Schizophrenia Bulletin Advance Access originally published online on July 24, 2009
Schizophrenia Bulletin 2009 35(5):841-843; doi:10.1093/schbul/sbp071
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© 2009 The Authors
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Anticipating DSM-V: Should Psychosis Risk Become a Diagnostic Class?
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In this issue, Woods et al1 report data analyses that support the validity of the criteria for identifying the prodrome stage of psychotic disorders. We have previously placed emphasis on this issue with a special theme.2–8 Questions related to the development of Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) (DSM-V) now emerge. Should clinical practice move in the direction of early detection of risk status? Do research findings warrant interventions at the prodrome stage in general clinical practice? If the answers are yes, then DSM-V and International Classification of Diseases, Twelfth Revision, will be challenged to provide clinicians with a diagnostic category to support this shift in practice. This will be an essential step for providing education, encouraging clinical intervention, and supporting research on these clinical activities. The DSM-V workgroup responsible for psychotic disorders is considering creating a new diagnostic class
Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, PO Box 21247, Baltimore, MD 21228
1 To whom correspondence should be addressed; e-mail: wcarpent@mprc.umaryland.edu.