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Proposal for changes in diagnostic criteria for sexual dysfunctions
Robert Segraves1, Richard Balon2, Anita Clayton3
1MetroHealth-Psychiatry, Cleveland, Ohio, USA;; Wayne State School of Medicine-Psychiatry, Detroit, Michigan, USA;.
The Journal of Sexual Medicine
|April 17, 2007
Summary
The Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria for sexual dysfunctions require updates. Recommendations include adopting suggested modifications and specific duration/severity criteria for accurate diagnosis.
Area of Science:
- Psychiatry
- Sexual Health
- Diagnostic Criteria
Background:
- Diagnostic criteria significantly impact treatment decisions and clinical research populations.
- The Diagnostic and Statistical Manual of Mental Disorders (DSM) has heavily influenced sexual disorder research but faced criticism.
- Current DSM criteria for sexual dysfunctions have remained largely unchanged due to stringent data requirements.
Purpose of the Study:
- To trace the historical development of DSM diagnostic criteria for sexual dysfunctions.
- To critically assess proposed modifications to the existing DSM system for sexual disorders.
- To provide evidence-based recommendations for refining DSM-V criteria.
Main Methods:
- Contacting members of DSM work groups on sexual dysfunction for historical insights.
- Conducting a literature review on diagnostic criteria for sexual dysfunctions in the DSM.
- Reviewing literature that suggests modifications to the current diagnostic system.
- Evaluating evidence to inform recommendations for DSM-V criteria.
Main Results:
- DSM sexual dysfunction criteria were initially based on expert opinion and literature.
- Minimal changes have occurred due to the need for substantial empirical data.
- International consensus supports major modifications for female sexual dysfunctions.
- Growing evidence indicates a need to revise criteria for premature ejaculation.
Conclusions:
- Adoption of suggested modifications for sexual dysfunction criteria by the DSM-V committee is recommended.
- Implementing specific duration and severity criteria is advised.
- These changes will help differentiate persistent sexual disorders from transient issues related to stress or relationship discord.
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