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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 636 - 644 (9page)
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초록· 키워드
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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 “presumed etiologies-based symptomatology” and “identifiable pathophysiological etiologies,” 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 “with mixed features,” “with psychotic features,” and “with anxious distress” 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 “hopelessness” to the subjective descriptors of depressive mood and the elimination of “bereavement exclusion” from the definition of MDD. Since the heterogeneity of MDD is equivalent to the Wittgensteinian “games” analogy, the different types of MDD are related not by a single essential feature but rather by “family resemblance.” Network analyses of MDD symptoms may therefore need further review to elucidate the connections among interrelated symptoms and other clinical elements.
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참고문헌 (88)
참고문헌 신청
Adam D / 2013 / Mental health : on the spectrum / Nature 496:416~428
Shorter E / 2013 / Making the DSM-5: Concepts and Controversies / Springer Nature :3~20
Sadler JZ / 2013 / Making the DSM-5: Concepts and Controversies / Springer Nature :21~38
Insel TR / 2012 / Next-generation treatments for mental disorders / Sci Transl Med 4:155
Insel TR / 2015 / Brain disorder? Precisely / Science 348:499~500
Shorter E / 2013 / Making the DSM-5: Concepts and Controversies / Springer Nature :3~20
Sadler JZ / 2013 / Making the DSM-5: Concepts and Controversies / Springer Nature :21~38
Insel TR / 2012 / Next-generation treatments for mental disorders / Sci Transl Med 4:155
Insel TR / 2015 / Brain disorder? Precisely / Science 348:499~500
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