Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Spectrum and nosology: implications for DSM-V.

Jack D Maser1, Thomas Patterson

  • 1Department of Psychiatry, University of California, San Diego, Psychiatry Service, Veterans Affairs San Diego Healthcare System (116A), San Diego, CA, USA. JMaser@VApop.UCSD.edu

The Psychiatric Clinics of North America
|December 5, 2002
PubMed
Summary

Spectrum diagnosis offers a more comprehensive view of psychopathology than the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV). A dimensional approach in DSM-V is recommended for better clinical representation.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Flow Diversion for Small Branches and Distal Aneurysms of the Posterior Circulation: A Subanalysis of the Post-FD Registry.

Stroke (Hoboken, N.J.)·2026
Same author

Wearable-derived Sleep Measurements are Associated with Long-COVID in the RECOVER Adult Cohort.

Research square·2025
Same author

Move to improve - Prescribing physical activity and deprescribing paracetamol for low back pain: Protocol for a hybrid type III feasibility study.

BMJ open·2025
Same author

Safety and effectiveness assessment of the surpass evolve (SEASE): a post-market international multicenter study.

Journal of neurointerventional surgery·2024
Same author

Treatment outcomes for ARUBA-eligible brain arteriovenous malformations: a comparison of real-world data from the NVQI-QOD AVM registry with the ARUBA trial.

Journal of neurointerventional surgery·2024
Same author

Barriers and facilitators to reducing paracetamol use in low back pain: A qualitative study.

Musculoskeletal science & practice·2023

Area of Science:

  • Psychiatry and Clinical Psychology
  • Mental Health Diagnostics
  • Nosology and Classification Systems

Background:

  • The Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) provides a categorical framework for psychopathology.
  • Subthreshold and non-criterion symptoms are inadequately addressed within the current DSM-IV structure.
  • The 'Not otherwise specified' category in DSM-IV is widely used but lacks specificity compared to spectrum approaches.

Purpose of the Study:

  • To compare and contrast spectrum-based diagnostic models with the DSM-IV perspective on representing psychopathology.
  • To highlight the limitations of categorical diagnoses in capturing the full spectrum of mental health conditions.
  • To advocate for the inclusion of dimensional aspects in future diagnostic systems, such as DSM-V.

Related Experiment Videos

Main Methods:

  • Comparative analysis of diagnostic nosologies: spectrum models versus DSM-IV.
  • Review of literature and data on symptom representation in psychopathology.
  • Examination of diagnostic efficiency, communication, and labeling in different nosological systems.

Main Results:

  • Spectrum diagnoses allow for the utilization of the entire range of symptoms, unlike the DSM-IV's focus on discrete categories.
  • DSM-IV's categorical approach, while efficient for communication, may not be the optimal representation of psychopathology.
  • Comorbidity is present in both systems, but potentially less pronounced in certain spectrum models.

Conclusions:

  • The current categorical system in DSM-IV has limitations in fully representing psychopathology.
  • Spectrum diagnostic models offer a more nuanced and inclusive approach to understanding mental health conditions.
  • There is a clear need for the designers of DSM-V to incorporate dimensional aspects into the diagnostic framework.