Evidence map›Paper›PMID 19796425›Full record

ReviewPsychological medicine2009

Exploring the feasibility of a meta-structure for DSM-V and ICD-11: could it improve utility and validity?

G Andrews, D P Goldberg, R F Krueger, W T Carpenter, S E Hyman, P Sachdev, D S Pine

Abstract readReview
PubMed Publisher
In one paragraph

Review in Psychological medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed.

  1. Trial
  2. Article
  3. Reconstructing Psychopathology: A Data-Driven Reorganization of the Symptoms in the Diagnostic and Statistical Manual of Mental Disorders.Clinical psychological science : a journal of the Association for Psychological Science · 2025
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  4. Observational
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  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. An organization- and category-level comparison of diagnostic requirements for mental disorders in ICD-11 and DSM-5.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021
    Article
  15. Article
  16. Article
  17. Validity and utility of Hierarchical Taxonomy of Psychopathology (HiTOP): I. Psychosis superspectrum.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2020
    Article
  18. Article
  19. Article
  20. Article

22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

G AndrewsSchool of Psychiatry, University of New South Wales, Sydney, Australia. gavina@unsw.edu.au
D P Goldberg
R F Krueger
W T Carpenter
S E Hyman
P Sachdev
D S Pine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe organization of mental disorders into 16 DSM-IV and 10 ICD-10 chapters is complex and based on clinical presentation. We explored the feasibility of a more parsimonious meta-structure based on both risk factors and clinical factors.

methodMost DSM-IV disorders were allocated to one of five clusters as a starting premise. Teams of experts then reviewed the literature to determine within-cluster similarities on 11 predetermined validating criteria. Disorders were included and excluded as determined by the available data. These data are intended to inform the grouping of disorders in the DSM-V and ICD-11 processes.

resultsThe final clusters were neurocognitive (identified principally by neural substrate abnormalities), neurodevelopmental (identified principally by early and continuing cognitive deficits), psychosis (identified principally by clinical features and biomarkers for information processing deficits), emotional (identified principally by the temperamental antecedent of negative emotionality), and externalizing (identified principally by the temperamental antecedent of disinhibition).

conclusionsLarge groups of disorders were found to share risk factors and also clinical picture. There could be advantages for clinical practice, public administration and research from the adoption of such an organizing principle.

Indexed as

Diagnostic and Statistical Manual of Mental DisordersInternational Classification of DiseasesEditorial PoliciesFeasibility StudiesHumansMental DisordersPublishingReproducibility of ResultsUnited States

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.