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[DSM-5 and old age psychiatry].
Benjamin Calvet1, Jean-Pierre Clément1
1CMRR du Limousin, France ; Inserm UMR1094 ; Pôle Universitaire de l'adulte et de la personne âgée, Centre Hospitalier Esquirol, Limoges, France.
The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) introduced significant changes, including a mixed dimensional-categorical approach, impacting elderly psychiatric care and sparking debate.
Area of Science:
- Psychiatry
- Neuroscience
- Mental Health
Context:
- The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), released in 2013, aimed for a pathophysiology-based approach.
- Previous DSM versions offered limited focus on elderly psychiatry.
- The DSM-5 revision faced criticism regarding complexity and potential overdiagnosis.
Purpose:
- To review changes in the DSM-5 relevant to old age psychiatry.
- To identify key DSM-5 elements for clinical practice in elderly psychiatric care.
- To discuss controversies surrounding the DSM-5.
Summary:
- The DSM-5 introduced a mixed dimensional-categorical approach, departing from purely categorical diagnoses.
- This revision aimed to integrate neuroscience data and pathophysiology.
- The manual's impact on diagnosing mental disorders in the elderly was examined.
Impact:
- The DSM-5 presents new considerations for diagnosing and treating mental health conditions in older adults.
- Understanding DSM-5 changes is crucial for geriatric psychiatrists.
- The review addresses ongoing debates concerning the DSM-5's clinical utility and scope.
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