Diagnostic and Statistical Manual of Mental Disorders

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Diagnostic and Statistical Manual of Mental Disorders (DSM),

(dī'ag-nos'tic stă-tis'ti-kăl man'yū-ăl men'tăl dis-or'dĕrz),
A system of classification, published by the American Psychiatric Association, which divides recognized mental disorders into clearly defined categories based on sets of objective criteria. Representing a majority view (rather than a consensus) of hundreds of contributors and consultants, DSM is widely recognized as a diagnostic standard and widely used for reporting, coding, and statistical purposes.

The first edition (1952), based on the sixth revision of the International Classification of Diseases (ICD-6), was intended to promote uniformity in the naming and reporting of psychiatric disorders. It contained definitions of all named disorders, but no sets of diagnostic criteria. Although its classification of mental disorders showed the influence of freudian psychoanalysis, its nomenclature (for example, depressive reaction, anxiety reaction, schizophrenic reaction) reflected the theories of Adolf Meyer (1866-1950). The second edition (DSM-II, 1968) preserved the psychoanalytic orientation but dropped the "reaction" terminology. The third edition (DSM-III, 1980) abandoned much of the rigidly psychodynamic thinking of the earlier editions and, for the first time, provided explicit diagnostic criteria and introduced a multiaxial system whereby different aspects of a patient's condition could be separately assessed. Briefly stated, the axes are I, clinical disorders; II, personality disorders and mental retardation; III, general medical disorders; IV, psychosocial and environmental stressors; and V, overall level of functioning. A revised version of the third edition (DSM-IIIR, 1987) incorporated improvements and clarifications. The fourth edition (DSM-IV) appeared in May, 1994. It follows its two predecessors closely in general outline, and like them is coordinated with and partly derived from ICD-9. For many observers, the most significant change in DSM-IV is the renaming of the category formerly called Organic Mental Syndromes and Disorders as Delirium, Dementia, and Amnestic and Other Cognitive Disorders, a shift in terminology intended to avoid the implication that mental disorders in other categories are not organic.

Diagnostic and Statistical Manual of Mental Disorders

/Di·ag·nos·tic and Sta·tis·ti·cal Man·u·al of Men·tal Dis·or·ders/ (DSM) a categorical system of classification of mental disorders, published by the American Psychiatric Association, that delineates objective criteria to be used in diagnosis.

Diagnostic and Statistical Manual of Mental Disorders (DSM)

a manual, published by the American Psychiatric Association, listing the official diagnostic classifications of mental disorders. The DSM recommends the use of a multiaxial evaluation system as a holistic diagnostic approach. It consists of five axes, each of which refers to a different class of information, including mental and physical data. Axes I and II include all of the mental disorders, classified broadly as clinical syndromes and personality disorders; axis III contains physical disorders and conditions; and axes IV and V provide a coded outline of supplemental information on psychosocial stressors and adaptive functioning, which is useful for planning individual treatment and predicting outcomes. Each of the classifications of the mental disorders contains a code that provides a reference to the WHO International Classification of Diseases and offers such useful diagnostic criteria as essential and associated features of the disorder, age at onset, course, impairment, complications, predisposing factors, prevalence, sex ratio, familial patterns, and differential diagnoses. DSM-IV is the fourth edition of the manual, published in 1994.

Di·ag·nos·tic and Sta·tis·ti·cal Man·u·al of Men·tal Dis·or·ders

(DSM) (dī-ăg-nos'tik stă-tis'ti-kăl man'yū-ăl men'tăl dis-ōr'dĕrz)
An American Psychiatric Association publication that classifies mental illnesses. Currently in its fourth edition (i.e., DSM-IV-TR), the manual provides health care practitioners with a comprehensive system for diagnosing mental illnesses based on specific ideational and behavioral symptoms.

Di·ag·nos·tic and Sta·tis·ti·cal Man·u·al of Men·tal Dis·or·ders

(dī-ăg-nos'tik stă-tis'ti-kăl man'yū-ăl men'tăl dis-ōr'dĕrz)
A system of classification, published by the American Psychiatric Association, which divides recognized mental disorders into clearly defined categories.
References in periodicals archive ?
22) Given the lack of methods to confirm the diagnosis of ADHD through other means, it is important to recognize the limitations of the DSM-IV TR definition.
Bizim olgumuzda mevcut belirtiler DSM-IV TR manik epizod tani kriterlerini karsiladigi ve eslik eden BH tanisi bulundugu icin "Genel Tibbi Duruma Bagli Manik Epizod-varsanilarla giden" tanisi uygun gorulmustur.
Olgumuzda ise travmadan 1 yil once ortaya cikan yakinmalarinin da DSM-IV TR kritelerine gore mani atagini karsiladigi gorulmekte ve epizodlarin travmadan bagimsiz gelistigi lehine degerlendirilmistir.
People were diagnosed with PTSD if they had a total checklist score of 50 or more, combined with moderate or higher endorsement of certain DSM-IV TR symptoms: at least one re experiencing symptom, three avoidance symptoms, and two hyperarousal symptoms.
All of them met DSM-IV TR criteria for a primary diagnosis of ADHD; all functioned intellectually at age-appropriate levels; all were free of current, uncontrolled, comorbid psychiatric diagnoses; and all had normal blood pressure and ECG results (Pediatrics 2008;121 :e73-84).
Clinicians administered this 18-item scale, which is designed to reflect current ADHD symptoms on the basis of the DSM-IV TR.
However, the DSM-IV TR (Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revised) defines Major Depressive Disorder (MDD) as a mental illness in which a person consistently experiences deep, unshakable sadness and diminished interest in all activities for a period of at least 2 weeks.
However, Janet does not meet the full DSM-IV TR criteria for bulimia nervosa, which involves binging with compensatory behaviors that occur at least twice a week for 3 or more months.
2) Anorexia Nervosa: Anorexia nervosa is characterized by the DSM-IV TR as failing to maintain minimal normal weight for age and height, fear of gaining weight, body image disturbance, and absence of three consecutive menstrual cycles.
By 1994, the DSM-IV was a hefty 886 pages, while the DSM-IV TR (2000) is 943 pages.
2], and had been diagnosed with bipolar I disorder as defined by DSM-IV TR.
But careful application of the DSM-IV TR criteria for PTSD to descriptions of patients in postpsychotic states clearly demonstrates that the presentation is quite different and does not meet diagnostic criteria for PTSD," she said.