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Journal article
ANALYSIS & COMMENTARY Independent Review Of Social And Population Variation In Mental Health Could Improve Diagnosis In DSM Revisions
Health affairs (Millwood, Va.), v 32(5), pp 984-993
01 May 2013
PMID: 23614899
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
At stake in the May 2013 publication of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), are billions of dollars in insurance payments and government resources, as well as the diagnoses and treatment of millions of patients. We argue that the most recent revision process has missed social determinants of mental health disorders and their diagnosis: environmental factors triggering biological responses that manifest themselves in behavior; differing cultural perceptions about what is normal and what is abnormal behavior; and institutional pressures related to such matters as insurance reimbursements, disability benefits, and pharmaceutical marketing. In addition, the experts charged with revising the DSM lack a systematic way to take population-level variations in diagnoses into account. To address these problems, we propose the creation of an independent research review body that would monitor variations in diagnostic patterns, inform future DSM revisions, identify needed changes in mental health policy and practice, and recommend new avenues of research. Drawing on the best available knowledge, the review body would make possible more precise and equitable psychiatric diagnoses and interventions.
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Details
- Title
- ANALYSIS & COMMENTARY Independent Review Of Social And Population Variation In Mental Health Could Improve Diagnosis In DSM Revisions
- Creators
- Helena B. Hansen - New York University, New York City, NY, USA,Zoe Donaldson - Columbia UniversityBruce G. Link - Columbia UniversityPeter S. Bearman - Columbia UniversityKim Hopper - Columbia UniversityLisa M. Bates - Columbia UniversityKeely Cheslack-Postava - Columbia UniversityKristin Harper - Columbia UniversitySeth M. Holmes - University of California, BerkeleyGina Lovasi - Columbia UniversityKristen W. Springer - Rutgers, The State University of New JerseyJulien O. Teitler - Columbia University
- Publication Details
- Health affairs (Millwood, Va.), v 32(5), pp 984-993
- Publisher
- Project Hope
- Number of pages
- 10
- Grant note
- Robert Wood Johnson Health and Society Scholars Program; Robert Wood Johnson Foundation (RWJF) T32MH013043 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) K01DA032674 / NATIONAL INSTITUTE ON DRUG ABUSE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA); European Commission
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000319315000021
- Scopus ID
- 2-s2.0-84877989709
- Other Identifier
- 991020100070404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services