Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders: Phase I of the AREDOC project

TY - JOUR

T1 - Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders

T2 - Phase I of the AREDOC project

AU - Parker, Gordon

AU - Tavella, Gabriela

AU - Macqueen, Glenda

AU - Berk, Michael

AU - Grunze, Heinz

AU - Deckersbach, Thilo

AU - Dunner, David L

AU - Sajatovic, Martha

AU - Amsterdam, Jay D

AU - Ketter, Terence A

AU - Yatham, Lakshmi N

AU - Kessing, Lars Vedel

AU - Bassett, Darryl

AU - Zimmerman, Mark

AU - Fountoulakis, Kostas N

AU - Duffy, Anne

AU - Alda, Martin

AU - Calkin, Cynthia

AU - Sharma, Verinder

AU - Anand, Amit

AU - Singh, Manpreet K

AU - Hajek, Tomas

AU - Boyce, Philip

AU - Frey, Benicio N

AU - Castle, David J

AU - Young, Allan H

AU - Vieta, Eduard

AU - Rybakowski, Janusz K

AU - Swartz, Holly A

AU - Schaffer, Ayal

AU - Murray, Greg

AU - Bayes, Adam

AU - Lam, Raymond W

AU - Bora, Emre

AU - Post, Robert M

AU - Ostacher, Michael J

AU - Lafer, Beny

AU - Cleare, Anthony J

AU - Burdick, Katherine E

AU - O'Donovan, Claire

AU - Ortiz, Abigail

AU - Henry, Chantal

AU - Kanba, Shigenobu

AU - Rosenblat, Joshua D

AU - Parikh, Sagar V

AU - Bond, David J

AU - Grunebaum, Michael F

AU - Frangou, Sophia

AU - Goldberg, Joseph F

AU - Orum, Margo

AU - Osser, David N

AU - Frye, Mark A

AU - McIntyre, Roger S

AU - Fagiolini, Andrea

AU - Manicavasagar, Vijaya

AU - Carlson, Gabrielle A

AU - Malhi, Gin S

PY - 2018/12/1

Y1 - 2018/12/1

N2 - OBJECTIVE:: To derive new criteria sets for defining manic and hypomanic episodes (and thus for defining the bipolar I and II disorders), an international Task Force was assembled and termed AREDOC reflecting its role of Assessment, Revision and Evaluation of DSM and other Operational Criteria. This paper reports on the first phase of its deliberations and interim criteria recommendations.METHOD:: The first stage of the process consisted of reviewing Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and recent International Classification of Diseases criteria, identifying their limitations and generating modified criteria sets for further in-depth consideration. Task Force members responded to recommendations for modifying criteria and from these the most problematic issues were identified.RESULTS:: Principal issues focussed on by Task Force members were how best to differentiate mania and hypomania, how to judge 'impairment' (both in and of itself and allowing that functioning may sometimes improve during hypomanic episodes) and concern that rejecting some criteria (e.g. an imposed duration period) might risk false-positive diagnoses of the bipolar disorders.CONCLUSION:: This first-stage report summarises the clinical opinions of international experts in the diagnosis and management of the bipolar disorders, allowing readers to contemplate diagnostic parameters that may influence their clinical decisions. The findings meaningfully inform subsequent Task Force stages (involving a further commentary stage followed by an empirical study) that are expected to generate improved symptom criteria for diagnosing the bipolar I and II disorders with greater precision and to clarify whether they differ dimensionally or categorically.

AB - OBJECTIVE:: To derive new criteria sets for defining manic and hypomanic episodes (and thus for defining the bipolar I and II disorders), an international Task Force was assembled and termed AREDOC reflecting its role of Assessment, Revision and Evaluation of DSM and other Operational Criteria. This paper reports on the first phase of its deliberations and interim criteria recommendations.METHOD:: The first stage of the process consisted of reviewing Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and recent International Classification of Diseases criteria, identifying their limitations and generating modified criteria sets for further in-depth consideration. Task Force members responded to recommendations for modifying criteria and from these the most problematic issues were identified.RESULTS:: Principal issues focussed on by Task Force members were how best to differentiate mania and hypomania, how to judge 'impairment' (both in and of itself and allowing that functioning may sometimes improve during hypomanic episodes) and concern that rejecting some criteria (e.g. an imposed duration period) might risk false-positive diagnoses of the bipolar disorders.CONCLUSION:: This first-stage report summarises the clinical opinions of international experts in the diagnosis and management of the bipolar disorders, allowing readers to contemplate diagnostic parameters that may influence their clinical decisions. The findings meaningfully inform subsequent Task Force stages (involving a further commentary stage followed by an empirical study) that are expected to generate improved symptom criteria for diagnosing the bipolar I and II disorders with greater precision and to clarify whether they differ dimensionally or categorically.

U2 - 10.1177/0004867418808382

DO - 10.1177/0004867418808382

M3 - Journal article

C2 - 30378461

SN - 0004-8674

VL - 52

SP - 1173

EP - 1182

JO - Australian and New Zealand Journal of Psychiatry

JF - Australian and New Zealand Journal of Psychiatry

IS - 12

ER -