Clinical research diagnostic criteria for bipolar illness (CRDC-BP): rationale and validity
Abstract Background In the 1970 s, scientific research on psychiatric nosology was summarized in Research Diagnostic Criteria (RDC), based solely on empirical data, an important source for the third revision of the official nomenclature of the American Psychiatric Association in 1980, the Diagnostic...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-10-01
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| Series: | International Journal of Bipolar Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40345-022-00267-3 |
| _version_ | 1811238918578765824 |
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| author | S. Nassir Ghaemi Jules Angst Paul A. Vohringer Eric A. Youngstrom James Phelps Philip B. Mitchell Roger S. McIntyre Michael Bauer Eduard Vieta Samuel Gershon |
| author_facet | S. Nassir Ghaemi Jules Angst Paul A. Vohringer Eric A. Youngstrom James Phelps Philip B. Mitchell Roger S. McIntyre Michael Bauer Eduard Vieta Samuel Gershon |
| author_sort | S. Nassir Ghaemi |
| collection | DOAJ |
| description | Abstract Background In the 1970 s, scientific research on psychiatric nosology was summarized in Research Diagnostic Criteria (RDC), based solely on empirical data, an important source for the third revision of the official nomenclature of the American Psychiatric Association in 1980, the Diagnostic and Statistical Manual, Third Edition (DSM-III). The intervening years, especially with the fourth edition in 1994, saw a shift to a more overtly “pragmatic” approach to diagnostic definitions, which were constructed for many purposes, with research evidence being only one consideration. The latest editions have been criticized as failing to be useful for research. Biological and clinical research rests on the validity of diagnostic definitions that are supported by firm empirical foundations, but critics note that DSM criteria have failed to prioritize research data in favor of “pragmatic” considerations. Results Based on prior work of the International Society for Bipolar Diagnostic Guidelines Task Force, we propose here Clinical Research Diagnostic Criteria for Bipolar Illness (CRDC–BP) for use in research studies, with the hope that these criteria may lead to further refinement of diagnostic definitions for other major mental illnesses in the future. New proposals are provided for mixed states, mood temperaments, and duration of episodes. Conclusions A new CRDC could provide guidance toward an empirically-based, scientific psychiatric nosology, and provide an alternative clinical diagnostic approach to the DSM system. |
| first_indexed | 2024-04-12T12:50:43Z |
| format | Article |
| id | doaj.art-93ed606d45414fb691457757de9415d7 |
| institution | Directory Open Access Journal |
| issn | 2194-7511 |
| language | English |
| last_indexed | 2024-04-12T12:50:43Z |
| publishDate | 2022-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | International Journal of Bipolar Disorders |
| spelling | doaj.art-93ed606d45414fb691457757de9415d72022-12-22T03:32:29ZengSpringerOpenInternational Journal of Bipolar Disorders2194-75112022-10-0110111610.1186/s40345-022-00267-3Clinical research diagnostic criteria for bipolar illness (CRDC-BP): rationale and validityS. Nassir Ghaemi0Jules Angst1Paul A. Vohringer2Eric A. Youngstrom3James Phelps4Philip B. Mitchell5Roger S. McIntyre6Michael Bauer7Eduard Vieta8Samuel Gershon9Department of Psychiatry, Tufts UniversityZurich UniversityDepartment of Psychiatry, Tufts UniversityDepartments of Psychology, Neuroscience, and Psychiatry, University of North CarolinaDepartment of Psychiatry, Good Samaritan Regional Medical CenterDiscipline of Psychiatry and Mental Health, University of New South WalesDepartment of Psychiatry, University of TorontoDepartment of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität DresdenDepartment of Psychiatry and Psychology, Hospital Clinic, Institute of Neuroscience, University of Barcelona, IDIBAPS, CIBERSAMDepartment of Psychiatry, University of MiamiAbstract Background In the 1970 s, scientific research on psychiatric nosology was summarized in Research Diagnostic Criteria (RDC), based solely on empirical data, an important source for the third revision of the official nomenclature of the American Psychiatric Association in 1980, the Diagnostic and Statistical Manual, Third Edition (DSM-III). The intervening years, especially with the fourth edition in 1994, saw a shift to a more overtly “pragmatic” approach to diagnostic definitions, which were constructed for many purposes, with research evidence being only one consideration. The latest editions have been criticized as failing to be useful for research. Biological and clinical research rests on the validity of diagnostic definitions that are supported by firm empirical foundations, but critics note that DSM criteria have failed to prioritize research data in favor of “pragmatic” considerations. Results Based on prior work of the International Society for Bipolar Diagnostic Guidelines Task Force, we propose here Clinical Research Diagnostic Criteria for Bipolar Illness (CRDC–BP) for use in research studies, with the hope that these criteria may lead to further refinement of diagnostic definitions for other major mental illnesses in the future. New proposals are provided for mixed states, mood temperaments, and duration of episodes. Conclusions A new CRDC could provide guidance toward an empirically-based, scientific psychiatric nosology, and provide an alternative clinical diagnostic approach to the DSM system.https://doi.org/10.1186/s40345-022-00267-3DSMRDCCRDCDiagnosisNosologyBipolar disorder |
| spellingShingle | S. Nassir Ghaemi Jules Angst Paul A. Vohringer Eric A. Youngstrom James Phelps Philip B. Mitchell Roger S. McIntyre Michael Bauer Eduard Vieta Samuel Gershon Clinical research diagnostic criteria for bipolar illness (CRDC-BP): rationale and validity International Journal of Bipolar Disorders DSM RDC CRDC Diagnosis Nosology Bipolar disorder |
| title | Clinical research diagnostic criteria for bipolar illness (CRDC-BP): rationale and validity |
| title_full | Clinical research diagnostic criteria for bipolar illness (CRDC-BP): rationale and validity |
| title_fullStr | Clinical research diagnostic criteria for bipolar illness (CRDC-BP): rationale and validity |
| title_full_unstemmed | Clinical research diagnostic criteria for bipolar illness (CRDC-BP): rationale and validity |
| title_short | Clinical research diagnostic criteria for bipolar illness (CRDC-BP): rationale and validity |
| title_sort | clinical research diagnostic criteria for bipolar illness crdc bp rationale and validity |
| topic | DSM RDC CRDC Diagnosis Nosology Bipolar disorder |
| url | https://doi.org/10.1186/s40345-022-00267-3 |
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