The State of the Art of the DSM-5 “with Mixed Features” Specifier
The new DSM-5 “with mixed features” specifier (MFS) has renewed the interest of the scientific community in mixed states, leading not only to new clinical studies but also to new criticisms of the current nosology. Consequently, in our paper we have reviewed the latest literature, trying to understa...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2015/757258 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832558064270573568 |
|---|---|
| author | Norma Verdolini Mark Agius Laura Ferranti Patrizia Moretti Massimiliano Piselli Roberto Quartesan |
| author_facet | Norma Verdolini Mark Agius Laura Ferranti Patrizia Moretti Massimiliano Piselli Roberto Quartesan |
| author_sort | Norma Verdolini |
| collection | DOAJ |
| description | The new DSM-5 “with mixed features” specifier (MFS) has renewed the interest of the scientific community in mixed states, leading not only to new clinical studies but also to new criticisms of the current nosology. Consequently, in our paper we have reviewed the latest literature, trying to understand the reactions of psychiatrists to the new nosology and its epidemiological, prognostic, and clinical consequences. It seems that the most widespread major criticism is the exclusion from the DSM-5 MFS of overlapping symptoms (such as psychomotor agitation, irritability, and distractibility), with a consequent reduction in diagnostic power. On the other hand, undoubtedly the new DSM-5 classification has helped to identify more patients suffering from a mixed state by broadening the narrow DSM-IV-TR criteria. As for the clinical presentation, the epidemiological data, and the therapeutic outcomes, the latest literature does not point out a univocal point of view and further research is needed to fully assess the implications of the new DSM-5 MFS. It is our view that a diagnostic category should be preferred to a specifier and mixed states should be better considered as a spectrum of states, according to what was stated many years ago by Kraepelin. |
| format | Article |
| id | doaj-art-cbf5ec5454b04826be86bf0c27be6335 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-cbf5ec5454b04826be86bf0c27be63352025-02-03T01:33:26ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/757258757258The State of the Art of the DSM-5 “with Mixed Features” SpecifierNorma Verdolini0Mark Agius1Laura Ferranti2Patrizia Moretti3Massimiliano Piselli4Roberto Quartesan5School of Specialization in Psychiatry, Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia, Piazzale Lucio Severi 1, Edificio A, 06132 Perugia, ItalyDepartment of Psychiatry, East London Partnership Foundation Trust, Bedfordshire Centre for Mental Health Research in Association with the University of Cambridge, University of Cambridge, Charter House, Alma Street, Luton LU1 2PJ, UKBiotechnologies and Biomaterials in Vascular and Metabolic-Endocrine Diseases, University of Perugia, Piazzale Lucio Severi 1, Edificio A, 06132 Perugia, ItalySanta Maria della Misericordia Hospital, Perugia, ItalyFunctional Area of Psychiatry, University of Perugia, Piazzale Lucio Severi 1, Edificio A, 06132 Perugia, ItalySanta Maria della Misericordia Hospital, Perugia, ItalyThe new DSM-5 “with mixed features” specifier (MFS) has renewed the interest of the scientific community in mixed states, leading not only to new clinical studies but also to new criticisms of the current nosology. Consequently, in our paper we have reviewed the latest literature, trying to understand the reactions of psychiatrists to the new nosology and its epidemiological, prognostic, and clinical consequences. It seems that the most widespread major criticism is the exclusion from the DSM-5 MFS of overlapping symptoms (such as psychomotor agitation, irritability, and distractibility), with a consequent reduction in diagnostic power. On the other hand, undoubtedly the new DSM-5 classification has helped to identify more patients suffering from a mixed state by broadening the narrow DSM-IV-TR criteria. As for the clinical presentation, the epidemiological data, and the therapeutic outcomes, the latest literature does not point out a univocal point of view and further research is needed to fully assess the implications of the new DSM-5 MFS. It is our view that a diagnostic category should be preferred to a specifier and mixed states should be better considered as a spectrum of states, according to what was stated many years ago by Kraepelin.http://dx.doi.org/10.1155/2015/757258 |
| spellingShingle | Norma Verdolini Mark Agius Laura Ferranti Patrizia Moretti Massimiliano Piselli Roberto Quartesan The State of the Art of the DSM-5 “with Mixed Features” Specifier The Scientific World Journal |
| title | The State of the Art of the DSM-5 “with Mixed Features” Specifier |
| title_full | The State of the Art of the DSM-5 “with Mixed Features” Specifier |
| title_fullStr | The State of the Art of the DSM-5 “with Mixed Features” Specifier |
| title_full_unstemmed | The State of the Art of the DSM-5 “with Mixed Features” Specifier |
| title_short | The State of the Art of the DSM-5 “with Mixed Features” Specifier |
| title_sort | state of the art of the dsm 5 with mixed features specifier |
| url | http://dx.doi.org/10.1155/2015/757258 |
| work_keys_str_mv | AT normaverdolini thestateoftheartofthedsm5withmixedfeaturesspecifier AT markagius thestateoftheartofthedsm5withmixedfeaturesspecifier AT lauraferranti thestateoftheartofthedsm5withmixedfeaturesspecifier AT patriziamoretti thestateoftheartofthedsm5withmixedfeaturesspecifier AT massimilianopiselli thestateoftheartofthedsm5withmixedfeaturesspecifier AT robertoquartesan thestateoftheartofthedsm5withmixedfeaturesspecifier AT normaverdolini stateoftheartofthedsm5withmixedfeaturesspecifier AT markagius stateoftheartofthedsm5withmixedfeaturesspecifier AT lauraferranti stateoftheartofthedsm5withmixedfeaturesspecifier AT patriziamoretti stateoftheartofthedsm5withmixedfeaturesspecifier AT massimilianopiselli stateoftheartofthedsm5withmixedfeaturesspecifier AT robertoquartesan stateoftheartofthedsm5withmixedfeaturesspecifier |