Hoek 15 okt 2011 dsm5 kort

18
Curaçao 15 October 2011 www.psychiatrienet.nl www.psychiatrynet.eu

description

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

Transcript of Hoek 15 okt 2011 dsm5 kort

Page 1: Hoek 15 okt 2011 dsm5 kort

Curaçao 15 October 2011

www.psychiatrienet.nl

www.psychiatrynet.eu

Page 2: Hoek 15 okt 2011 dsm5 kort
Page 3: Hoek 15 okt 2011 dsm5 kort

1999-2002 Research Agenda

For DSM-V

2004-2007 APA/WHO/NIH

Research Conferences

2007- 2012 DSM-5 Workgroups

2014? ICD-11

May 2013 DSM-5

Literature Reviews

2000 Field Trials

Page 4: Hoek 15 okt 2011 dsm5 kort
Page 5: Hoek 15 okt 2011 dsm5 kort
Page 6: Hoek 15 okt 2011 dsm5 kort

Neurodevelopmental   1334  

Anxiety   1217  

Sexual  and  Gender  Iden;ty   811  

Psychosis   575  

Personality   408  

Childhood  and  Adolescent   406  

Substance   393  

Ea;ng   327  

Neurocogni;ve   309  

Mood   292  

Soma;c   231  

ADHD  and  Disrup;ve   223  

Sleep   57  

Disorder  Comments:  

6627  

General  Comments:  

2004  

Total  Comments:  

8631  

Total  Hits:  50  million  

Page 7: Hoek 15 okt 2011 dsm5 kort
Page 8: Hoek 15 okt 2011 dsm5 kort

 Communication  Treatment decisions  Clinical research

Page 9: Hoek 15 okt 2011 dsm5 kort

To have clinical utility, a criteria set should be: – Usable (by non-research types) – Reliable – Predictive of course, complications,

treatment response

Page 10: Hoek 15 okt 2011 dsm5 kort
Page 11: Hoek 15 okt 2011 dsm5 kort
Page 12: Hoek 15 okt 2011 dsm5 kort

A. Neurodevelopmental Disorders B. Schizophrenia Spectrum and Other

Psychotic Disorders C. Bipolar and Related Disorders D. Depressive Disorders E. Anxiety Disorder F. Obsessive-Compulsive and Related

Disorders G. Trauma and Stressor-Related

Disorders H. Dissociative Disorders J. Somatic Symptom Disorders K. Feeding and Eating Disorders

L. Elimination Disorders M. Sleep-Wake Disorders N. Sexual Dysfunctions P. Gender Dysphoria Q. Disruptive, Impulse Control,

and Conduct Disorders R. Substance Use and Addictive

Disorders S. Neurocognitive Disorders T. Personality Disorders U. Paraphilias V. Other Disorders

Page 13: Hoek 15 okt 2011 dsm5 kort

 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

Page 14: Hoek 15 okt 2011 dsm5 kort

 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

Page 15: Hoek 15 okt 2011 dsm5 kort

A.  Refusal to maintain normal body weight

B.   Intense fear of gaining weight C.  Disturbance in body experience D.  Amenorrhea

Page 16: Hoek 15 okt 2011 dsm5 kort

 Weight Severity BMI 0. None > 18.5 1. Mildly low weight 17-18.5 2. Moderately low weight 16-17 3. Severely low weight 15-16 4. Extremely low weight < 15

 Clinicians can increase severity rating based on other parameters

Page 17: Hoek 15 okt 2011 dsm5 kort
Page 18: Hoek 15 okt 2011 dsm5 kort

Thank you for your attention!