Dimensional Approaches in Diagnostic Classification: Refining the Research Agenda for DSM-V

165 Pages·2008·1.16 MB·English

by  John E. Helzer

DIMENSIONAL
APPROACHES IN
DIAGNOSTIC
CLASSIFICATION
Refining the Research Agenda
for DSM-V
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DIMENSIONAL
APPROACHES IN
DIAGNOSTIC
CLASSIFICATION
Refining the Research Agenda
for DSM-V
Edited by
John E. Helzer, M.D.
Helena Chmura Kraemer, Ph.D.
Robert F. Krueger, Ph.D.
Hans-Ulrich Wittchen, Ph.D.
Paul J. Sirovatka, M.S.
Darrel A. Regier, M.D., M.P.H.
Published by the
American Psychiatric Association
Arlington, Virginia
Note: The authors have worked to ensure that all information in this book is ac-
curate at the time of publication and consistent with general psychiatric and med-
ical standards, and that information concerning drug dosages, schedules, and
routes of administration is accurate at the time of publication and consistent with
standards set by the U.S. Food and Drug Administration and the general medical
community. As medical research and practice continue to advance, however, ther-
apeutic standards may change. Moreover, specific situations may require a specific
therapeutic response not included in this book. For these reasons and because hu-
man and mechanical errors sometimes occur, we recommend that readers follow
the advice of physicians directly involved in their care or the care of a member of
their family.
The findings, opinions, and conclusions of this report do not necessarily represent
the views of the officers, trustees, or all members of the American Psychiatric As-
sociation. The views expressed are those of the authors of the individual chapters.
Copyright © 2008 American Psychiatric Association
ALL RIGHTS RESERVED
Manufactured in the United States of America on acid-free paper
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First Edition
Typeset in Adobe’s Frutiger and AGaramond.
American Psychiatric Association
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Library of Congress Cataloging-in-Publication Data
Dimensional approaches in diagnostic classification : refining the research agenda
for DSM-V / edited by John Helzer ... [et al.].
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-89042-343-1 (alk. paper)
1. Diagnostic and statistical manual of mental disorders. 2. Mental illness—
Classification. 3. Mental illness—Diagnosis. I. Helzer, John E. II. American
Psychiatric Association. [DNLM: 1. Diagnostic and statistical manual of mental
disorders. 5th ed. 2. Mental Disorders—diagnosis. 3. Mental Disorders—
classification. 4. Research. WM 141 D582 2008]
RC455.2.C4D56 2008
616.89′075—dc22
2008011900
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
This monograph is dedicated to Paul J. Sirovatka,
whose untimely death in September 2007 deprived the
American Psychiatric Association and the larger mental health
community of an outstanding science writer and colleague.
His long career at the National Institute of Mental Health and
his many contributions to the development of the DSM-V
revision are honored by our dedication of this volume of our
research development series to Paul.
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CONTENTS
CONTRIBUTORS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
DISCLOSURE STATEMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
FOREWORD: Dimensional Approaches to
Psychiatric Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xvii
Darrel A. Regier, M.D., M.P.H.
PREFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xxv
John E. Helzer, M.D.
1
DIMENSIONAL APPROACHES IN DIAGNOSTIC CLASSIFICATION:
A Critical Appraisal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Marsha F. Lopez, Ph.D., M.H.S.
Wilson M. Compton, M.D., M.P.E.
Bridget F. Grant, Ph.D.
James P. Breiling, Ph.D.
2
DSM CATEGORIES AND DIMENSIONS IN CLINICAL AND
RESEARCH CONTEXTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Helena Chmura Kraemer, Ph.D.
3
A DIMENSIONAL OPTION FOR THE DIAGNOSIS OF
SUBSTANCE DEPENDENCE IN DSM-V . . . . . . . . . . . . . . . . . . . . . . . 19
John E. Helzer, M.D.
Kathleen K. Bucholz, Ph.D.
Michael Gossop, Ph.D.
4
DIMENSIONALITY AND THE CATEGORY OF
MAJOR DEPRESSIVE EPISODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Gavin Andrews, M.D.
Traolach Brugha, M.D.
Michael E. Thase, M.D.
Farifteh Firoozmand Duffy, Ph.D.
Paola Rucci, Ph.D.
Timothy Slade, Ph.D.
5
DIMENSIONS AND THE PSYCHOSIS PHENOTYPE . . . . . . . . . . . . . . . 53
Judith Allardyce, M.B., Ch.B., MRCPsych, CCST
Trisha Suppes, M.D., Ph.D.
Jim van Os, M.D.
6
SUPPLEMENTARY DIMENSIONAL ASSESSMENT
IN ANXIETY DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
M. Katherine Shear, M.D.
Ingvar Bjelland, M.D., Ph.D.
Katja Beesdo, Ph.D.
Andrew T. Gloster, Ph.D.
Hans-Ulrich Wittchen, Ph.D.
7
SYNTHESIZING DIMENSIONAL AND CATEGORICAL APPROACHES
TO PERSONALITY DISORDERS: Refining the Research Agenda
for DSM-V Axis II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Robert F. Krueger, Ph.D.
Andrew E. Skodol, M.D.
W. John Livesley, M.D., Ph.D.
Patrick E. Shrout, Ph.D.
Yueqin Huang, M.D., M.P.H., Ph.D.
8
A DIMENSIONAL APPROACH TO DEVELOPMENTAL
PSYCHOPATHOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
James J. Hudziak, M.D.
Thomas M. Achenbach, Ph.D.
Robert R. Althoff, M.D.
Daniel S. Pine, M.D.
9
DIMENSIONAL OPTIONS FOR DSM-V:
The Way Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
John E. Helzer, M.D.
Hans-Ulrich Wittchen, Ph.D.
Robert F. Krueger, Ph.D.
Helena Chmura Kraemer, Ph.D.
INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
CONTRIBUTORS
Thomas M. Achenbach, Ph.D.
Professor of Psychiatry and Psychology, Department of Psychiatry, University of
Vermont, Burlington, Vermont
Judith Allardyce, M.B., Ch.B., MRCPsych, CCST
Researcher, Department of Psychiatry and Neuropsychology, South Limburg
Mental Health Research and Teaching Network, EURON, Maastricht University,
Maastricht, The Netherlands
Robert R. Althoff, M.D.
Assistant Professor of Psychiatry and Pediatrics, Department of Psychiatry, Uni-
versity of Vermont, Burlington, Vermont
Gavin Andrews, M.D.
Director and Scientia Professor of Psychiatry, Clinical Research Unit for Anxiety and
Depression, University of New South Wales at St. Vincent’s Hospital, Sydney, Australia
Katja Beesdo, Ph.D.
Research Fellow, Institute of Clinical Psychology and Psychotherapy, Technische
Universität Dresden, Dresden, Germany
Ingvar Bjelland, M.D., Ph.D.
Specialist in Psychiatry and Child and Adolescent Psychiatry, Clinic for Child and
Adolescent Mental Health Services, Haukeland University Hospital, Bergen, Norway
James P. Breiling, Ph.D.
Program Chief, Psychopathology, Behavioral Dysregulation, and Measurement Devel-
opment Research Program, Division of Adult Translational Research and Treatment
Development, National Institute of Mental Health, Bethesda, Maryland
Traolach Brugha, M.D.
Professor of Psychiatry and Director of Research, Department of Health Sciences,
Clinical Division of Psychiatry, University of Leicester, Leicester, United Kingdom
ix