisions, with the majority having significant revisions . Text sections most extensively updated were(9in order) “Prevalence,’ “Risk and Prognostic Factors,” “Culture-related Diagnostic Features,” “Sex- and Gender-related Diagnostic Features,“ “Association with Suicidal Thoughts and Behaviors,” and “Comorbidity,” with the fewest updates to “Diagnostic Features” “and “Differential Diagnosis.” Substantive changes to DSM-5-TR included the inclusion of Prolonged Grief Disorder as an official disorder, the addition of symptom codes for Current (and History of) Suicidal Behavior and Current (and history of) nonsuicidal self-injury, each of which can be applied cross-diagnostically. Other notable changes involved he Narcolepsy specifiers (cataplexy/hypocretin deficiency), the restoration of the DSM-IV Unspecified Mood Disorder category for cases (e.g, acute agitation) nin which it is not possible to choose between unspecified bipolar disorder and unspecified depressive disorder.