Obsessive-compulsive and related disorders in DSM-5, ICD-11, and RDoC: Conceptual questions and practical solutions

摘要

8.1 Obsessive-compulsive and related disorders in DSM-5 and ICD-11: One of the work groups for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was that devoted to anxiety, obsessive-compulsive spectrum, post-traumatic, and dissociative disorders (Stein, Craske et al. 2011,2014). The name of this work group implies that there are distinctions between these different kinds of disorders, and indeed an early decision was to split the work group into three subgroups, one on anxiety disorders, one on obsessive-compulsive and related disorders (OCRDs), and one on trauma- and stressor-related and dissociative disorders. Given this approach, it is not altogether surprising that DSM-5 and the eleventh edition of the International Classsification of Diseases (ICD-11), which had agreed to use the same metastructure, or overall configuration of chapters in the nomenclature, eventually ended up having these sets of conditions classified in separate chapters.