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Current viewpoints on DSM-5 in Japan.

Toshihide Kuroki1, Makoto Ishitobi2, Yoko Kamio2

  • 1Department of Clinical Psychology Practice, Graduate School of Human Environment Studies, Kyushu University, Fukuoka, Japan.

Psychiatry and Clinical Neurosciences
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Japanese experts reviewed the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) structure. Their diverse specialty views offer insights into DSM-5

Keywords:
DSM-5DSM-IVICD-10ICD-11diagnosis

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Area of Science:

  • Psychiatry
  • Clinical Neurosciences

Background:

  • The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) is widely used in Japanese research and education, despite government reliance on the International Classification of Diseases, 10th Revision (ICD-10).
  • Japanese medical schools teach both ICD and DSM classifications, with clinical research predominantly referencing the DSM for disorder definition.

Purpose of the Study:

  • To examine the structure of the DSM-5 across 12 psychiatric specialties.
  • To gather representative expert opinions on the DSM-5's framework.

Main Methods:

  • A survey of Japanese experts from 12 specialties was conducted.
  • Experts were asked to examine specific DSM-5 categories, including Neurodevelopmental Disorders, Schizophrenia Spectrum Disorders, Major Depression, Bipolar Disorders, Obsessive-Compulsive Disorders, Somatic Symptom Disorder, Eating Disorders, Substance-Related and Addictive Disorders, Gender Dysphoria, and Neurocognitive Disorders.

Main Results:

  • Expert opinions on the DSM-5 structure were collected across various specialties.
  • The study aimed to present views representative of each specialty regarding the DSM-5.

Conclusions:

  • The review provides insights into the reception and perceived structure of the DSM-5 within the Japanese psychiatric community.
  • This expert-driven examination contributes to understanding the DSM-5's establishment in Japan.