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The APA classification of mental disorders: future perspectives
Darrel A Regier1, William E Narrow, Michael B First
1Division of Research, American Psychiatric Association, Washington, DC 20005, USA. dregier@psych.org
Psychopathology
|July 30, 2002
Summary
This study reviews the clinical and research impact of the Diagnostic and Statistical Manual (DSM-IV) and International Classification of Diseases (ICD-10). It proposes future research directions to enhance diagnostic validity in psychiatry.
Area of Science:
- Psychiatry and Mental Health Research
- Diagnostic Systems Evaluation
- Psychopathology Research
Background:
- Extensive clinical and research experience with the Diagnostic and Statistical Manual (DSM-IV) and International Classification of Diseases (ICD-10) necessitates a review.
- The American Psychiatric Association and National Institutes of Health have launched a process to evaluate current diagnostic criteria.
Purpose of the Study:
- To accelerate the evaluation of existing diagnostic criteria.
- To develop and test hypotheses for improving the validity of diagnostic concepts.
- To outline future research opportunities in key areas of psychopathology.
Main Methods:
- A multidisciplinary, international panel convened to develop white papers.
- Identification of research opportunities across six broad areas.
- Discussion of recommendations for future national and international research.
Main Results:
- Six white papers were developed, defining research opportunities.
- Key areas include Nomenclature, Disability and Impairment, Personality Disorders, Relational Disorders, Developmental Psychopathology, Neuroscience, and Cross-Cultural aspects.
- Recommendations for future research were formulated.
Conclusions:
- The current experience with DSM-IV and ICD-10 provides a critical juncture for reassessment.
- Future research should focus on enhancing the validity of psychiatric diagnostic concepts.
- International collaboration is crucial for advancing psychopathology research.