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