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Obsessive compulsive and related disorders: comparing DSM-5 and ICD-11

Published online by Cambridge University Press:  12 July 2016

Anna Marras Open the ORCID record for Anna Marras [Opens in a new window] ,
Naomi Fineberg  and
Stefano Pallanti
Anna Marras
Affiliation:
Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy
Naomi Fineberg
Affiliation:
Highly Specialized Obsessive Compulsive and Related Disorders Service, Hertfordshire Partnership University NHS Foundation Trust, Welwyn Garden City, Hertfordshire, UK Department of Postgraduate Medicine, University of Hertfordshire, Hatfield, UK Department of Psychiatry, School of Clinical Medicine, University of Cambridge, Addenbrooke’s Hospital, Cambridge, UK
Stefano Pallanti*
Affiliation:
Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy Department of Psychiatry and Behavioral Sciences, UC Davis School of Medicine, Sacramento, California, USA Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine and Montefiore Medical Center, New York, NY, USA
*
*Address for correspondence: Stefano Pallanti, Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Via delle Gore 2H, 50134 Firenze, Italy. (Email: [email protected])
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Abstract

Obsessive-compulsive disorder (OCD) has been recognized as mainly characterized by compulsivity rather than anxiety and, therefore, was removed from the anxiety disorders chapter and given its own in both the American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the Beta Draft Version of the 11th revision of the World Health Organization (WHO) International Classification of Diseases (ICD-11). This revised clustering is based on increasing evidence of common affected neurocircuits between disorders, differently from previous classification systems based on interrater agreement. In this article, we focus on the classification of obsessive-compulsive and related disorders (OCRDs), examining the differences in approach adopted by these 2 nosological systems, with particular attention to the proposed changes in the forthcoming ICD-11. At this stage, notable differences in the ICD classification are emerging from the previous revision, apparently converging toward a reformulation of OCRDs that is closer to the DSM-5.

Keywords

ClassificationDiagnostic and Statistical Manual of Mental DisordersDSM-5ICD-11International Classification of Diseasesobsessive-compulsive disorderobsessive-compulsive and related disordersOCDOCRDs
Type
Review Articles
Information
CNS Spectrums , Volume 21 , Special Issue 4: Nosology in DSM5 vs. ICD , August 2016 , pp. 324 - 333
Copyright
© Cambridge University Press 2016 

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