The multidimensional assessment of psychopathology in mood and psychotic disorders. A proposal for Axis II in DSM-V/ICD-11.
The inclusion of dimensional elements in the psychiatric diagnostic systems have been advocated for many years, however it has been resisted due to concerns about clinical utility. Recent suggestions have been for a combination of categorical and dimensional data in future diagnostic classification systems. In this paper we discuss the overlap in symptom complexes between mood disorders and schizophrenia and a multi-dimensional model of the mood-psychosis interface. We propose that the personality diagnoses should be included in Axis I and suggest the inclusion of a five factor dimensional diagnosis of mood and psychotic disorders on Axis II of DSM-V/ICD-11.
Oosthuizen
P
P
Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa.
Emsley
R
R
Niehaus
D
D
Koen
L
L