Novel directions for psychiatric diagnosis: from psychopathology to motor function to monitoring technology. (27th September 2013)

• Record Type: Journal Article
• Authors: Bakker, P. R.; Wichers, M.; van Harten, P. N.; Myin-Germeys, I.; Delespaul, P.; van Os, J.
• Is Part Of: Epidemiology and psychiatric sciences. Volume 22:Number 4(2013)
• Page Start: 289
• Page End: 295
• Publication Date: 2013-09-27
• Subjects: Ambulatory assessment, -- diagnosis, -- movement disorder, -- psychopathology; Epidemiology -- Periodicals; Mental illness -- Periodicals; Community psychiatry -- Periodicals; 362.2
• DOI: 10.1017/S2045796013000474
• Languages: English
• ISSNs: 2045-7960

Abstract

Abstract : In the light of the recent publication of the DSM-5, there is renewed debate about the relative merit of categorical diagnosis, as laid down in Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Classification of Diseases (ICD) diagnostic manuals. Issues such as validity, usefulness and acceptability of the diagnoses in this manual are increasingly debated. Several alternative possibilities have been suggested including: (i) the introduction of truly cross-cutting dimensional measures, that would facilitate dynamic multidimensional formulations of psychopathology, (ii) the Research Domain Criteria, that may facilitate biological research but move away from clinical symptoms, (iii) a system of personalized diagnosis based on psychopathology as a network of symptoms and contexts, and (iv) enhanced focus on motor alterations, other than catatonia, as a possible additional informative dimension of diagnosis in psychiatry, particularly as a possible marker of underlying neurodevelopmental alterations. We suggest that novel systems of diagnosis are likely to rely more on continuous monitoring of diagnostically relevant information in daily life, complementing retrospective symptom criteria in DSM and ICD. Patients and their families are likely to benefit from these projects, as novel models of diagnosis based on daily life information may be linked more strongly to treatment needs and prognosis.