Should an obsessive–compulsive spectrum grouping of disorders be included in DSM‐V?

Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts
Depression and Anxiety (Impact Factor: 4.41). 06/2010; 27(6):528 - 555. DOI: 10.1002/da.20705
Source: PubMed


The obsessive–compulsive (OC) spectrum has been discussed in the literature for two decades. Proponents of this concept propose that certain disorders characterized by repetitive thoughts and/or behaviors are related to obsessive–compulsive disorder (OCD), and suggest that such disorders be grouped together in the same category (i.e. grouping, or “chapter”) in DSM. This article addresses this topic and presents options and preliminary recommendations to be considered for DSM-V. The article builds upon and extends prior reviews of this topic that were prepared for and discussed at a DSM-V Research Planning Conference on Obsessive–Compulsive Spectrum Disorders held in 2006. Our preliminary recommendation is that an OC-spectrum grouping of disorders be included in DSM-V. Furthermore, we preliminarily recommend that consideration be given to including this group of disorders within a larger supraordinate category of “Anxiety and Obsessive–Compulsive Spectrum Disorders.” These preliminary recommendations must be evaluated in light of recommendations for, and constraints upon, the overall structure of DSM-V. Depression and Anxiety, 2010. © 2010 Wiley-Liss, Inc.


Available from: Anthony Pinto
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    • "A comprehensive review of the putative obsessive–compulsive spectrum disorders (Phillips et al., 2010) has concluded that the overlap between trichotillomania and OCD is 'partial at best' (p. 537). "

    Australian and New Zealand Journal of Psychiatry 04/2015; 49(7). DOI:10.1177/0004867415577981 · 3.41 Impact Factor
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    • "Figure 1.Obsessive-Compulsive Spectrum DisordersStein & Hollander, 1993 — 92 — Vol. 6No. 2 Figure 2 OCSD comorbidity Schwartz et al., 2003; 2004; Menzies et al., 2007; Stein, 2008; Milad & Rauch, 2012 BDD Stein, 2008; Phillips et al., 2010; Veale & Matsunaga, 2014 "
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    ABSTRACT: Obsessive-compulsive disorder (OCD) has been categorized separately from other anxiety disorders in DSM-5, and is currently conceptualized as a disorder that is characterized by having preoccupations (obsessions) and/or repetitive behaviors (compulsions). Disorders with phenomenological and psychopathological features similar to those of OCD also consist of obsessive-compulsive and related disorders (OCRD) that have been newly introduced into DSM-5. Some OCRDs such as body dysmorphic disorder and hoarding disorder are characterized by preoccupations and repetitive behaviors or mental acts in response to the preoccupation, while others are primarily characterized by recurrent body-focused repetitive behaviors (e.g. hair pulling and skin picking) and repeated attempts to decrease or stop the behaviors. However, OCD and anxiety disorders often share core clinical features such as elevated anxiety, fear conditioning, avoidant behaviors, and a higher prevalence of comorbid major depression as well as effective treatment strategies such as SSRI or CBT. Thus, the relationship between OCD and anxiety disorders is very complex and may be attributed to the heterogeneity of OCD (e.g. cognitive or motoric OCD) and the broader range of its concept, which even includes continuity with autism spectrum disorders or impulsive or addictive disorders. Therefore, further studies are needed in order to confirm the validity and clinical utility of the current diagnostic concept of OCD and determine the future direction of OCD.
    01/2015; 6(2):86-99. DOI:10.14389/jsad.6.2_86
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    • "La consideración de manifestaciones alrededor del concepto de obsesión-compulsión puede reconocerse como acierto. Se liga a una tradición que se inicia en los años 90 del pasado siglo (Hollander, 1998; Hollander, Kim, Braun, Simeon y Zohar, 2009; Hollander y Rosen, 2000) y se planteó como un espectro que abarcaba desde lo más compulsivo a lo impulsivo , e incluía los trastornos del control de los impulsos, adicciones, trastornos de la conducta alimentaria o la hipocondría , por ejemplo (Abramowitz, McKay y Taylor, 2007; Phillips et al., 2010). Esta clase diagnóstica, a caballo entre los trastornos de ansiedad y los depresivos, ha quedado integrada por: el Trastorno obsesivo-compulsivo (TOC), el Trastorno dismórfico corporal (TDC), el Trastorno por acumulación (TAc), Tricotilomanía (que anuncia la siguiente propuesta de término: trastorno de arrancarse el cabello), Trastorno por excoriación (o trastorno de dañarse la piel), entre otros (como los Celos obsesivos). "
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    ABSTRACT: DSM-5 abre nume-rosos interrogantes acerca de la validez que se pretende mejorar en el diagnóstico, en esta ocasión, asumiendo un planteamiento más cercano a la neurología y la genética que a la psico-patología clínica. Abstract The publication of the fifth edition of the DSM has intensified a debate begun some time ago with the announcement of the changes in diagnostic criteria proposed by the APA. This article analyzes some of these modifications. Some interesting points where it is right, such as the inclusion of dimensionality in both diagnostic classes and in some disorders, the inclusion of an obsessive-compulsive spectrum, and the disappearance of subtypes of schizophrenia. It also analyzes other more controversial points, such as the consideration of the attenuated psychosis syndrome, the description of a persistent depressive disorder, reorganization of the classic somatoform disorders as somatic symptom disorders, or maintenance of three large clusters of personality disorders, always unsatisfactory, along with an announced, but marginal, suggestion
    International Journal of Clinical and Health Psychology 08/2014; 14(3):221-231. · 2.79 Impact Factor
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