scholarly journals Improving recognition of late life anxiety disorders in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition: observations and recommendations of the Advisory Committee to the Lifespan Disorders Work Group

2011 ◽  
Vol 27 (6) ◽  
pp. 549-556 ◽  
Author(s):  
Jan Mohlman ◽  
Christina Bryant ◽  
Eric J. Lenze ◽  
Melinda A. Stanley ◽  
Amber Gum ◽  
...  
2021 ◽  
Vol 1 (5) ◽  
pp. 673-682
Author(s):  
Rofiad Darojad Diyaningsih ◽  
Yuni Pratiwi

Abstract: This study aims to describe the forms of abnormal behavior, causes, and treatment of abnormal behavior in the anthology of Bingung short stories. This is qualitative research using a literary psychology approach with the object of the study being the anthology of Bingung short stories written by the student of UIN Maulana Malik Ibrahim Malang. There are 22 short stories in the anthology, 17 of which meet the criteria. The criteria for analysis are stories presenting a character with abnormal behavior. The behaviors being observed are those in accordance with the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) classification published by the APA (American Psychiatric Association). The results of this study indicate, first, that there are four types of abnormal behavior in the anthology, namely (1) anxiety disorders, (2) schizophrenia disorders, (3) dissociative disorders, and (4) abnormal behavior in childhood and adolescence. Second, the causes and treatment of abnormal behavior include (1) causes and treatment of anxiety disorders, (2) causes and treatment of schizophrenia, (3) causes and treatment of abnormal behavior in childhood and adolescence. Keywords: abnormal behavior; characters; the anthology of Bingung short stories Abstrak: Penelitian ini bertujuan untuk mendeskripsikan bentuk-bentuk perilaku abnormal, penyebab, dan penanganan perilaku abnormal dalam antologi cerpen Bingung. Penelitian ini menggunakan jenis penelitian kualitatif, sedangkan pendekatan yang digunakan adalah pendekatan psikologi sastra dengan objek kajian antologi cerpen Bingung karya mahasiswa UIN Maulana Malik Ibrahim Malang. Terdapat 22 cerpen dalam antologi cerpen Bingung, 17 diantaranya merupakan cerpen yang memenuhi kriteria untuk diteliti. Kriteria cerpen yang diteliti adalah cerpen yang di dalamnya menceritakan seorang tokoh berperilaku abnormal dengan bentuk-bentuk perilaku abnormal yang sesuai dengan pedoman penggolongan perilaku abnormal DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) yang diterbitkan oleh APA (American Psychiatric Association). Hasil penelitian ini menunjukkan, pertama, adanya empat tipe perilaku abnormal dalam antologi cerpen Bingung, yaitu (1) gangguan kecemasan, (2) gangguan skizofrenia, (3) gangguan disosiatif, (4) perilaku abnormal pada masa kanak-kanak dan remaja. Kedua, Penyebab dan penanganan perilaku abnormal meliputi (1) penyebab dan penanganan gangguan kecemasan, (2) penyebab dan penanganan pada gangguan skizofrenia, (3) penyebab dan penanganan pada perilaku abnormal pada masa kanak-kanak dan remaja. Kata kunci: perilaku abnormal; tokoh; antologi cerpen bingung


2011 ◽  
Vol 63 (3) ◽  
pp. 199-220 ◽  
Author(s):  
David E. Balk ◽  
Illene Noppe Cupit ◽  
Irwin Sandler ◽  
James Werth

The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) is being revised. A proposed revision hotly debated is to remove what is known as the exclusionary criterion and allow clinicians to diagnose a person with a major depressive episode within the early days and weeks following a death. The Executive Committee of the Association for Death Education and Counseling (ADEC) commissioned its Scientific Advisory Committee (SAC) to examine the debate over removing the exclusionary criterion and provide a written report. The DSM-IV-TR classifies bereavement as a clinical condition that is not a mental disorder. The exclusionary criterion states that within the first 2 months of the onset of bereavement a person should not be diagnosed as having major depression unless certain symptoms not characteristic of a normal grief reaction are present. We note these symptoms when discussing the exclusionary criterion, examine reasons (including research conclusions and clinical concerns) given for retaining and for eliminating the exclusionary criterion, offer extensive comments from experienced licensed clinicians about the issues involved, discuss diagnostic and treatment implications, and offer specific recommendations for ADEC to implement.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. Hemendra Singh ◽  
Hannah Awayz ◽  
Dr Murali T

Phobia to situation and objects is a common presentation of anxiety disorders. The DSM- IV TR (Diagnostic and statistical manual of mental disorders (4th ed., text rev.) includes distinct types of phobias. We report an unusual case of hodophobia which has been successfully treated with combination of pharmacotherapy and systematic desensitization. Since phobia of travelling impacts person’s professional life, early treatment and awareness is required.


2021 ◽  
pp. 322-325
Author(s):  
Simon Kung

Mood disorders—depressive and bipolar disorders—are the second most common set of psychiatric disorders, behind anxiety disorders. The lifetime prevalence of any mood disorder in US adults is approximately 20%, and the 12-month prevalence is approximately 10%. Although depressive disorders and bipolar disorder have been split into 2 chapters in the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition), the criteria have stayed the same as in its Fourth Edition, Text Revision while the terminology has changed slightly.


2020 ◽  
Vol 10 (8) ◽  
pp. 564
Author(s):  
Matteo Vismara ◽  
Nicolaja Girone ◽  
Giovanna Cirnigliaro ◽  
Federica Fasciana ◽  
Simone Vanzetto ◽  
...  

Anxiety disorders are prevalent and highly disabling mental disorders. In recent years, intensive efforts focused on the search for potential neuroimaging, genetic, and peripheral biomarkers in order to better understand the pathophysiology of these disorders, support their diagnosis, and characterize the treatment response. Of note, peripheral blood biomarkers, as surrogates for the central nervous system, represent a promising instrument to characterize psychiatric disorders, although their role has not been extensively applied to clinical practice. In this report, the state of the art on peripheral biomarkers of DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th edition) Anxiety Disorders is presented, in order to examine their role in the pathogenesis of these conditions and their potential application for diagnosis and treatment. Available data on the cerebrospinal fluid and blood-based biomarkers related to neurotransmitters, neuropeptides, the hypothalamic–pituitary–adrenal axis, neurotrophic factors, and the inflammation and immune system are reviewed. Despite the wide scientific literature and the promising results in the field, only a few of the proposed peripheral biomarkers have been defined as a specific diagnostic instrument or have been identified as a guide in the treatment response to DSM-5 Anxiety Disorders. Therefore, further investigations are needed to provide new biological insights into the pathogenesis of anxiety disorders, to help in their diagnosis, and to tailor a treatment.


Author(s):  
Pablo Vidal-Ribas Belil ◽  
Argyris Stringaris

Irritability is common in children and adolescents presenting with mood and anxiety disorders and was recently introduced in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a diagnostic category under the name of disruptive mood dysregulation disorder (DMDD). The aim of this chapter is to describe the distinct phenomenology, epidemiology, and correlates of irritability in the context of bipolar disorder, DMDD, depression, and anxiety disorders. The course of irritability is episodic in bipolar disorder and depression and is commonly accompanied by elated and depressed mood, respectively. In contrast, the irritability seen in DMDD is chronic and recurrent. In anxiety disorders, the experience of irritability is usually related to the presence of the feared situation. Regardless of these differences, irritability seems to be associated with higher rates of comorbidity and greater functional impairment and may need attention in its own right.


Author(s):  
Timo D. Vloet ◽  
Marcel Romanos

Zusammenfassung. Hintergrund: Nach 12 Jahren Entwicklung wird die 11. Version der International Classification of Diseases (ICD-11) von der Weltgesundheitsorganisation (WHO) im Januar 2022 in Kraft treten. Methodik: Im Rahmen eines selektiven Übersichtsartikels werden die Veränderungen im Hinblick auf die Klassifikation von Angststörungen von der ICD-10 zur ICD-11 zusammenfassend dargestellt. Ergebnis: Die diagnostischen Kriterien der generalisierten Angststörung, Agoraphobie und spezifischen Phobien werden angepasst. Die ICD-11 wird auf Basis einer Lebenszeitachse neu organisiert, sodass die kindesaltersspezifischen Kategorien der ICD-10 aufgelöst werden. Die Trennungsangststörung und der selektive Mutismus werden damit den „regulären“ Angststörungen zugeordnet und können zukünftig auch im Erwachsenenalter diagnostiziert werden. Neu ist ebenso, dass verschiedene Symptomdimensionen der Angst ohne kategoriale Diagnose verschlüsselt werden können. Diskussion: Die Veränderungen im Bereich der Angsterkrankungen umfassen verschiedene Aspekte und sind in der Gesamtschau nicht unerheblich. Positiv zu bewerten ist die Einführung einer Lebenszeitachse und Parallelisierung mit dem Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Schlussfolgerungen: Die entwicklungsbezogene Neuorganisation in der ICD-11 wird auch eine verstärkte längsschnittliche Betrachtung von Angststörungen in der Klinik sowie Forschung zur Folge haben. Damit rückt insbesondere die Präventionsforschung weiter in den Fokus.


2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Mercy García ◽  
Ernestina Tamami ◽  
Giovanni Rojas-Velasco ◽  
Carolina Posso ◽  
Galo Sánchez del Hierro ◽  
...  

Introducción.- Los síntomas somáticos causan malestar y afectan la calidad de  vida de los pacientes, incrementando la frecuencia del uso de los servicios de salud. En Ecuador no existe un instrumento validado que evalúe somatización. La escala Somatic Symtom Scale-8 (SSS-8), es un instrumento usado como medida de referencia en the Diagnostic and Statistical Manual of Mental Disorders(DSM-V), para evaluar la carga de síntomas somáticos, validada en inglés y adaptada culturalmente a los idiomas alemán y japonés. Objetivos.- En esta investigación el propósito fue validar la escala “Somatic Symptom Scale-8” y determinar sus propiedades métricas. Métodos.- Investigación descriptiva y transversal en la que se realizó la validación de la herramienta clínica SSS-8 en 401 pacientes en la consulta externa del hospital Pedro Vicente Maldonado, desde mayo a julio de 2017. Para el análisis de datos se utilizaron los programas estadísticos SPSS versión 23, Latent gold y EpiDat 3.1. Resultados.- El grupo mayoritario fue de 30 a 47 años, con ligero predominio del sexo masculino (con 52,6%) sobre el femenino (47,4%). El SSS-8 mostró adecuadas propiedades métricas (alfa de Cronbach de 0,73). Mediante este análisis se obtuvo que, los pacientes que respondieron: algo, bastante o muchísimo en las dimensiones sentirse cansado, dolor de cabeza, dolor de brazos y dolor de espalda; tenían un 99% de probabilidades de presentar somatización. Conclusiones.- En este estudio, el SSS-8 demostró ser una herramienta útil para evaluar los síntomas somáticos en pacientes que acuden a consulta externa, ya que presentó buenas propiedades métricas: consistencia interna elevada, buena validez y una apropiada capacidad discriminativa.


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