Depression and Hallusinations Hold patients suffering from Schizoaffective disorder
Diagnostic and Statistical Manual of Mental Disorders
(DSM) is published by American Psychiatric Association provides a standard criteria for the classification of mental disorders. It is used by clinicians, researchers, psychiatric drug regulation agencies, health insurance companies, pharmaceutical companies, and policy makers in U.S and in varying degrees around the world.
DSM was first published in 1952 and now there have been five revisions. The last major revision was the fourth edition (“DSM-IV“) which was published in 1994. The fifth edition (“DSM-5″) is currently in consultation, planning and preparation which will be published in May 2013.
Uses of DSM
- To determine and help communicate a patient’s diagnosis after an evaluation
- To categorize patients using diagnostic criteria for research purposes
DSM-I
- The WHO published the sixth revision of the International Statistical Classification of Diseases (ICD) in 1949 which included a section on mental disorders for the first time
- It was approved in 1951 and published in 1952
- Its structure and concepts were same as in Medical 203
- The manual was 130 pages long and listed 106 mental disorders
DSM-II
- It was published in 1968
- It was 134 pages long and listed 182 disorders
- It was quite similar to the DSM-I
- Symptoms were not specified in detail for specific disorders
DSM-III
- It was published in 1980
- It has 494 pages and listed 265 diagnostic categories
- New categories of disorder were introduced
- In 1987, the DSM-III-R was published as a revision of DSM-III
- DSM-III-R has 567 pages and 292 diagnoses
DSM-IV
- It was published in 1994
- It has 886 pages and 297 disorders
- There was the inclusion of a clinical significance criterion to almost half of all the categories
- DSM-IV-TR was published in 2000
The revised criteria for a diagnosis of schizoaffective disorder from the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR)
- The symptoms that are present for maximum 1 month
- Delusions
- Hallucinations
- Disorganized Speech
- Disorganized Behavior
The presence of any of the three episodes i.e. manic, mixed and depressive episodes during illness
- Presence of delusions or hallucinations for a minimum of two weeks
- Presence of mood episodes in the symptoms during illness
- Symptoms should not be caused due to drug abuse, medication or another medical condition
DSM Code for Schizoaffective Disorder
Schizophrenia
- 295.1 – Disorganized Type
- 295.2 – Catatonic Type
- 295.3 – Paranoid Type
- 295.6 – Residual Type
- 295.9 – Undifferentiated Type
- 295.4 – Schizophreniform disorder
- 295.7 – Schizoaffective disorder
- 297.1 – Delusional disorder
Listed below are some clinical trials investigating new treatments for Schizoaffective Disorder.
- Augmenting Zyprexa With Naltrexone to Ameliorate Metabolic Side-Effects
- Effects of Modafinil on Brain Function in Patients With Schizophrenia
- Modafinil for Treatment of Cognitive Dysfunction in Schizophrenia
- A Study of Varenicline for Prevention of Relapse to Smoking in Patients With Schizophrenia or Bipolar Disorder
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