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Obsessive compulsive and related disorders: comparing DSM-5 and ICD-11

Published online by Cambridge University Press:  12 July 2016

Anna Marras Open the ORCID record for Anna Marras [Opens in a new window] ,
Naomi Fineberg  and
Stefano Pallanti
Anna Marras
Affiliation:
Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy
Naomi Fineberg
Affiliation:
Highly Specialized Obsessive Compulsive and Related Disorders Service, Hertfordshire Partnership University NHS Foundation Trust, Welwyn Garden City, Hertfordshire, UK Department of Postgraduate Medicine, University of Hertfordshire, Hatfield, UK Department of Psychiatry, School of Clinical Medicine, University of Cambridge, Addenbrooke’s Hospital, Cambridge, UK
Stefano Pallanti*
Affiliation:
Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy Department of Psychiatry and Behavioral Sciences, UC Davis School of Medicine, Sacramento, California, USA Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine and Montefiore Medical Center, New York, NY, USA
*
*Address for correspondence: Stefano Pallanti, Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Via delle Gore 2H, 50134 Firenze, Italy. (Email: [email protected])
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Abstract

Obsessive-compulsive disorder (OCD) has been recognized as mainly characterized by compulsivity rather than anxiety and, therefore, was removed from the anxiety disorders chapter and given its own in both the American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the Beta Draft Version of the 11th revision of the World Health Organization (WHO) International Classification of Diseases (ICD-11). This revised clustering is based on increasing evidence of common affected neurocircuits between disorders, differently from previous classification systems based on interrater agreement. In this article, we focus on the classification of obsessive-compulsive and related disorders (OCRDs), examining the differences in approach adopted by these 2 nosological systems, with particular attention to the proposed changes in the forthcoming ICD-11. At this stage, notable differences in the ICD classification are emerging from the previous revision, apparently converging toward a reformulation of OCRDs that is closer to the DSM-5.

Keywords

ClassificationDiagnostic and Statistical Manual of Mental DisordersDSM-5ICD-11International Classification of Diseasesobsessive-compulsive disorderobsessive-compulsive and related disordersOCDOCRDs
Type
Review Articles
Information
CNS Spectrums , Volume 21 , Special Issue 4: Nosology in DSM5 vs. ICD , August 2016 , pp. 324 - 333
Copyright
© Cambridge University Press 2016 

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References

1. Ruscio, AM, Stein, DJ, Chiu, WT, Kessler, RC. The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Mol Psychiatry. 2010; 15(1): 53–63.CrossRefGoogle ScholarPubMed
2. Hollander, E, Stein, D, Fineberg, NA, Legault, M. Quality of life outcomes in patients with obsessive-compulsive disorder: relationship to treatment response and symptom relapse. J Clin Psychiatry. 2010; 71(6): 784–792.CrossRefGoogle ScholarPubMed
3. Fineberg, NA, Baldwin, DS, Menchon, JM, et al. The Obsessive Compulsive and Related Disorders Research Network Manifesto for a European research network into obsessive-compulsive and related disorders. Eur Neuropsychopharmacol. 2013; 23(7): 561–568.Google Scholar
4. World Health Organization. International Statistical Classification of Diseases and Related Health Problems. 10th rev. Geneva: WHO; 1992.Google Scholar
5. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.Google Scholar
6. Stein, DJ, Fineberg, NA, Bienvenu, OJ, et al. Should OCD be classified as an anxiety disorder in DSM-V? Depress Anxiety. 2010; 27(6): 495–506.CrossRefGoogle ScholarPubMed
7. Kraepelin, E. Psychiatry: A Textbook for Students and Physicians. Canton, MA: Science History Publications [Original work published 1899].Google Scholar
8. Shin, LM, Liberzon, I. The neurocircuitry of fear, stress, and anxiety disorders. Neuropsychopharmacology. 2010; 35(1): 169–191.Google Scholar
9. Menzies, L, Chamberlain, SR, Laird, AR, Thelen, SM, Sahakian, BJ, Bullmore, ET. Integrating evidence from neuroimaging and neuropsychological studies of obsessive- compulsive disorder: the orbitofronto-striatal model revisited. Neurosci Biobehav Rev. 2008; 32(3): 525–549.Google Scholar
10. Figee, M, Vink, M, de Geus, F, et al. Dysfunctional reward circuitry in obsessive-compulsive disorder. Biol Psychiatry . 2011; 69(9): 867–874.Google Scholar
11. de Vries, FE, de Wit, SJ, Cath, DC, et al. Compensatory frontoparietal activity during working memory: an endophenotype of obsessive-compulsive disorder. Biol Psychiatry. 2014; 76(11): 878–887.CrossRefGoogle ScholarPubMed
12. Ferrão, YA, Shavitt, RG, Prado, H, et al. Sensory phenomena associated with repetitive behaviors in obsessive-compulsive disorder: an exploratory study of 1001 patients. Psychiatry Res. 2012; 197(3): 253–258.Google Scholar
13. Miguel, EC, Baer, L, Coffey, BJ, et al. Phenomenological differences appearing with repetitive behaviors in obsessive-compulsive disorder and Gilles de la Tourette’s syndrome. Br J Psychiatry. 1997; 170(2): 140–145.Google Scholar
14. Miguel, EC, do Rosário-Campos, MC, Prado, HDS, et al. Sensory phenomena in obsessive-compulsive disorder and Tourette’s disorder. J Clin Psychiatry. 2000; 61(2): 150–156.Google Scholar
15. Summerfeldt, LJ. Understanding and treating incompleteness in obsessive-compulsive disorder. J Clin Psychology. 2004; 60(11): 1155–1168.Google Scholar
16. Shavitt, RG, Belotto, C, Curi, M, et al. Clinical features associated with treatment response in obsessive-compulsive disorder. Compr Psychiatry. 2006; 47(4): 276–281.CrossRefGoogle ScholarPubMed
17. Katerberg, H, Cath, DC, Denys, DA, et al. The role of the COMT Val(158)Met polymorphism in the phenotypic expression of obsessive-compulsive disorder. Am J Med Genet B Neuropsychiatr Gen. 2010; 153B(1): 167–176.Google Scholar
18. Whitton, AE, Henry, JD, Grisham, JR. Cognitive and psychophysiological correlates of disgust in obsessive-compulsive disorder. Br J Clin Psychol. 2015; 54(1): 16–33.Google Scholar
19. Olatunji, BO, Tart, CD, Ciesielski, BG, McGrath, PB, Smits, JA. Specificity of disgust vulnerability in the distinction and treatment of OCD. J Psychiatr Res. 2011; 45(9): 1236–1242.CrossRefGoogle ScholarPubMed
20. Eisen, JL, Rasmussen, SA, Phillips, KA, et al. Insight and treatment outcome in obsessive-compulsive disorder. Compr Psychiatry. 2001; 42(6): 494–497.Google Scholar
21. Visser, HA, van Megen, H, van Oppen, P, et al. Inference-based approach versus cognitive behavioral therapy in the treatment of obsessive-compulsive disorder with poor insight: a 24-session randomized controlled trial. Psychother Psychosom. 2015; 84(5): 284–293.Google Scholar
22. Nordstrom, EJ, Burton, FH. A transgenic model of comorbid Tourette’s syndrome and obsessive-compulsive disorder circuitry. Mol Psychiatry. 2002; 7(6): 617–625; 524.Google Scholar
23. Fineberg, NA, Hengartner, MP, Bergbaum, C, Gale, T, Rössler, W, Angst, J. Lifetime comorbidity of obsessive-compulsive disorder and sub-threshold obsessive-compulsive symptomatology in the community: impact, prevalence, socio-demographic and clinical characteristics. Int J Psychiatry Clin Pract. 2013; 17(3): 188–196.Google Scholar
24. Mukhopadhaya, K, Krishnaiah, R, Taye, T, et al. Obsessive-compulsive disorder in UK clozapine-treated schizophrenia and schizoaffective disorder: a cause for clinical concern. J Psychopharmacol. 2009; 23(1): 6–13.CrossRefGoogle ScholarPubMed
25. Byerly, M, Goodman, W, Acholonu, W, Bugno, R, Rush, AJ. Obsessive compulsive symptoms in schizophrenia: frequency and clinical features. Schizophr Res. 2005; 76(2–3): 309–316.Google Scholar
26. Bottas, A, Cooke, RG, Richter, MA. Comorbidity and pathophysiology of obsessive-compulsive disorder in schizophrenia: is there evidence for a schizo-obsessive subtype of schizophrenia? J Psychiatry Neurosci. 2005; 30(3): 187–193.Google Scholar
27. Swartz, CM, Shen, WW. Is episodic obsessive compulsive disorder bipolar? A report of four cases. J Affect Disord. 1999; 56(1): 61–66.Google Scholar
28. Zutshi, A, Kamath, P, Reddy, YC. Bipolar and nonbipolar obsessive-compulsive disorder: a clinical exploration. Compr Psychiatry. 2007; 48(3): 245–251.Google Scholar
29. Wahl, K, Schönfeld, S, Hissbach, J, et al. Differences and similarities between obsessive and ruminative thoughts in obsessive-compulsive and depressed patients: a comparative study. J Behav Ther Exp Psychiatry. 2011; 42(4): 454–461.Google Scholar
30. Amerio, A, Odone, A, Liapis, CC, Ghaemi, SN. Diagnostic validity of comorbid bipolar disorder and obsessive-compulsive disorder: a systematic review. Acta Psychiatr Scand. 2014; 129(5): 343–358.Google Scholar
31. Perugi, G, Toni, C, Frare, F, Travierso, MC, Hantouche, E, Akiskal, HS. Obsessive-compulsive-bipolar comorbidity: a systematic exploration of clinical features and treatment outcome. J Clin Psychiatry. 2002; 63(12): 1129–1134.Google Scholar
32. Poyurovsky, M, Weizman, A, Weizman, R. Obsessive-compulsive disorder in schizophrenia: clinical characteristics and treatment. CNS Drugs. 2004; 18(14): 989–1010.CrossRefGoogle ScholarPubMed
33. Rajkumar, RP, Reddy, YC, Kandavel, T. Clinical profile of “schizo-obsessive” disorder: a comparative study. Compr Psychiatry. 2008; 49(3): 262–268.Google Scholar
34. Varlakova, Y, Patel, D, Mukhopadhaya, K, et al. The neurocognitive and behavioural impact of comorbid obsessive–compulsive syndrome in schizophrenia. In De Haan L, Schirmbeck F, Zink M, eds. Obsessive-Compulsive Symptoms in Schizophrenia. Cham, Switzerland: Springer International Publishing; 2015: 91–125.Google Scholar
35. Ameringen, M, Patterson, B, Simpson, W. DSM-5 obsessive-compulsive and related disorders: clinical implication of new criteria. Depress Anxiety. 2014; 31(6): 487–493.CrossRefGoogle ScholarPubMed
36. Phillips, KA, Stein, DJ, Rauch, SL, et al. Should an obsessive-compulsive spectrum grouping of disorders be included in DSM-V? Depress Anxiety. 2010; 27(6): 528–555.Google Scholar
37. Stein, DJ, Grant, JE, Franklin, ME, et al. Trichotillomania (hair pulling disorder), skin picking disorder, and stereotypic movement disorder: toward DSM-V. Depress Anxiety. 2010; 27(6): 611–626.CrossRefGoogle ScholarPubMed
38. Monzani, B, Rijsdijk, F, Harris, J, Mataix-Cols, D. The structure of genetic and environmental risk factors for dimensional representations of DSM-5 obsessive-compulsive spectrum disorders. JAMA Psychiatry. 2014; 71(2): 182–189.Google Scholar
39. Abramowitz, JS, Jacoby, RJ. Obsessive-compulsive and related disorders: a critical review of the new diagnostic class. Ann Rev Clin Psychol. 2015; 11: 165–186.CrossRefGoogle ScholarPubMed
40. World Health Organization. ICD-11 Beta Draft. http://apps.who.int/classifications/icd11/browse/l-m/en. Accessed October 30, 2015.Google Scholar
41. Luciano, M. The ICD-11 beta draft is available online. World Psychiatry. 2015; 14(3): 375–376.Google Scholar
42. Simpson, HB, Reddy, YC. Obsessive-compulsive disorder for ICD-11: proposed changes to the diagnostic guidelines and specifiers. Rev Bras Psiquiatr. 2014; 36(Suppl 1): 3–13.Google Scholar
43. Hellriegel, J, Barber, C, Wikramanayake, M, Fineberg, N, Mandy, WPL. Is ‘not just right experience’ (njre) in obsessive-compulsive disorder part of an autistic phenotype? Submitted.Google Scholar
44. Grant, J, Chamberlain, S, Odlaug, B. Evidence-based treatment for obsessive-compulsive and related disorders (OCRDs). Clinical Guide to OCRDs. Oxford, 2014. Please clarify type of entry. Is this a book chapter? If so, please provide name(s) of editors, name/location of publisher, and page numbers for chapter. If a journal article, please clarify journal title and provide volume/page numbers.CrossRefGoogle Scholar
45. Fontenelle, LF, Grant, JE. Hoarding disorder: a new diagnostic category in ICD-11? Rev Bras Psiquiatr. 2014; 36(Suppl 1): 28–39.Google Scholar
46. Veale, D, Matsunaga, H. Body dysmorphic disorder and olfactory reference disorder: proposals for ICD-11. Rev Bras Psiquiatr. 2014; 36(Suppl 1): 14–20.Google Scholar
47. Begum, M, McKenna, PJ. Olfactory reference syndrome: a systematic review of the world literature. Psychol Med. 2011; 41(3): 453–461.Google Scholar
48. Phillips, KA, Menard, W. Olfactory reference syndrome: demographic and clinical features of imagined body odor. Gen Hosp Psychiatry. 2011; 33(4): 398–406.Google Scholar
49. Tyrer, P, Reed, GM, Crawford, MJ. Classification, assessment, prevalence, and effect of personality disorder. Lancet. 2015; 385(9969): 717–726.Google Scholar
50. Bernstein, DP, Iscan, C, Maser, J, Boards of Directors of the Association for Research in Personality Disorders; International Society for the Study of Personality Disorders. Opinions of personality disorder experts regarding the DSM-IV personality disorders classification system. J Pers Disord. 2007; 21(5): 536–551.Google Scholar
51. Skodol, AE, Gunderson, JG, Shea, MT, et al. The Collaborative Longitudinal Personality Disorders Study (CLPS): overview and implications. J Pers Disord. 2005; 19(5): 487–504.CrossRefGoogle Scholar
52. Stein, DJ, Kogan, CS, Atmaca, M, et al. The classification of Obsessive-Compulsive and Related Disorders in the ICD-11. J Affect Disord. 2016; 190: 663–674.Google Scholar
53. Bienvenu, OJ, Samuels, JF, Wuyek, LA, et al. Is obsessive-compulsive disorder an anxiety disorder, and what, if any, are spectrum conditions? A family study perspective. Psychol Med. 2012; 42(1): 1–13.Google Scholar
54. Samuels, J, Nestadt, G, Bienvenu, OJ, et al. Personality disorders and normal personality dimensions in obsessive-compulsive disorder. Br J Psychiatry. 2000; 177(5): 457–462.Google Scholar
55. Fineberg, NA, Day, GA, de Koenigswarter, N, et al. The neuropsychology of obsessive-compulsive personality disorder: a new analysis. CNS Spectr. 2015; 20(5): 490–499.Google Scholar
56. Coles, ME, Pinto, A, Mancebo, MC, Rasmussen, SA, Eisen, JL. OCD with comorbid OCPD: a subtype of OCD? J Psychiatr Res. 2008; 42(4): 289–296.Google Scholar
57. Pinto, A, Mancebo, MC, Eisen, JL, Pagano, ME, Rasmussen, SA. The Brown Longitudinal Obsessive Compulsive Study: clinical features and symptoms of the sample at intake. J Clin Psychiatry. 2006; 67(5): 703–711.Google Scholar
58. Insel, T, Cuthbert, B, Garvey, M, et al. Research domain criteria (RDoC): toward a new classification framework for research on mental disorders. Am J Psychiatry. 2010; 167(7): 748–751.Google Scholar
59. Insel, TR. The NIMH research domain criteria (RDoC) project: precision medicine for psychiatry. Am J Psychiatry. 2014; 171(4): 395–397.CrossRefGoogle ScholarPubMed
60. Gottesman, II, Gould, TD. The endophenotype concept in psychiatry: etymology and strategic intentions. Am J Psychiatry. 2003; 160(4): 636–645.CrossRefGoogle ScholarPubMed
61. Insel, TR, Cuthbert, BN. Endophenotypes: bridging genomic complexity and disorder heterogeneity. Biol Psychiatry. 2009; 66(11): 988–989.CrossRefGoogle ScholarPubMed
62. Cuthbert, BN. The RDoC framework: facilitating transition from ICD/DSM to dimensional approaches that integrate neuroscience and psychopathology. World Psychiatry. 2014; 13(1): 28–35.Google Scholar
63. Clarke, DE, Kuhl, EA. DSM-5 cross-cutting symptom measures: a step towards the future of psychiatric care? World Psychiatry. 2014; 13(3): 314–316.Google Scholar
64. Berry, EA, Heaton, PT, Kelton, CM. National estimates of the inpatient burden of pediatric bipolar disorder in the United States. J Ment Health Policy Econ. 2011; 14(3): 115–123.Google Scholar
65. Phillips, ML. The emerging role of neuroimaging in psychiatry: characterizing treatment-relevant endophenotypes. Am J Psychiatry. 2007; 164(5): 697–699.Google Scholar
66. Fineberg, NA, Chamberlain, SR, Goudriaan, AE, et al. New developments in human neurocognition: clinical, genetic, and brain imaging correlates of impulsivity and compulsivity. CNS Spectr. 2014; 19(1): 69–89.Google Scholar
67. Murphy, DL, Moya, PR, Fox, MA, Rubenstein, LM, Wendland, JR, Timpano, KR. Anxiety and affective disorder comorbidity related to serotonin and other neurotransmitter systems: obsessive-compulsive disorder as an example of overlapping clinical and genetic heterogeneity. Philos Trans R Soc Lond B Biol Sci. 2013; 368(1615): 20120435.Google Scholar
68. Rotge, JY, Aouizerate, B, Tignol, J, et al. The glutamate-based genetic immune hypothesis in obsessive-compulsive disorder: an integrative approach from genes to symptoms. Neuroscience. 2010; 165(2): 408–417.Google Scholar
69. Swedo, SE, Leckman, JF, Rose, NR. From research subgroup to clinical syndrome: modifying the PANDAS criteria to describe PANS (pediatric acute-onset neuropsychiatric syndrome). Pediatrics & Therapeutics. 2012; 2: 113.Google Scholar
70. Pichichero, ME. The PANDAS syndrome. Adv Exp Med Biol. 2009; 634: 205–216.Google Scholar
71. Fava, GA, Kellner, R. Staging: a neglected dimension in psychiatric classification. Acta Psychiatr Scand. 1993; 87(4): 225–230.Google Scholar
72. McGorry, PD, Hickie, IB, Yung, AR, Pantelis, C, Jackson, HJ. Clinical staging of psychiatric disorders: a heuristic framework for choosing earlier, safer and more effective interventions. Aust N Z J Psychiatry. 2006; 40(8): 616–622.Google Scholar
73. Feinstein, AR. T. Duckett Jones Memorial Lecture: the Jones criteria and the challenges of clinimetrics. Circulation. 1982; 66(1): 1–5.Google Scholar
74. Fava, GA, Rafanelli, C, Tomba, E. The clinical process in psychiatry: a clinimetric approach. J Clin Psychiatry. 2012; 73(2): 177–184.Google Scholar
75. Albert, U, Brunatto, C. Obsessive-compulsive disorder in adults: Efficacy of combined and sequential treatments. Clinical Neuropsychiatry. 2009; 6(2): 83–93.Google Scholar
76. Albert, U, Barbaro, F, Aguglia, A, Maina, G, Bogetto, F. [Combined treatments in obsessive-compulsive disorder: current knowledge and future prospects.] Riv Psichiatr. 2012; 47(4): 255–268 [In Italian.]Google Scholar
77. Koran, ML. Practice Guideline for the Treatment of Patients with Obsessive-Compulsive Disorder. Arlington, VA: American Psychiatric Association; 2007. http//www.psych.org/psych_pract/treatg/pg/prac_ guide.cfm.Google Scholar
78. Pallanti, S, Grassi, G. Pharmacologic treatment of obsessive-compulsive disorder comorbidity. Exp Opin Pharmacother. 2014; 15(17): 2543–2552.Google Scholar
79. Mathis, MAD, Alvarenga, PD, Funaro, G, et al. Gender differences in obsessive-compulsive disorder: a literature review. Rev Bras Psiquiatr. 2011; 33(4): 390–399.Google Scholar
80. First, MB. Harmonisation of ICD–11 and DSM–V: opportunities and challenges. Br J Psychiatry. 2009; 195(5): 382–390.Google Scholar