ArticleEpidemiology and psychiatric sciences2015
DSM-5, psychiatric epidemiology and the false positives problem.
Article in Epidemiology and psychiatric sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- ADHD prevalence estimates in Italian children and adolescents: a methodological issue.Italian journal of pediatrics · 2018Pooled it
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- Plasma Metabolic and Inflammatory Protein Signatures in Psychiatric Disorders.International journal of molecular sciences · 2025Article
- From adventures to diagnosis: adolescent behavior in classic fiction through the eyes of newly licensed Czech psychiatrists - a vignette study.Frontiers in psychiatry · 2025Article
- Undisclosed financial conflicts of interest in DSM-5-TR: cross sectional analysis.BMJ (Clinical research ed.) · 2024Article
- Exploring metabolomic dynamics in acute stress disorder: amino acids, lipids, and carbohydrates.Frontiers in genetics · 2024Review
- Artificial Intelligence: Deciphering the Links between Psychiatric Disorders and Neurodegenerative Disease.Brain sciences · 2023Article
- Klerman's "credo" reconsidered: neo-Kraepelinianism, Spitzer's views, and what we can learn from the past.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
- Nuances in key constructs need attention in research on mental health and psychiatric disorders in sports medicine.BMJ open sport & exercise medicine · 2022Article
- Psychiatrization in mental health care: The emergency department.Frontiers in sociology · 2022Article
- Psychiatrization of Society: A Conceptual Framework and Call for Transdisciplinary Research.Frontiers in psychiatry · 2021Review
- Crossover between diagnostic and empirical categorizations of full and subthreshold PTSD.Journal of affective disorders · 2020Article
- Assessing somatization in urologic chronic pelvic pain syndrome.BMC urology · 2019Article
- Public, health professional and legislator perspectives on the concept of psychiatric disease: a population-based survey.BMJ open · 2019Observational
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- A weak scientific basis for gaming disorder: Let us err on the side of caution.Journal of behavioral addictions · 2018Article
- Values and DSM-5: looking at the debate on attenuated psychosis syndrome.BMC medical ethics · 2016Article
- Prevalence of DSM-IV intermittent explosive disorder in Black adolescents: Findings from the National Survey of American Life, Adolescent Supplement.The American journal of orthopsychiatry · 2016Article
- Evaluating the Validity of Caffeine Use Disorder.Current psychiatry reports · 2015Review
- DSM-5 two years later: facts, myths and some key open issues.Epidemiology and psychiatric sciences · 2015Article
Corrections and comments
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Authors and funding
1 author.
Funding
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Abstract
The revision effort leading to the publication of the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was flawed in process, goals and outcome. The revision process suffered from lack of an adequate public record of the rationale for changes, thus shortchanging future scholarship. The goals, such as dimensionalising diagnosis, incorporating biomarkers and separating impairment from diagnosis, were ill-considered and mostly abandoned. However, DSM-5's greatest problem, and the target of the most vigorous and sustained criticism, was its failure to take seriously the false positives problem. By expanding diagnosis beyond plausible boundaries in ways inconsistent with DSM-5's own definition of disorder, DSM-5 threatened the validity of psychiatric research, including especially psychiatric epidemiology. I present four examples: increasing the symptom options while decreasing the diagnostic threshold for substance use disorder, elimination of the bereavement exclusion from major depression, allowing verbal arguments as evidence of intermittent explosive disorder and expanding attention-deficit/hyperactivity disorder to adults before addressing its manifest false positives problems.
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