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- W2975438324 abstract "Because the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) was mainly influenced by the neo-Kraepelinian approach, its categorical approach to defining mental disorders has been criticized from the viewpoint of etiological neutrality. In the context of bridging the gap between âpresumed etiologies-based symptomatologyâ and âidentifiable pathophysiological etiologies,â the content in 5th edition, the DSM-5, has been revised to incorporate a combination of categorical and dimensional approaches. The most remarkable change of note regarding the diagnostic classification of depressive disorders in the DSM-5 is the splitting of mood disorders into bipolar disorders and depressive disorders, which is in accordance with the deconstruction of the Kraepelinian dualism for psychoses. The transdiagnostic specifiers âwith mixed features,â âwith psychotic features,â and âwith anxious distressâ are introduced to describe the relationships of depressive disorders with bipolar disorders, schizophrenia, and generalized anxiety disorder, respectively, in a dimensional manner. The lowering of the diagnostic threshold for major depressive disorder (MDD) may be caused by the addition of âhopelessnessâ to the subjective descriptors of depressive mood and the elimination of âbereavement exclusionâ from the definition of MDD. Since the heterogeneity of MDD is equivalent to the Wittgensteinian âgamesâ analogy, the different types of MDD are related not by a single essential feature but rather by âfamily resemblance.â Network analyses of MDD symptoms may therefore need further review to elucidate the connections among interrelated symptoms and other clinical elements. Keywords: Major depressive disorder, Categorical approach, Dimensional approach, Diagnostic and Statistical Manual of Mental Disorders, Network analysis" @default.
- W2975438324 created "2019-10-03" @default.
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- W2975438324 date "2019-09-25" @default.
- W2975438324 modified "2023-09-27" @default.
- W2975438324 title "Diagnostic Issues of Depressive Disorders from Kraepelinian Dualism to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition" @default.
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- W2975438324 doi "https://doi.org/10.30773/pi.2019.09.07" @default.
- W2975438324 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6761797" @default.
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- W2975438324 hasPublicationYear "2019" @default.
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