Should an obsessive-compulsive spectrum grouping of disorders be included in DSM-V?
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.
Rhode Island Hospital, Butler Hospital, Providence, Rhode Island. Katharine_Phillips@Brown.edu
Katharine A
KA
Phillips
Dan J
DJ
Stein
Scott L
SL
Rauch
Eric
E
Hollander
Brian A
BA
Fallon
Arthur
A
Barsky
Naomi
N
Fineberg
David
D
Mataix-Cols
Ygor Arzeno
YA
Ferrão
Sanjaya
S
Saxena
Sabine
S
Wilhelm
Megan M
MM
Kelly
Lee Anna
LA
Clark
Anthony
A
Pinto
O Joseph
OJ
Bienvenu
Joanne
J
Farrow
James
J
Leckman
D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis*