Age and Gender Considerations in Psychiatric Diagnosis: A Research Agenda for DSM-V [NOOK Book]

Overview

Written to help identify major gaps in our knowledge of how gender and age affect psychiatric diagnoses and to stimulate much-needed research to fill these gaps, Age and Gender Considerations in Psychiatric Diagnosis serves as both a valuable short-term source for the DSM-V Task Force and its disorder-specific workgroups, and a long-term guide for future studies that will contribute to revised psychiatric classifications in these three areas.

Here, 47 experts present findings in...

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Age and Gender Considerations in Psychiatric Diagnosis: A Research Agenda for DSM-V

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Overview

Written to help identify major gaps in our knowledge of how gender and age affect psychiatric diagnoses and to stimulate much-needed research to fill these gaps, Age and Gender Considerations in Psychiatric Diagnosis serves as both a valuable short-term source for the DSM-V Task Force and its disorder-specific workgroups, and a long-term guide for future studies that will contribute to revised psychiatric classifications in these three areas.

Here, 47 experts present findings in three areas of psychiatric research that historically have been neglected but rightfully have received increasing attention in recent years and thus are worthy of investigation into their clinical features, etiology, and course:

1. Significant gender differences in prevalence, symptom profiles, and risk factors for mental disorders, including neurodevelopmental, neurophysiological, and environmental factors for men and women that cut across diagnostic categories-for example, the critical importance of gender in how psychiatric illness develops and presents; DSM's approach to gender to date; and relevant research findings and gaps in the epidemiology, etiology, and pathophysiology of disorders and the gender-related expression of psychopathology, including the controversial and complex question of whether DSM should have different diagnostic criteria for men and women.

2. Mental disorders in infancy and early childhood, including diagnosis and measurement of psychopathology; PTSD and social and cognitive factors related to the experience of stress; reactive attachment disorder (unique in part because of its specificity to early childhood); mood and anxiety disorders and difficulties in diagnosis; sleep disorders, including two new disorders, Night-Waking Dysomnia and Sleep-Onset Dysomnia; feeding disorders, including the need to address overeating and overfeeding (especially given the alleged U.S. epidemic of obesity); early childhood manifestations of behavior disorders; and early symptoms and diagnosis of autism.

3. Mental disorders in the elderly, such as dementia and depression, once considered normal consequences of aging but now understood to represent mental disorders, including the need to identify specific brain structure abnormalities, biomarkers, and the many contributing biological, psychosocial, and environmental factors of mental illness in late life and to understand their roles in the elderly to better diagnose and monitor disease progression.

Written for clinicians and researchers alike, this thought-provoking compendium contributes critical information that helps enhance our understanding of the causes of mental disorders, develop effective preventive and treatment interventions, and inform future editions of DSM and ICD.

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Editorial Reviews

Journal of Clinical Psychiatry

Age and Gender Considerations in Psychiatric Diagnosis is a challenge to read and an excellent reference, especially for researcher, funding agencies, and those parcititioners who like to stay ahead of new ways to conceptualize the ever-expanding elements that need to be given consideration in diagnosis and treatment decisions.

Doody's Review Service
Reviewer: Marie A Dewitt, MD (Rush University Medical Center)
Description: This is a compilation of white papers commissioned by the American Psychiatric Association (APA) to address diagnostic issues as they pertain to the historically overlooked variables of gender and age groups at each end of the life span.
Purpose: The APA commissioned these papers to address the membership and staff recognition of the need to further examine the areas of gender and extremes of age. The authors and editors hope that this monograph will emphasize the gaps in knowledge in these areas and thereby motivate needed research. The monograph will also be used by the DSM-V Task Force.
Audience: Written by experts in their area, the book will appeal to both clinicians and researchers in psychiatry and psychology through its review of current knowledge and identification of specific questions needing to be addressed.
Features: The book is divided into three parts — sex and gender, early childhood, and the elderly. Although a collection of papers that has been compiled into a monograph, the result is a nicely organized book with chapters arranged in a logical sequence. Subsections of chapters are clearly marked, and tables and charts illustrate points or summarize data. Proposed criteria for new diagnostic entities, suggestions for future directions, and author commentaries are included throughout. References end each chapter.
Assessment: The APA has provided the field with an exceptionally important contribution that offers assessment of the current state of knowledge and gives direction for future research to advance understanding. It also underscores the dynamic relationship among clinical practice, theoretical knowledge, and clinical research.
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Product Details

  • ISBN-13: 9781585626762
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 5/20/2008
  • Sold by: Barnes & Noble
  • Format: eBook
  • Pages: 382
  • Sales rank: 1,184,076
  • Product dimensions: 0.60 (w) x 0.90 (h) x 0.08 (d)
  • File size: 5 MB

Meet the Author

William E. Narrow, M.D., M.P.H., is Deputy Director of the American Psychiatric Institute for Research and Education and the Division of Research of the American Psychiatric Association in Arlington, Virginia.

Michael B. First, M.D., is Research Psychiatrist at New York State Psychiatric Institute and Associate Professor of Clinical Psychiatry at Columbia University College of Physicians & Surgeons in New York, New York.

Darrel A. Regier, M.D., M.P.H., is Executive Director of the American Psychiatric Institute for Research and Education and Director of the Division of Research at the American Psychiatric Association in Arlington, Virginia.

Paul J. Sirovatka, M.S., is Associate Director for Research Policy Analysis, Division of Research/American Psychiatric Institute for Research and Education, Arlington, Virginia.

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Table of Contents

Contributors. Preface. Acknowledgments. Part I: Sex/Gender. Introduction. Why gender matters. DSM's approach to gender: history and controversies. Gender and the prevalence of psychiatric disorders. Neurobiology and sex/gender. Sociocultural factors and gender. A developmental perspective, with a focus on childhood trauma. The longitudinal laboratory of women's reproductive health. Clinical validators of diagnoses: symptom expression, course, and treatment. Gender and diagnostic criteria. Concluding thoughts. Part II: Early Childhood. Diagnosis of psychopathology in infants, toddlers, and preschool children. A research agenda for posttraumatic stress disorder in infants, toddlers, and preschool children. Reactive attachment disorder. Measurement of psychopathology in children under the age of six. Nosology of mood disorders in preschool children: state of knowledge and future directions. Diagnosis of anxiety disorders in infants, toddlers, and preschool children. Classifying sleep disorders in infants and toddlers. Classifying feeding disorders of infancy and early childhood. Disruptive behavior disorders and ADHD in preschool children: characterizing heterotypic continuities for a developmentally informed nosology for DSM-V. Diagnosis of autism and related disorders in infants and very young children: setting a research agenda for DSM-V. Part III: The Elderly. Aging-related diagnostic variations: need for diagnostic criteria appropriate for elderly psychiatric patients. Late-life depression: a model for medical classification. Challenges of diagnosing psychiatric disorders in medically ill patients. Use of biomarkers in the elderly: current and future challenges. Impact of psychosocial factors on late-life depression. Index.

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