DSM-5: diagnosis of mental disorders

摘要

In the Journal of Mental Health this month, the diagnosis of mental disorders is discussed with focus on the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), which is undergoing draft revisions and is scheduled to be published by the American Psychiatric Association (APA) in May, 2013. Proposed changes to DSM-5 include the addition of autism spectrum disorders, revision to binge-eating disorder, and deletion of some types of schizophrenia. The 11th edition of WHO's International Classification of Diseases (ICD) is expected to be completed by 2014- DSM is mainly used in the USA and for research purposes, whereas ICD is mainly used in Europe and for clinical diagnoses. Although the publication of these editions of DSM and ICD (chapter V for mental and behavioural disorders) will not coincide, they are intended to harmonise the diagnosis of mental disorders.