Las principales novedades agregadas comprenden la incorporación de parámetros dimensionales para la evaluación de los síntomas, la posibilidad de diagnosticar cuadros subumbrales del espectro bipolar, la consideración de nuevos especificadores de curso como los síntomas mixtos, la desaparición del diagnóstico de episodio mixto, y el aumento del umbral para el diagnóstico de hipo/manía. En este artículo hacemos una revisión crítica de los puntos que pueden aproximar y aquellos que pueden dificultar la convergencia de los trastornos bipolares, así como de aquellas condiciones clínicas incluidas dentro de los trastornos depresivos con especial relevancia para los trastornos bipolares (p. Las clasificaciones DSM-5 y CIE-11, esta última en elaboración, pretenden armonizar los diagnósticos de los trastornos mentales. Since DSM-5 has already been published, changes in the draft of ICD-11, or ongoing changes in DSM-5.1 will be necessary to improve the harmonization of psychiatric diagnoses.
The main differences are, most likely keeping the mixed depression and anxiety disorder diagnostic category, maintaining bereavement as exclusion criterion for the depressive episode, and maintaining the mixed episode diagnosis in bipolar disorder in the forthcoming ICD-11. The most noticeable points of convergence are the inclusion of bipolar II disorder in ICD-11 and the additional requirement of an increase in activity, besides mood elation or irritability, for the diagnosis of hypo/mania in both classifications. The main novelties include the incorporation of dimensional parameters to assess the symptoms, as well as the sub-threshold states in the bipolar spectrum, the consideration of new course specifiers such as the mixed symptoms, the elimination of mixed episodes, and a more restrictive threshold for the diagnosis of hypo/mania. A critical review is presented in the issues that can converge or separate both classifications regarding bipolar disorders, and those conditions –included in depressive disorders–with special relevance for bipolar (e.g. The DSM-5 and ICD-11 classifications, the latter still under development, are aimed at harmonizing the diagnoses of mental disorders.
0 kommentar(er)
