Hoek 15 okt 2011 dsm5 kort

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presentatie door dr. Wijbrand Hoek over de nieuwe ontwikkelingen op het gebied van DSM-5

Transcript of Hoek 15 okt 2011 dsm5 kort

  • 1.Curaao 15 October 2011 www.psychiatrienet.nl www.psychiatrynet.eu

2. 2004-2007 APA/WHO/NIHResearch Conferences1999-2002 ResearchAgenda2007- 2012For DSM-VDSM-5 Workgroups2000 Literature Field May 2013 Reviews TrialsDSM-52014?ICD-11 3. Total Hits: 50 Neurodevelopmental 1334 million Anxiety 1217 Disorder Sexual and Gender Iden;ty 811 Comments: Psychosis 575 6627 Personality 408 Childhood and Adolescent 406 General Substance 393 Comments: Ea;ng 327 2004 Neurocogni;ve 309 Mood 292 Total Soma;c 231 Comments: ADHD and Disrup;ve 223 8631 Sleep 57 4. CommunicationTreatment decisionsClinical research 5. To have clinical utility, a criteria set should be:Usable (by non-research types)ReliablePredictive of course, complications,treatment response 6. A. Neurodevelopmental Disorders L. Elimination DisordersB. Schizophrenia Spectrum and Other M. Sleep-Wake Disorders Psychotic DisordersN. Sexual DysfunctionsC. Bipolar and Related DisordersP. Gender DysphoriaD. Depressive Disorders Q. Disruptive, Impulse Control,E. Anxiety Disorderand Conduct DisordersF. Obsessive-Compulsive and Related R. Substance Use and Addictive Disorders DisordersG. Trauma and Stressor-RelatedS. Neurocognitive Disorders DisordersT. Personality DisordersH. Dissociative Disorders U. ParaphiliasJ. Somatic Symptom DisordersV. Other DisordersK. Feeding and Eating Disorders 7. Anorexia and bulimia nervosa? Criteria! Binge Eating Disorder? Yes Night Eating Syndrome? In EDNOS Purging Disorder? In EDNOS Feeding disorders? Yes (Pica, Rumination, ARFID) Obesitas? No 8. K00 Pica K01 Rumination Disorder K02 Avoidant/Restrictive Food Intake Disorder K03 Anorexia Nervosa K04 Bulimia Nervosa K05 Binge Eating Disorder K06 Other Specified Feeding or Eating Disorder K07 Unspecified Feeding or Eating Disorder 9. A. Refusal to maintain normal bodyweightB. Intense fear of gaining weightC. Disturbance in body experienceD. Amenorrhea 10. Weight SeverityBMI0. None > 18.51. Mildly low weight17-18.52. Moderately low weight16-173. Severely low weight15-164. Extremely low weight < 15 Clinicians can increase severity rating based onother parameters 11. Thank you for your attention!