Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders: Phase I of the AREDOC project

Gordon Parker, Gabriela Tavella, Glenda Macqueen, Michael Berk, Heinz Grunze, Thilo Deckersbach, David L. Dunner, Martha Sajatovic, Jay D. Amsterdam, Terence A. Ketter, Lakshmi N. Yatham, Lars Vedel Kessing, Darryl Bassett, Mark Zimmerman, Kostas N. Fountoulakis, Anne Duffy, Martin Alda, Cynthia Calkin, Verinder Sharma, Amit AnandManpreet K. Singh, Tomas Hajek, Philip Boyce, Benicio N. Frey, David J. Castle, Allan H. Young, Eduard Vieta, Janusz K. Rybakowski, Holly A. Swartz, Ayal Schaffer, Greg Murray, Adam Bayes, Raymond W. Lam, Emre Bora, Robert M. Post, Michael J. Ostacher, Beny Lafer, Anthony J. Cleare, Katherine E. Burdick, Claire O’Donovan, Abigail Ortiz, Chantal Henry, Shigenobu Kanba, Joshua D. Rosenblat, Sagar V. Parikh, David J. Bond, Michael F. Grunebaum, Sophia Frangou, Joseph F. Goldberg, Margo Orum, David N. Osser, Mark A. Frye, Roger S. McIntyre, Andrea Fagiolini, Vijaya Manicavasagar, Gabrielle A. Carlson, Gin S. Malhi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To derive new criteria sets for defining manic and hypomanic episodes (and thus for defining the bipolar I and II disorders), an international Task Force was assembled and termed AREDOC reflecting its role of Assessment, Revision and Evaluation of DSM and other Operational Criteria. This paper reports on the first phase of its deliberations and interim criteria recommendations. Method: The first stage of the process consisted of reviewing Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and recent International Classification of Diseases criteria, identifying their limitations and generating modified criteria sets for further in-depth consideration. Task Force members responded to recommendations for modifying criteria and from these the most problematic issues were identified. Results: Principal issues focussed on by Task Force members were how best to differentiate mania and hypomania, how to judge ‘impairment’ (both in and of itself and allowing that functioning may sometimes improve during hypomanic episodes) and concern that rejecting some criteria (e.g. an imposed duration period) might risk false-positive diagnoses of the bipolar disorders. Conclusion: This first-stage report summarises the clinical opinions of international experts in the diagnosis and management of the bipolar disorders, allowing readers to contemplate diagnostic parameters that may influence their clinical decisions. The findings meaningfully inform subsequent Task Force stages (involving a further commentary stage followed by an empirical study) that are expected to generate improved symptom criteria for diagnosing the bipolar I and II disorders with greater precision and to clarify whether they differ dimensionally or categorically.

Original languageEnglish
Pages (from-to)1173-1182
Number of pages10
JournalAustralian and New Zealand Journal of Psychiatry
Volume52
Issue number12
DOIs
Publication statusPublished - Dec 1 2018

Fingerprint

Advisory Committees
Bipolar Disorder
Diagnostic and Statistical Manual of Mental Disorders
Expert Testimony
International Classification of Diseases

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders : Phase I of the AREDOC project. / Parker, Gordon; Tavella, Gabriela; Macqueen, Glenda; Berk, Michael; Grunze, Heinz; Deckersbach, Thilo; Dunner, David L.; Sajatovic, Martha; Amsterdam, Jay D.; Ketter, Terence A.; Yatham, Lakshmi N.; Kessing, Lars Vedel; Bassett, Darryl; Zimmerman, Mark; Fountoulakis, Kostas N.; Duffy, Anne; Alda, Martin; Calkin, Cynthia; Sharma, Verinder; Anand, Amit; Singh, Manpreet K.; Hajek, Tomas; Boyce, Philip; Frey, Benicio N.; Castle, David J.; Young, Allan H.; Vieta, Eduard; Rybakowski, Janusz K.; Swartz, Holly A.; Schaffer, Ayal; Murray, Greg; Bayes, Adam; Lam, Raymond W.; Bora, Emre; Post, Robert M.; Ostacher, Michael J.; Lafer, Beny; Cleare, Anthony J.; Burdick, Katherine E.; O’Donovan, Claire; Ortiz, Abigail; Henry, Chantal; Kanba, Shigenobu; Rosenblat, Joshua D.; Parikh, Sagar V.; Bond, David J.; Grunebaum, Michael F.; Frangou, Sophia; Goldberg, Joseph F.; Orum, Margo; Osser, David N.; Frye, Mark A.; McIntyre, Roger S.; Fagiolini, Andrea; Manicavasagar, Vijaya; Carlson, Gabrielle A.; Malhi, Gin S.

In: Australian and New Zealand Journal of Psychiatry, Vol. 52, No. 12, 01.12.2018, p. 1173-1182.

Research output: Contribution to journalArticle

Parker, G, Tavella, G, Macqueen, G, Berk, M, Grunze, H, Deckersbach, T, Dunner, DL, Sajatovic, M, Amsterdam, JD, Ketter, TA, Yatham, LN, Kessing, LV, Bassett, D, Zimmerman, M, Fountoulakis, KN, Duffy, A, Alda, M, Calkin, C, Sharma, V, Anand, A, Singh, MK, Hajek, T, Boyce, P, Frey, BN, Castle, DJ, Young, AH, Vieta, E, Rybakowski, JK, Swartz, HA, Schaffer, A, Murray, G, Bayes, A, Lam, RW, Bora, E, Post, RM, Ostacher, MJ, Lafer, B, Cleare, AJ, Burdick, KE, O’Donovan, C, Ortiz, A, Henry, C, Kanba, S, Rosenblat, JD, Parikh, SV, Bond, DJ, Grunebaum, MF, Frangou, S, Goldberg, JF, Orum, M, Osser, DN, Frye, MA, McIntyre, RS, Fagiolini, A, Manicavasagar, V, Carlson, GA & Malhi, GS 2018, 'Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders: Phase I of the AREDOC project', Australian and New Zealand Journal of Psychiatry, vol. 52, no. 12, pp. 1173-1182. https://doi.org/10.1177/0004867418808382
Parker, Gordon ; Tavella, Gabriela ; Macqueen, Glenda ; Berk, Michael ; Grunze, Heinz ; Deckersbach, Thilo ; Dunner, David L. ; Sajatovic, Martha ; Amsterdam, Jay D. ; Ketter, Terence A. ; Yatham, Lakshmi N. ; Kessing, Lars Vedel ; Bassett, Darryl ; Zimmerman, Mark ; Fountoulakis, Kostas N. ; Duffy, Anne ; Alda, Martin ; Calkin, Cynthia ; Sharma, Verinder ; Anand, Amit ; Singh, Manpreet K. ; Hajek, Tomas ; Boyce, Philip ; Frey, Benicio N. ; Castle, David J. ; Young, Allan H. ; Vieta, Eduard ; Rybakowski, Janusz K. ; Swartz, Holly A. ; Schaffer, Ayal ; Murray, Greg ; Bayes, Adam ; Lam, Raymond W. ; Bora, Emre ; Post, Robert M. ; Ostacher, Michael J. ; Lafer, Beny ; Cleare, Anthony J. ; Burdick, Katherine E. ; O’Donovan, Claire ; Ortiz, Abigail ; Henry, Chantal ; Kanba, Shigenobu ; Rosenblat, Joshua D. ; Parikh, Sagar V. ; Bond, David J. ; Grunebaum, Michael F. ; Frangou, Sophia ; Goldberg, Joseph F. ; Orum, Margo ; Osser, David N. ; Frye, Mark A. ; McIntyre, Roger S. ; Fagiolini, Andrea ; Manicavasagar, Vijaya ; Carlson, Gabrielle A. ; Malhi, Gin S. / Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders : Phase I of the AREDOC project. In: Australian and New Zealand Journal of Psychiatry. 2018 ; Vol. 52, No. 12. pp. 1173-1182.
@article{d8fd4de27d6e457ca3d7bbabd2e9080a,
title = "Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders: Phase I of the AREDOC project",
abstract = "Objective: To derive new criteria sets for defining manic and hypomanic episodes (and thus for defining the bipolar I and II disorders), an international Task Force was assembled and termed AREDOC reflecting its role of Assessment, Revision and Evaluation of DSM and other Operational Criteria. This paper reports on the first phase of its deliberations and interim criteria recommendations. Method: The first stage of the process consisted of reviewing Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and recent International Classification of Diseases criteria, identifying their limitations and generating modified criteria sets for further in-depth consideration. Task Force members responded to recommendations for modifying criteria and from these the most problematic issues were identified. Results: Principal issues focussed on by Task Force members were how best to differentiate mania and hypomania, how to judge ‘impairment’ (both in and of itself and allowing that functioning may sometimes improve during hypomanic episodes) and concern that rejecting some criteria (e.g. an imposed duration period) might risk false-positive diagnoses of the bipolar disorders. Conclusion: This first-stage report summarises the clinical opinions of international experts in the diagnosis and management of the bipolar disorders, allowing readers to contemplate diagnostic parameters that may influence their clinical decisions. The findings meaningfully inform subsequent Task Force stages (involving a further commentary stage followed by an empirical study) that are expected to generate improved symptom criteria for diagnosing the bipolar I and II disorders with greater precision and to clarify whether they differ dimensionally or categorically.",
author = "Gordon Parker and Gabriela Tavella and Glenda Macqueen and Michael Berk and Heinz Grunze and Thilo Deckersbach and Dunner, {David L.} and Martha Sajatovic and Amsterdam, {Jay D.} and Ketter, {Terence A.} and Yatham, {Lakshmi N.} and Kessing, {Lars Vedel} and Darryl Bassett and Mark Zimmerman and Fountoulakis, {Kostas N.} and Anne Duffy and Martin Alda and Cynthia Calkin and Verinder Sharma and Amit Anand and Singh, {Manpreet K.} and Tomas Hajek and Philip Boyce and Frey, {Benicio N.} and Castle, {David J.} and Young, {Allan H.} and Eduard Vieta and Rybakowski, {Janusz K.} and Swartz, {Holly A.} and Ayal Schaffer and Greg Murray and Adam Bayes and Lam, {Raymond W.} and Emre Bora and Post, {Robert M.} and Ostacher, {Michael J.} and Beny Lafer and Cleare, {Anthony J.} and Burdick, {Katherine E.} and Claire O’Donovan and Abigail Ortiz and Chantal Henry and Shigenobu Kanba and Rosenblat, {Joshua D.} and Parikh, {Sagar V.} and Bond, {David J.} and Grunebaum, {Michael F.} and Sophia Frangou and Goldberg, {Joseph F.} and Margo Orum and Osser, {David N.} and Frye, {Mark A.} and McIntyre, {Roger S.} and Andrea Fagiolini and Vijaya Manicavasagar and Carlson, {Gabrielle A.} and Malhi, {Gin S.}",
year = "2018",
month = "12",
day = "1",
doi = "10.1177/0004867418808382",
language = "English",
volume = "52",
pages = "1173--1182",
journal = "Australian and New Zealand Journal of Psychiatry",
issn = "0004-8674",
publisher = "Informa Healthcare",
number = "12",

}

TY - JOUR

T1 - Revising Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria for the bipolar disorders

T2 - Phase I of the AREDOC project

AU - Parker, Gordon

AU - Tavella, Gabriela

AU - Macqueen, Glenda

AU - Berk, Michael

AU - Grunze, Heinz

AU - Deckersbach, Thilo

AU - Dunner, David L.

AU - Sajatovic, Martha

AU - Amsterdam, Jay D.

AU - Ketter, Terence A.

AU - Yatham, Lakshmi N.

AU - Kessing, Lars Vedel

AU - Bassett, Darryl

AU - Zimmerman, Mark

AU - Fountoulakis, Kostas N.

AU - Duffy, Anne

AU - Alda, Martin

AU - Calkin, Cynthia

AU - Sharma, Verinder

AU - Anand, Amit

AU - Singh, Manpreet K.

AU - Hajek, Tomas

AU - Boyce, Philip

AU - Frey, Benicio N.

AU - Castle, David J.

AU - Young, Allan H.

AU - Vieta, Eduard

AU - Rybakowski, Janusz K.

AU - Swartz, Holly A.

AU - Schaffer, Ayal

AU - Murray, Greg

AU - Bayes, Adam

AU - Lam, Raymond W.

AU - Bora, Emre

AU - Post, Robert M.

AU - Ostacher, Michael J.

AU - Lafer, Beny

AU - Cleare, Anthony J.

AU - Burdick, Katherine E.

AU - O’Donovan, Claire

AU - Ortiz, Abigail

AU - Henry, Chantal

AU - Kanba, Shigenobu

AU - Rosenblat, Joshua D.

AU - Parikh, Sagar V.

AU - Bond, David J.

AU - Grunebaum, Michael F.

AU - Frangou, Sophia

AU - Goldberg, Joseph F.

AU - Orum, Margo

AU - Osser, David N.

AU - Frye, Mark A.

AU - McIntyre, Roger S.

AU - Fagiolini, Andrea

AU - Manicavasagar, Vijaya

AU - Carlson, Gabrielle A.

AU - Malhi, Gin S.

PY - 2018/12/1

Y1 - 2018/12/1

N2 - Objective: To derive new criteria sets for defining manic and hypomanic episodes (and thus for defining the bipolar I and II disorders), an international Task Force was assembled and termed AREDOC reflecting its role of Assessment, Revision and Evaluation of DSM and other Operational Criteria. This paper reports on the first phase of its deliberations and interim criteria recommendations. Method: The first stage of the process consisted of reviewing Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and recent International Classification of Diseases criteria, identifying their limitations and generating modified criteria sets for further in-depth consideration. Task Force members responded to recommendations for modifying criteria and from these the most problematic issues were identified. Results: Principal issues focussed on by Task Force members were how best to differentiate mania and hypomania, how to judge ‘impairment’ (both in and of itself and allowing that functioning may sometimes improve during hypomanic episodes) and concern that rejecting some criteria (e.g. an imposed duration period) might risk false-positive diagnoses of the bipolar disorders. Conclusion: This first-stage report summarises the clinical opinions of international experts in the diagnosis and management of the bipolar disorders, allowing readers to contemplate diagnostic parameters that may influence their clinical decisions. The findings meaningfully inform subsequent Task Force stages (involving a further commentary stage followed by an empirical study) that are expected to generate improved symptom criteria for diagnosing the bipolar I and II disorders with greater precision and to clarify whether they differ dimensionally or categorically.

AB - Objective: To derive new criteria sets for defining manic and hypomanic episodes (and thus for defining the bipolar I and II disorders), an international Task Force was assembled and termed AREDOC reflecting its role of Assessment, Revision and Evaluation of DSM and other Operational Criteria. This paper reports on the first phase of its deliberations and interim criteria recommendations. Method: The first stage of the process consisted of reviewing Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and recent International Classification of Diseases criteria, identifying their limitations and generating modified criteria sets for further in-depth consideration. Task Force members responded to recommendations for modifying criteria and from these the most problematic issues were identified. Results: Principal issues focussed on by Task Force members were how best to differentiate mania and hypomania, how to judge ‘impairment’ (both in and of itself and allowing that functioning may sometimes improve during hypomanic episodes) and concern that rejecting some criteria (e.g. an imposed duration period) might risk false-positive diagnoses of the bipolar disorders. Conclusion: This first-stage report summarises the clinical opinions of international experts in the diagnosis and management of the bipolar disorders, allowing readers to contemplate diagnostic parameters that may influence their clinical decisions. The findings meaningfully inform subsequent Task Force stages (involving a further commentary stage followed by an empirical study) that are expected to generate improved symptom criteria for diagnosing the bipolar I and II disorders with greater precision and to clarify whether they differ dimensionally or categorically.

UR - http://www.scopus.com/inward/record.url?scp=85058106029&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058106029&partnerID=8YFLogxK

U2 - 10.1177/0004867418808382

DO - 10.1177/0004867418808382

M3 - Article

AN - SCOPUS:85058106029

VL - 52

SP - 1173

EP - 1182

JO - Australian and New Zealand Journal of Psychiatry

JF - Australian and New Zealand Journal of Psychiatry

SN - 0004-8674

IS - 12

ER -