Reconsidering the DSM-IV Diagnoses of Alzheimer's Disease : Behavioral and Psychological Symptoms in Patients With Dementia

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Abstract

In traditional medical use, a categorical diagnosis conveys essential (although stereotypic) information about the signs and symptoms of a disease, its treatment, and its prognosis. Its utility derives from its generalizability. However, many of the shortcomings of categorical classification also reflect these same qualities. Diagnoses too often fail to capture important qualities of a disorder or do not sufficiently characterize a patient's particular symptoms. Recent editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM), which have emphasized highly specific entry criteria to establish psychiatric conditions in a more homogeneous fashion, have sometimes resulted in enhanced reliability at the cost of diminished validity. The variability of psychiatric disorders often defies attempts to create strictly defined clusters amenable to syndrome classifications.

Salvato in:
Autori: Eric D. Caine iD (University of Rochester Medicine; University of Rochester); Anton P. Porsteinsson iD (University of Rochester Medicine; University of Rochester); Jeffrey M. Lyness iD (University of Rochester Medicine; University of Rochester); Michael B. First iD (Columbia University)
Pubblicato in: International Psychogeriatrics, vol. 12, pp. 23-27
Data di pubblicazione:01/07/2000
Editore:Cambridge University Press
Tipo di documento:Articolo
Lingua:inglese
DOI: 10.1017/s1041610200006724
ISSN:1041-6102, 1741-203X
Accesso aperto: Accesso aperto Gold: rivista ad accesso aperto – International Psychogeriatrics (licenza: CC-BY-NC-ND, versione editoriale)
Citazioni ricevute:4
Soggetti:
Dementia and Cognitive Impairment Research (Health Sciences > Medicine > Psychiatry and Mental health)
Mental Health and Psychiatry (Social Sciences > Arts and Humanities > Philosophy)
Psychological Testing and Assessment (Social Sciences > Psychology > Applied Psychology)
Alzheimer's disease, DSM-IV, dementia, behavioral and psychological symptoms of dementia, psychiatric diagnosis, categorical classification, diagnostic validity, diagnostic reliability, psychiatric syndromes
Identificativi: OpenAlex W1981417962

Dati dell'indice centrale: OpenAlex (licenza CC0).

Riassunto:In traditional medical use, a categorical diagnosis conveys essential (although stereotypic) information about the signs and symptoms of a disease, its treatment, and its prognosis. Its utility derives from its generalizability. However, many of the shortcomings of categorical classification also reflect these same qualities. Diagnoses too often fail to capture important qualities of a disorder or do not sufficiently characterize a patient's particular symptoms. Recent editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM), which have emphasized highly specific entry criteria to establish psychiatric conditions in a more homogeneous fashion, have sometimes resulted in enhanced reliability at the cost of diminished validity. The variability of psychiatric disorders often defies attempts to create strictly defined clusters amenable to syndrome classifications.
ISSN:1041-6102
1741-203X
DOI:10.1017/s1041610200006724