Quantum Units Education®

Introduction: What DSM-5 Can and Cannot Do

1. When the DSM-III was published in 1980, it increased reliability by taking a __________ approach and allowed for diagnoses based on what professionals could see and agree on.

Unsolved Problems in Psychiatric Diagnosis

2. Although the DSM-5 must base diagnostic criteria on signs and symptoms, such observation should also be augmented by biological markers.

Ten Highlights of DSM-5

3. Major revisions in the DSM-5 included each of the following EXCEPT:

Chapter 1-Why is Diagnosis Important

4. Diagnosis is important to patients because it provides validation, explanation, and prognosis.

Why Psychiatric Diagnosis is Difficult

5. Psychiatric diagnoses are based on observation of signs and symptoms, rather than pathological process, and are therefore categorized as disorders rather than diseases.

Diagnosis and Treatment

6. Diagnosis is not necessarily a neutral and empirically based procedure, but rather driven by:

Chapter 2-Keeping Industry Out

7. When developing the DSM-5 task force, it was important to ensure that all members had only minimal involvement with pharmaceutical companies during the time of their participation in the process.

Timeline

8. One of the praises of the DSM-5 process is that the task force made sure to allow a significant time period to establish the validity of any revisions.

The Structure of DSM-5

9. Which of the following are NOT classified as anxiety disorders in the DSM-5?

Chapter 3-The Boundary Between Illness and Life

10. Almost everything that creates trouble in human life can be found in DSM manuals, resulting in about ____ percent if the population meeting criteria for at least one disorder in a given year.

Sensitivity and Specificity

11. In psychiatric diagnosis, specificity measures the proportion of positive cases correctly identified.

Diagnosis in Childhood

12. DSM-5 makes a point of not separating adult and child psychiatry since so many disorders that begin in childhood continue into adulthood.

Chapter 4-Reliability and Validity

13. While few diagnoses are genuinely comorbid, it is generally appropriate to make such a diagnosis when substance abuse complicates a mood disorder since they will likely require separate treatment.

Interviews and Self-Report Measures

14. Interviews whose content is defined by specific areas of inquiry to be covered, but where a script is not followed are:

Effects of Age, Gender, and Culture

15. Environmental, rather than temperamental factors tend to be most predominant in early-onset mental disorders.

16. Culture shapes mental disorders in three ways, including each of the following EXCEPT:

Chapter 5-Dimensionality

17. Diagnostic categories in psychiatry tend to overlap and many boundaries between pathology and normality are blurred, often making diagnosis difficult.

Diagnostic Spectra

18. Overlapping diagnoses of the same pathological process may fall within spectra, with the oldest and best supported being the mood disorder spectrum.

Chapter 6-Clinical Utility

19. The most important function of diagnosis is:

Part II-Chapter 7

20. In the DSM-5, in order to be diagnosed with schizophrenia, a patient must have at least two characteristic symptoms for at least _______, social/occupational dysfunction, and a _______ duration of illness.

Some Unresolved Problems

21. Delusional disorder is marked with delusions without thought disorder, and one study found it related to alcoholism rather than schizophrenia.

Chapter 8-The Overdiagnosis of Bipolar Disorder

22. Bipolar disorder is currently diagnosed in 2% to 5% of the general population.

23. The key issue in making a bipolar-II diagnosis is to ensure that patients meet criteria for:

Pediatric Bipolar Disorder

24. One study found that children of bipolar patients are at risk for ADHD rather than bipolarity.

Chapter 9-Exclusions for Diagnosis

25. In the DSM-5, clinicians are warned not to diagnose major depression if grief, even if prolonged, best accounts for symptoms.

Changes is DSM-5

26. Dysthymia has been renamed ____________________, which combines cases in which patients retain subthreshold symptoms over a two year period.

Implications of Diagnosis for Treatment

27. Antidepressants have been shown to be consistently superior to placebo in reducing symptoms for all levels of depression, from mild to severe.

Chapter 10-Panic Disorder and Generalized Anxiety Disorder

28. Generalized anxiety disorder is retained in DSM-5 but has been renamed as general anxiety and ________ disorder.

Post-Traumatic Stress Disorder and Acute Stress Disorder

29. Which of the following is NOT one of the groups of symptoms characterizing PTSD?

Obsessive-Compulsive Disorder

30. Three conditions that have been added to the OCD-spectrum are body dysmorphic disorder, hair-pulling (trichotillomania) disorder, and skin-picking (excoriation) disorder.

Chapter 11-Substance Use and Addiction in DSM-5

31. DSM-5 defines a substance use disorder as a maladaptive pattern leading to clinically significant impairment or distress for at least 6 months.

Anorexia Nervosa

32. The most significant change in the DSM-5 definition of anorexia nervosa is the deletion of the requirement for amenorrhea.

Paraphilias

33. Although pedophilia and exhibitionism remain in the DSM-5, fetishism has been removed from the paraphilia grouping.

Chapter 12-Pervasive Developmental (Autistic Spectrum) Disorders

34. The DSM-5 offers a new category that describes milder symptoms that do not fulfill criteria for the autism spectrum, known as:

Attention Deficit Hyperactivity Disorder

35. ADHD is now easier to diagnose in adults, with patients having to demonstrate an onset before age ____, and have ____ characteristic symptoms during childhood.

Chapter 13-Why Personality Disorders are Ignored

36. To identify a personality disorder, clinicians should focus on long-term course rather than current problems and establish whether behavior, problems in emotion, and thinking patterns:

Dimensionalization

37. Most research on personality disorders is based on etiological or pathogenic mechanisms rather than on observational data.

Chapter 14-Somatic Symptom Disorder

38. The new DSM-5 category of somatic symptom disorder includes many patients previously diagnosed with somatization disorder, hypochondriasis, and pain disorder and can be coded for severity.

Dissociative Disorders

39. Dissociation is a common symptom in other mental disorders, and it is still commonly believed that Dissociative Identity Disorder results from childhood trauma.

Chapter 15-The Impact of DSM-5 on Mental Health Care

40. The most important issue for the DSM-5 is: