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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders: Phase I of the AREDOC project
Australian and New Zealand Journal of Psychiatry, Volume 52, No. 12, Year 2018
Notification
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Description
Objective: To derive new criteria sets for defining manic and hypomanic episodes (and thus for defining the bipolar I and II disorders), an international Task Force was assembled and termed AREDOC reflecting its role of Assessment, Revision and Evaluation of DSM and other Operational Criteria. This paper reports on the first phase of its deliberations and interim criteria recommendations. 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. © The Royal Australian and New Zealand College of Psychiatrists 2018.
Authors & Co-Authors
Parker, Gordon B.
Australia, Sydney
Black Dog Institute
MacQueen, Glenda M.
Canada, Calgary
University of Calgary
Berk, Michael
Australia, Geelong
Barwon Health
Australia, Melbourne
Orygen Youth Health
Deckersbach, Thilo
United States, Boston
Harvard Medical School
Dunner, David L.
United States, Seattle
University of Washington
Sajatovic, Martha M.
United States, Cleveland
Case Western Reserve University
Yatham, Lakshmi N.
Canada, Vancouver
The University of British Columbia
Vedel Kessing, Lars Vedel
Denmark, Copenhagen
Copenhagen University Hospital
Zimmerman, Mark A.
United States, Providence
Brown University
Fountoulakis, K. N.
Greece, Thessaloniki
Aristotle University of Thessaloniki
Alda, Martin
Canada, Halifax
Dalhousie University, Faculty of Medicine
Calkin, Cynthia V.
Canada, Halifax
Dalhousie University, Faculty of Medicine
Singh, Manpreet Kaur
United States, Stanford
Stanford University School of Medicine
Haj́ek, Tomaś
Canada, Halifax
Dalhousie University, Faculty of Medicine
Frey, B. N.
Canada, Hamilton
Mcmaster University
Castle, David Jonathan
Australia, Fitzroy
St. Vincent's Hospital Melbourne
Young, Allan H.
United Kingdom, London
King's College London
Vieta, Eduard
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
Rybakowski, Janusz K.
Poland, Poznan
Poznan University of Medical Sciences
Swartz, Holly A.
United States, Pittsburgh
University of Pittsburgh
Murray, Greg W.
Australia, Hawthorn
Swinburne University of Technology
Bora, Emre
Australia, Melbourne
University of Melbourne
Turkey, Izmir
Dokuz Eylül Üniversitesi
Post, Robert M.
United States, Washington, D.c.
The George Washington University
Lafer, Beny
Brazil, Sao Paulo
Universidade de São Paulo
Cleare, Anthony J.
United Kingdom, London
King's College London
O'Donovan, Claire
Canada, Halifax
Dalhousie University, Faculty of Medicine
Henry, Chantal
France, Paris
Ap-hp Assistance Publique - Hopitaux de Paris
Kanba, Shigenobu
Japan, Fukuoka
Kyushu University
Rosenblat, Joshua D.
Canada, Toronto
University of Toronto
Frangou, Sophia
United States, New York
Icahn School of Medicine at Mount Sinai
Goldberg, Joseph F.
United States, New York
Icahn School of Medicine at Mount Sinai
Osser, David Neal
United States
Va Medical Center
Frye, Mark A.
United States, Rochester
Mayo Medical School
Mcintyre, Roger S.
Canada, Toronto
University of Toronto
Fagiolini, Andrea M.
Italy, Siena
Università Degli Studi Di Siena
Malhi, Gin Singh
Australia, Sydney
Northern Sydney Local Health District
Australia, Sydney
The University of Sydney
Statistics
Citations: 17
Authors: 36
Affiliations: 45
Identifiers
Doi:
10.1177/0004867418808382
ISSN:
00048674
Research Areas
Mental Health
Study Approach
Qualitative