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DSM-5 web site period for comments extended
Tuesday 21 June 2011
We are extending the period for submitting comments and suggestions to the web site regarding the proposed diagnostic criteria revisions, and the newly proposed organizational structure for DSM-5. We are appreciative of the ongoing interest in contributing to this process and are extending the period for submittng comments until July 15th. This extension will also permit reviews and comments for the newly proposed criteria and approach for the assessment of Personality Disorders, which are now being uploaded to the website for release. Our thanks to those who have already provided contributions to this interactive process.
What Specifically Has Changed on This Site?
You will notice several changes to this Web site since we first launched in February 2010. Numerous disorders contain updated criteria. For example, nearly all of the Bipolar and Related Disorders contain updates. We have also posted several newly proposed disorders, such as Premenstrual Dysphoric Disorder. Furthermore, we have added many diagnostic-specific severity measures, including the Anxiety, Obsessive-Compulsive-Related, and Trauma-Related Disorders. A detailed listing of all changes to DSM5.org that have taken place since February 2010 can be found on the Recent Updates page.
The criteria presented here represent the latest draft diagnoses, which we have taken into the field for real life testing prior to making any final decisions about inclusion in DSM-5. These field trials are being conducted in two major types of settings: 1) a series of large, academic-medical institutions, and 2) a wide selection of clinical practice settings, such as solo and small group practices. You can learn more about the DSM-5 Field Trials and these settings here. We would like to emphasize that the field trials conducted in large, academic-medical settings are currently underway, and as such, the disorders being tested in those settings will undergo no further changes until after field testing is complete later this year. You can find a list of these disorders by visiting the Field Trials section of this site.
One of the more noticeable changes featured here concerns proposed revisions to DSM’s organizational structure. As you can see below, and by visiting the section on our Proposed DSM-5 Organizational Structure, we have developed a revised chapter structure for the diagnostic categories in DSM. Those familiar with DSM-IV will recognize numerous similarities between our proposed organizational structure and the one currently in place. However, there are some important changes, such as the deletion of the single, isolated chapter for childhood and adolescent psychiatric disorders in favor of a more developmental approach which integrates these disorders into relevant chapters across the entire DSM.
Is There Opportunity to Provide Further Comments?
At this time, we are asking visitors to review and comment on the proposed DSM-5 organizational structure and criteria changes. Please note that the current commenting period will end on June 15, 2011. It is important to remember that the proposed structure featured here is only a draft. These proposed headings were reviewed by the DSM-5 Task Force in November 2010. A recent article by APA President Carol A. Bernstein, M.D., published in Psychiatric News, provides an informative background as to why they were developed. Furthermore, all of the revisions on this site – the chapter headings as well as the diagnostic criteria – are still preliminary. They are under continual review by the DSM-5 Task Force and the APA Board of Trustees. Many of the diagnostic criteria sets are being tested in the large academic-medical field trial settings, and all will be included in field trial tests as potential diagnoses for patients seen in the routine clinical practice settings.
The content on this site will stay in its current form until after completion of the DSM-5 Field Trials, scheduled to conclude later this year. Following analysis of field trial results, we will revise the proposed criteria as needed and, after appropriate review and approval, we will post these changes on this Web site. At that time, we will again open the site to a third round of comments from visitors, which will be systematically reviewed by each of the work groups for consideration of additional changes. Thus, the current commenting period is not the final opportunity for you to submit feedback, and subsequent revisions to DSM-5 proposals will be jointly informed by field trial findings as well as public commentary.
We look forward to receiving your feedback during the coming weeks and appreciate your participation in this important process.
The above originally appeared here.
Submissions and comments to the DSM-5:
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