Should OCD leave the anxiety disorders in DSM-V? The case for obsessive compulsive-related disorders
Should OCD leave the anxiety disorders in DSM-V? The case for obsessive compulsive-related disorders
复制标题
DOI：
10.1002/da.20500
复制
发表时间：
2008-01-01
影响因子：
7.4
通讯作者：
Simeon, Daphne
中科院分区：
文献类型：
--
作者：
Hollander, Eric;Braun, Ashley;Simeon, Daphne
最近在2006年，一群强迫症（OCD）和强迫症相关障碍（ocds）的专家在华盛顿特区召开会议，审查这些不同疾病之间关系的现有数据，并提出解决我们知识差距的方法，为即将出版的诊断与统计手册（第五版）（DSM-V）做准备。这次会议的结果是，DSM-V的研究计划议程：强迫症工作组建议将强迫症从焦虑症中移除，目前在焦虑症中发现了强迫症。这一建议是根据目前的国际精神障碍分类（ICD-10）将强迫症分类为与焦虑症分开的一个类别。虽然ICD-10将强迫症和焦虑症都归入“神经性、压力相关和躯体形式障碍”的总类别，但它们是两个不同的类别，彼此截然不同。由于强迫症与其他推定的强迫症在现象学、合并症、神经递质/肽系统、神经回路、家族和遗传因素以及治疗反应等方面具有共同之处，因此建议在DSM-V中创建一个新的分类，称为强迫症。另外，强迫症可能被概念化为焦虑症这一更广泛的类别中的一个新类别。未来的研究需要更好地定义这些疾病之间的关系，并研究这一拟议类别的边界问题。在DSM-V中创建一个新的诊断类别既有优点也有缺点，本文将对此进行讨论。
Recently in 2006, a group of experts in obsessive compulsive disorder (OCD) and obsessive compulsive-related disorders (OCRDs) convened in Washington, DC, to review existing data on the relationships between these various disorders, and to suggest approaches to address the gaps in our knowledge, in preparation for the upcoming Diagnostic and Statistical Manual (Fifth Edition) (DSM-V). As a result of this meeting, the Research Planning Agenda for DSM-V: OCRD Work Group suggested removing OCD from the anxiety disorders, where it is currently found. This proposal is in accordance with the current International Classification of Mental Disorders (ICD-10) classification of OCD as a separate category from the anxiety disorders. Although the ICD-10 places both OCD and the anxiety disorders under the umbrella category of "neurotic, stress-related, and somatoform disorders, " they are two separate categories, distinct from one another. As OCD and other putative OCRDs share aspects of phenomenology, comorbidity, neurotransnzitter/peptide systems, neurocircuitry, familial and genetic factors, and treatment response, it was proposed to create a new category in DSM-V entitled OCRDs. Alternatively, the OCRDs might be conceptualized as a new category within the broader category of anxiety disorders. Future studies are needed to better define the relationships among these disorders, and to study boundary issues for this proposed category. There are both advantages and disadvantages in creating a new diagnostic category in DSM-V, and these are discussed in this article.