4.1 Overview Of The DSM-5

Question 1

What happened to the DSM-5 in May of 2013?

Answer 1

New DSM-5 published w new changes, including change from Roman numerals to Arabic numbers to express edition

Question 2

What happened to the DSM-5, TR in March 2022?

Answer 2

DSM-5, TR is published, added further SDOH and cultural factors in diagnosis

Question 3

Why was the DSM-5 and DSM-5, TR updated?

Answer 3

Recognized to reflect disorders across a continuum based on developmental and lifespan considerations

Question 4

What does the DSM-5 and DSM-5, TR begin with?

Answer 4

Neurodevelopmental disorders:
- Intellectual disabilities and delays; communications disorders
- Autism spectrum disorders
- Attention-deficit/hyperactivity disorder

Question 5

Does bipolar and related disorders and depressive disorders have separate chapters?

Answer 5

Yes

Question 6

Where is bipolar and related disorders chapter(s) found in the DSM-5 and DSM-5, TR?

Answer 6

Bipolar found between schizophrenia spectrum and depressive disorders, reflecting the overlapping nature of bipolar disorder

Question 7

What does anxiety disorders cover?

Answer 7

Includes generalized anxiety disorder, social anxiety disorder, panic disorder

Question 8

What are the new separate chapters for other disorders related to anxiety disorders?

Answer 8

New separate chapters for obsessive-compulsive and related disorders and trauma- and stressor- related disorders

Question 9

What vocabulary is no longer used in the substance-related disorders chapter?

Answer 9

No more “abuse” and “dependence”

Question 10

What are the criteria set by in the substance-related disorders chapter?

Answer 10

Substance criterias only vary with sx presentation based on type of substance used

Question 11

What are new disorders added in the substance-related disorders chapter?

Answer 11

• Gambling disorder
• Other behavioral excesses have been studied, but not yet included (internet, shopping, etc)

Question 12

How are neurocognitive disorders categorized?

Answer 12

• Categorized into major and mild neurocognitive disorders
• Specifiers include type (Alzheimer’s, etc)

Question 13

What are the 2 rating scales for depression that is clinically useful?

Answer 13

• Patient health questionnaire (PHQ-9)
• Beck depression inventory (BDI)

Question 14

What does the patient health questionnaire (PHQ-9) consist of?

Answer 14

• 9 questions to screen for depression and suicidal thinking
• Patient rated

Question 15

What does the Beck depression inventory (BDI) consist of?

Answer 15

21 item, patient rated

Question 16

What is the mood disorders questionnaire (MDQ) designed to be?

Answer 16

Designed to be a patient-rated screening tool for bipolar 1 (mania and depression)

Question 17

What are the rating scales for depression?

Answer 17

• Hamilton depression (HAM-D, HDRS)
• Montgomery-Asberg depression rating scale (MADRS)

Question 18

What does the hamilton depression scale (HAM-D, HDRS) consist of?

Answer 18

• Clinician-related
• Gold standard

Question 19

What does the montgomery-asberg depression rating scale (MADRS) consist of?

Answer 19

Clinical trials, gold standard

Question 20

What are the rating scales for bipolar disorder and generalized anxiety?

Answer 20

• Young mania rating scale (YMRS)
• Hamilton anxiety rating scale (HAM-A)

Question 21

What does the young mania rating scale (YMRS) consist of?

Answer 21

Clinician rated by patient report

Question 22

What are the rating scales for schizophrenia used in clinical trials?

Answer 22

• Positive and negative syndrome scale (PANSS)
• Brief psychiatric rating scale (BPRS)

Question 23

What does the positive and negative syndrome scale (PANSS) and brief psychiatric rating scale (BPRS) consist of?

Answer 23

• Gold standard
• Clinician-rated

Question 24

What are the rating scales for movement side effects of antipsychotics?

Answer 24

• Simpson-Angus (SAS)
• Barnes Akathisia Scale (BARS)

Question 25

What does the Simpson-angus (SAS) scale consist of?

Answer 25

• Evaluates drug-induced parkinsonian sxs
• Clinician-rated

Question 26

What does the Barnes Akathisia scale (BARS) consist of?

Answer 26

• Clinician-rated
• Objective observation of akathisia

Question 27

What are the rating scales for tardive dyskinesia/overall movement side effect?

Answer 27

• Abnormal involuntary movement scale (AIMS)
• Extrapyramidal symptoms rating scale (ESRS)

Question 28

What does the abnormal involuntary movement scale (AIMS) consist of?

Answer 28

• Assesses tardive dyskinesia
• Clinician-rated

Question 29

What does the extrapyramidal sxs rating scale (ESRS) consist of?

Answer 29

• Clinician-rated
• Assess parkinsonian sxs, akathisia, dystonia, and tardive dyskinesia

Question 30

What are the overall psychiatric functioning assessments?

Answer 30

• Clinical global impressions (CGI)
• Global assessment of functioning (GAF)

Question 31

What does the clinical global impressions (CGI) consist of?

Answer 31

• CGI-S = severity
• CGI-I = improvement
• Observer-rated
• Used to assess change over time

Question 32

What does the global assessment of functioning (GAF) consist of?

Answer 32

• Clinician-rated
• Variable results based on clinician evaluation and experience