Current opinion in psychiatry
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Curr Opin Psychiatry · Sep 2013
ReviewClassification systems in psychiatry: diagnosis and global mental health in the era of DSM-5 and ICD-11.
The development of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and- of the 11th edition of the International Classification of Disease (ICD-11) have led to renewed attention to the conceptual controversies surrounding the nosology of mental disorder. This article reviews recent work in this area, and suggests potential ways forward for psychiatric nosology, focusing in particular on the need for improved classification approaches for public and global mental health. ⋯ In their day-to-day work, clinicians will continue to use the fuzzy constructs operationally defined and narratively depicted in DSM-5 and ICD-11. Advances in our understanding of the individual-level and society-level causal mechanisms that contribute to vulnerability to mental disorder may ultimately lead to improved classification systems, and in turn to better individualized care as well as improved global mental health.
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Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide and is associated with significant individual and socioeconomic burden. Recent research has begun to acknowledge the important role of psychological factors in the course and management of the disease. Therefore, the present review provides an overview on recent findings on psychological factors in COPD with a specific focus on anxiety and depression. ⋯ Comorbid anxiety and depression in patients with COPD are a major health problem requiring intensified research activities. Future studies need to examine the exact links between COPD and these psychological comorbidities, and how their detection and treatment can be improved in the clinical setting.