DSM-5 Screening Flashcards

1
Q

DSM-5 vs DSM-5 TR

A

May 2013: publication with many changes moving from Roman numerals to express edition to Arabic numbers

March 2022: publication of DSM-5 TR added further SDOH and cultural factors such as gender identity and sexual orientation in diagnosis

1 in 5 could be diagnosed with mental health issue

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2
Q

DSM-4 to DSM-5

A

reorganized to reflect disorders across a CONTINUUM based on developmental and LIFESPAN considerations

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3
Q

Neurodevelopment disorders

A

intellectual disabilities and delays
communication disorders
autism spectrum disorders (no Aspergers)
ADHD

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4
Q

Depression, Bipolar, Schizophrenia

A

Bipolar and depressive disorders have separate chapters

Depression – Bipolar – Schizophrenia

BIPOLAR IS OVERLAPPING

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5
Q

Anxiety Disorders

A

3 separate chapters:
- Anxiety: GAD, SAD, Panic disorder
- OCD
- PTSD

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6
Q

Substance Related Disorders

A

no more abuse and dependence –> decrease stigma and terminology

set criteria for all substances that only vary with symptom presentation based on type of substance used –> meet any 2 criteria for any substance

includes gambling disorder & other behavioral excesses

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7
Q

Neurocognitive Disorders

A

categorized into major and mild

specifiers include type

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8
Q

Patient Health Questionnaire (PHQ-9)

A

Screen for depression & suicidal thinking

patient-rated

clinically useful

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9
Q

Beck Depression Inventory (BDI)

A

depression

patient-rated

clinically useful

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10
Q

Mood Disorders Questionnaire (MDQ)

A

screen for bipolar I

patient-rated

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11
Q

Hamilton Depression (HAM-D)

A

depression

gold standard in clinical trials (research)

clinician-rated

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12
Q

Montogomery-Asberg Depression Rating Scale (MADRS)

A

depression

gold standard in clinical trials (research)

clinician-rated

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13
Q

Young Mania Rating Scale (YMRS)

A

bipolar & general anxiety

clinician-rated by patient report

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14
Q

Hamilton Anxiety Rating Scale (HAM-A)

A

bipolar & general anxiety

gold standard

clinician-rated

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15
Q

Positive and Negative Syndrome Scale (PANSS)

A

Schizophrenia

gold standard

clinician-rated

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16
Q

Brief Psychiatric Rating Scale (BPRS)

A

Schizophrenia

gold standard

clinician-rated

17
Q

Simpson-Angus (SAS)

A

evaluates drug-induced parkinsonian symptoms

clinician-rated

18
Q

Barnes Akathisia Scale (BARS)

A

objective observation of akathisia

clinician-rated

19
Q

Abnormal Involuntary Movement Scale (AIMS)

A

assess tardive dyskinesia

clinician-rated

20
Q

Extrapyrimidal Symptoms Rating Scale (ESRS)

A

assess parkinsonian symptoms, akathisia, dystonia, and tardive dyskinesia

clinician-rated

21
Q

Clinical Global Impressions (CGI)

A

CGI-S: severity
CGI-I: improvement

used to assess change over time (progression)

observer-rated

22
Q

Global Assessment of Functioning (GAF)

A

variable results based on clinician evaluation and experience –> not good in clinical trials

clinician-rated