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Balancing Objective Markers and Subjective Experience in Eating Disorder Diagnoses: Commentary on Dang et al. (2024).
Int J Eat Disord
October 2024
Department of Psychology, University of Nevada Las Vegas, Las Vegas, Nevada, USA.
The results of Dang et al.'s recent systematic review and meta-analysis suggested that individuals diagnosed with other specified feeding or eating disorder (OSFED) and those diagnosed with specified eating disorders (EDs, such as bulimia nervosa) endorse similar, elevated levels of ED-related cognitions (but not behaviors). The DSM has traditionally conceptualized EDs primarily as disturbances in eating behavior, and the diagnostic boundaries for EDs are based on objective markers, such as behavioral frequencies and weight.
View Article and Find Full Text PDFThree-Year Effects of Motivational Interviewing-Enhanced Behavior Therapy for Adolescents With Attention-Deficit/Hyperactivity Disorder: A Randomized Community-Based Trial.
J Am Acad Child Adolesc Psychiatry
October 2024
Objective: This study reports 3-year effects of a parent-teen cognitive/behavioral treatment for adolescent attention-deficit/hyperactivity disorder (ADHD), blended with Motivational Interviewing (Supporting Teens' Autonomy Daily [STAND]), vs Usual Care (UC) in 4 community clinics.
Method: This was a randomized clinical trial with double randomization of adolescents and therapists to STAND vs UC. Participants were 278 culturally diverse adolescents diagnosed with DSM-5 ADHD and 82 community therapists.
Posttraumatic stress disorder (PTSD) in a sample of patients evaluated for acute coronary syndrome: A factor analysis of the PTSD checklist for DSM-5 (PCL-5).
J Affect Disord
January 2025
Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York, NY 10032, United States of America.
Article Synopsis
- The PCL-5 is a reliable tool for measuring PTSD symptoms, but research on its application for heart issues like acute coronary syndromes (ACS) is limited.
- A study involving 830 patients used exploratory and confirmatory factor analyses to identify two main PTSD symptom factors: "Memories of Trauma" and "Cognitive Behavioral Symptoms."
- Results showed that the PCL-5 is effective across different demographics, although the sample's limited representation of patients diagnosed with ACS may affect the broader implications of the findings.
Prenatal Nutritional Factors and Neurodevelopmental Disorders: A Narrative Review.
Life (Basel)
August 2024
Child Neuropsychiatry Department, ISMEP-ARNAS Civico-Di Cristina Benfratelli, Di Cristina Pediatric Hospital, 90134 Palermo, Italy.
According to the DSM-5, neurodevelopmental disorders represent a group of heterogeneous conditions, with onset during the developmental period, characterized by an alteration of communication and social skills, learning, adaptive behavior, executive functions, and psychomotor skills. These deficits determine an impairment of personal, social, scholastic, or occupational functioning. Neurodevelopmental disorders are characterized by an increased incidence and a multifactorial etiology, including genetic and environmental components.
View Article and Find Full Text PDFFrom diagnosis to dialogue - reconsidering the DSM as a conversation piece in mental health care: a hypothesis and theory.
Front Psychiatry
August 2024
Department of Psychiatry, Utrecht University Medical Center, Utrecht, Netherlands.
The Diagnostic and Statistical Manual of Mental Disorders, abbreviated as the DSM, is one of mental health care's most commonly used classification systems. While the DSM has been successful in establishing a shared language for researching and communicating about mental distress, it has its limitations as an empirical compass. In the transformation of mental health care towards a system that is centered around shared decision-making, person-centered care, and personal recovery, the DSM is problematic as it promotes the disengagement of people with mental distress and is primarily a tool developed for professionals to communicate patients instead of patients.
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