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The DSM IV field trials: moving towards an empirically derived classification

Published online by Cambridge University Press:  16 April 2020

A Frances
Affiliation:
Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York State Psychiatric Institute, New York
W Wakefield Davis
Affiliation:
American Psychiatric Association, Washington, DC
M Kline
Affiliation:
Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York State Psychiatric Institute, New York
H Pincus
Affiliation:
American Psychiatric Association, Washington, DC
M First
Affiliation:
Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York State Psychiatric Institute, New York
T Widiger
Affiliation:
Department of Psychology, University of Kentucky, Lexington, KY, USA
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Summary

The authors present an overview of the process for developing DSM IV which has been characterized by extensive international communication and collaboration and which includes three stages of empirical review: systematic literature reviews, analysis of unpublished data and field trials. Next, they describe in detail recently initiated DSM IV field trials. The field trials will study eleven diagnostic categories which continue to be the focus of much discussion. They include antisocial personality disorder, autism, disruptive disorders, dysthymia, insomnia, mixed anxiety and depression, obsessive-compulsive disorder, posttraumatic stress disorder, schizophrenia, somatoform disorder and substance use disorders. Each field trial compares the DSM III, the DSM III-R, ICD 10 and proposed DSM IV criteria for the disorder in question.

Type
Original article
Copyright
Copyright © Elsevier, Paris 1991

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Footnotes

*

The opinions expressed in this paper are those of the authors and do not necessarily represent the position of the American Psychiatric Association and its Task Force on DSM IV.

References

Andreasen, NC (1991) The definition of schizophrenia: characteristic symptoms, prodromal symptoms, and deterioration in functioning.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Breslau, N (1991) The relationship of DSM III-R GAD and dysthymia: evidence from the detroit epidemiologic study of young adults.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Clark, LAWatson, D (1991) Psychometric issues relevant to a potential DSM IV category of mixed anxiety-depression.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Cloninger, R (1991) Somatization disorder.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Davidson, J (1991) Post-traumatic stress disorder in DSM IV.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Foa, E (1991) Obsessive-compulsive disorder in DSM IV.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Frances, AJWidiger, TAPincus, HA (1989) The development of DSM IV. Arch Gen Psychiatry 46, 373375CrossRefGoogle ScholarPubMed
Frances, APincus, HWidiger, TFirst, MDavis, WHall, W (1991) DSM IV and international communication in psychiatric diagnosis. Int J Psychiatry (in press)Google Scholar
Frances, APincus, HAWidiger, TADavis, WWFirst, MB (1990) DSM IV: work in progress. Am J Psychiatry 147, 14391448Google ScholarPubMed
Helzer, JE (1991) Suggested criteria for psychoactive substance abuse.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Katon, WRoy-Byrne, (1991) Mixed anxiety and depression.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Keith, SJMatthews, SM (1991) Onset and duration.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, ed) American Psychiatric Association, Washington, DC (in press)Google Scholar
Keith, SJMatthews, SM (1991) The role of prodrome and residual symptoms.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Keith, SJMatthews, SM (1991) Six month criteria.In: DSM IV Sourcebook (Widiger, TFrances, APincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Keller, MB (1991) Literature review of dysthymia.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Klerman, GLWeissman, MMOuellette, RJohnson, JGreenwald, S (1991) Panic attacks in a community survey: social morbidity and health care utilization.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Lahey, BCarlson, CL (1991) Validity of a diagnostic category of attention deficit disorder with and without hyperactivity.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Loeber, RLahey, BThomas, C (1991) The diagnostic conundrum of oppositional defiant disorder and conduct disorder.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Millon, T (1991) Antisocial personality disorder.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Nathan, P (1991) Substance use dependence in DSM IV.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Reynolds, CFYeager, A (1991) Subtyping “primary” insomnia: usefulness, reliability and validity.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Szatmari, P (1991) Literature review on the DSM III-R criteria for autistic disorder.In: DSM IV Sourcebook (Widiger, TFrances, AFPincus, HAet al, eds) American Psychiatric Association, Washington, DC (in press)Google Scholar
Wells, KStewart, AHays, RBurnam, ARogers, WDaniels, MBerry, SGreenfield, SWare, J (1989) The functioning and well-being of depressed patients. Am Med Assoc 262, 914919CrossRefGoogle ScholarPubMed
Widiger, TFrances, AJPincus, HADavis, W (1991) DSM IV literature reviews: rationale, process and limitations. J Pschychopathol Behav Assess (in press)CrossRefGoogle Scholar
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