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Emotional disorders: Cluster 4 of the proposed meta-structure for DSM-V and ICD-11

Paper 5 of 7 of the thematic section: ‘A proposal for a meta-structure for DSM-V and ICD-11’

Published online by Cambridge University Press:  01 October 2009

D. P. Goldberg ,
R. F. Krueger ,
G. Andrews  and
M. J. Hobbs
D. P. Goldberg*
Affiliation:
Institute of Psychiatry, King's College, London, UK
R. F. Krueger
Affiliation:
Departments of Psychology and Psychiatry, Washington University in St Louis, USA
G. Andrews
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, Australia
M. J. Hobbs
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, Australia
*
*Address for correspondence: Professor Sir David Goldberg, Institute of Psychiatry, de Crespigny Park, LondonSE5 8AF, UK. (Email: [email protected])
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Abstract

Background

The extant major psychiatric classifications DSM-IV, and ICD-10, are atheoretical and largely descriptive. Although this achieves good reliability, the validity of a medical diagnosis would be greatly enhanced by an understanding of risk factors and clinical manifestations. In an effort to group mental disorders on the basis of aetiology, five clusters have been proposed. This paper considers the validity of the fourth cluster, emotional disorders, within that proposal.

Method

We reviewed the literature in relation to 11 validating criteria proposed by a Study Group of the DSM-V Task Force, as applied to the cluster of emotional disorders.

Results

An emotional cluster of disorders identified using the 11 validators is feasible. Negative affectivity is the defining feature of the emotional cluster. Although there are differences between disorders in the remaining validating criteria, there are similarities that support the feasibility of an emotional cluster. Strong intra-cluster co-morbidity may reflect the action of common risk factors and also shared higher-order symptom dimensions in these emotional disorders.

Conclusion

Emotional disorders meet many of the salient criteria proposed by the Study Group of the DSM-V Task Force to suggest a classification cluster.

Keywords

Co-morbidityDSM-Vemotional disordersneuroticism
Type
Thematic section: A proposal for a meta-structure for DSM-V and ICD-11
Information
Psychological Medicine , Volume 39 , Issue 12 , December 2009 , pp. 2043 - 2059
Copyright
Copyright © Cambridge University Press 2009

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