Skip to main content

Technology Tools Supportive of DSM-5: An Overview

  • Chapter
  • First Online:
Mental Health Practice in a Digital World

Abstract

In order to have tools supportive of DSM 5, we first need to start with an understanding of the validity and reliability of psychiatric diagnoses. Inherent to the success of what can be built is the ability to maintain both the face validity and test validity of the diagnostic schema. The authors begin this chapter with a discussion regarding the development of DSM 5. They consider how technology can support accurate diagnosis and treatment planning. In the planning of the DSM-5 revision, attention was given to address concerns regarding previous editions. Research into the validity and reliability of the DSM-IV diagnostic constructs revealed problems regarding test-retest reliability. There was also the logistical challenge of accurate data collection across thousands of patients and multiple centers, compilation and analysis of that data in an expedient fashion, and the application of the most current advances in statistical measures of reliability and validity. In summary, the logistical challenges around creating and coordinating a multi-site system for surveying and collecting data across thousands of patients and hundreds of providers, research coordinators, and analysts was solved with the involvement of REDCap. The technological tool to assist with data collection and a central data management function elevated psychiatry beyond the ancient system of one provider to one patient, and created a wealth of possibilities for how to use this data beyond the research for DSM 5.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Pilgrim D. Key concepts in mental health [internet]. Liverpool: SAGE Publications Ltd; 2010. Chapter 2, Psychiatric diagnosis [cited 2014 Sept 1].

    Google Scholar 

  2. Pilgrim D. The survival of psychiatriatric diagnosis. Soc Sci Med. 2007;65(3):536–47.

    Article  PubMed  Google Scholar 

  3. Encyclopedia Britanica Online Academic Edition. Emil Kraeplin [Internet]. 2014 [cited 2014 Sept 1]. Available from http://www.britannica.com/EBchecked/topic/323108/Emil-Kraepelin?anchor=ref70597

  4. American Psychiatric Association. DSM: history of the manual [internet]. 2014 [cited 2014 Sept 1]. Available from http://www.psychiatry.org/practice/dsm/dsm-history-of-the-manual

  5. Wright C, Hunt W. The history and growth of the United States Census, Prepared for the Senate Committee on the Census. Washington, DC: Government Printing Office. 1900, Feb 24. Available at https://www.census.gov/history/pdf/wright-hunt.pdf

  6. Frances AJ, Widiger TA, Pincus HA. The development of DSM-IV. Arch Gen Psychiatry. 1989;46:373–5.

    Article  CAS  PubMed  Google Scholar 

  7. First MB, Pincus HA, Levine JB, Williams JBW, Ustun B, Peele R. Clinical utility as a criterion for revising psychiatric diagnosis. Am J Psychiatry. 2004;161(6):946–54.

    Article  PubMed  Google Scholar 

  8. Lahey BB, Applegate B, McBurnett K, Biederman J, Greenhill L, Hynd GW, Baridey RA, Newcorn J, Jensen P, Richters J, Garfinkel B, Kerdyk L, Frick PJ, Ollendick T, Perez D, Hart EL, Waidman I, Shaffer D. DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents. Am J Psychiatry. 1994;151(11):1673–85.

    Article  CAS  PubMed  Google Scholar 

  9. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text Revision; Washington, DC: American Psychiatric Association; 2000.

    Google Scholar 

  10. Foa EB, Kozak MJ. DSM-IV field trial: obsessive-compulsive disorder. Am J Psychiatry. 1995;152(1):90–6.

    Article  CAS  PubMed  Google Scholar 

  11. Pope Jr HG, Lipinski JF, Cohen BM, Axelrod DT. Schizoaffective disorder: an invalid diagnosis? A comparison of schizoaffective disorder, schizophrenia, and affective disorder. Am J Psychiatry. 1980;137:921–7.

    Article  PubMed  Google Scholar 

  12. Goldberg D, Kendler KS, Sirovatka PJ, Regier DA. Diagnostic issues in depression and generalized anxiety disorder: refining the research agenda for DSM-5. Arlington: American Psychiatric Association; 2010.

    Google Scholar 

  13. Grant BF, Stinson FS, Hasin DS, Dawson DA, Chou SP, Ruan WJ, Huang B. Prevalence, correlates, and comorbidity of bipolar I disorder and axis I and II disorders: results from the national epidemiologic survey on alcohol and related conditions. J Clin Psychiatry. 2005;66:1205–15.

    Article  PubMed  Google Scholar 

  14. Bauer MS, Dunner DL. Validity of seasonal pattern as a modifier for recurrent mood disorders for DSM-IV. Compr Psychiatry. 1993;34(3):159–70.

    Article  CAS  PubMed  Google Scholar 

  15. Johnson J, Horwath E, Weissman MM. The validity of major depression with psychotic features based on a community study. Arch Gen Psychiatry. 1991;48(12):1075–81.

    Article  CAS  PubMed  Google Scholar 

  16. Goldman HH, Skodol AE, Lave TR. Revising axis V for DSM-IV: a review of measures of social functioning. Am J Psychiatry. 1992;149(9):1148–56.

    Article  CAS  PubMed  Google Scholar 

  17. A research agenda for DSM 5 Edited by David J. Kupfer, M.D., Michael B. First, M.D., and Darrel A. Regier, M.D., M.P.H. 2002; 336 pages. ISBN 978-0-89042-292-2.

    Google Scholar 

  18. American Psychiatric Association. DSM-5 overview: the future manual [internet]. 2014 [cited 2014 Sept 1]. Available from http://www.dsm5.org/about/pages/dsmoverview.aspx

  19. Kupfer DJ, First MB, Regier DA, editors. A research agenda for DSM-5. Washington, DC: American Psychiatric Association; 2002.

    Google Scholar 

  20. Narrow WE, First MB, Sirovatka PJ, Regier DA, editors. Age and gender considerations in psychiatric diagnosis. Washington, DC: American Psychiatric Association; 2002.

    Google Scholar 

  21. American Psychiatric Association. DSM-5 research planning conference summaries and monographs [internet]. 2014 [cited 2014 Sept 1]. Available from http://www.dsm5.org/research/Pages/ConferenceSummariesandMonographs.aspx

  22. American Psychiatric Association. DSM-5 field trials [internet]. 2014 [cited 2014 Sept 1]. Available from http://www.dsm5.org/research/pages/dsm-5fieldtrials.aspx

  23. Clark DE, Narrow WE, Regier DA, Kuramoto J, Kupfer DJ, Kuhl EA, Grenier L, Kraemer HC. DSM-5 field trials in the United States and Canada, part I: study design, sampling strategy, implementation, and analytic approaches. Am J Psychiatry. 2013;170:43–58.

    Article  Google Scholar 

  24. Regier DA, Narrow WE, Clarke DE, Kraemer HC, Kuramoto J, Kuhl EA, Kupfer DJ. DSM-5 field trials in the United States and Canada, part II: test-retest reliability of selected categorical diagnoses. Am J Psychiatry. 2013;170:59–70.

    Article  PubMed  Google Scholar 

  25. Narrow WE, Clarke DE, Kuramoto J, Kraemer HC, Kupfer DJ, Grenier L, Regier DA. DSM-5 field trials in the United States and Canada, part III: development and reliability testing of a cross-cutting symptom assessment for DSM-5. Am J Psychiatry. 2013;170:71–82.

    Article  PubMed  Google Scholar 

  26. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.

    Article  PubMed Central  PubMed  Google Scholar 

  27. REDCap, Research Electronic Data Capture [Internet]. 2014 [cited 2014 Sept 1]. Available from https://project-redcap.org

  28. Clark DE, Wilcox HC, Miller L, Cullen B, Gerring J, Grenier LH, Newcomer A, Mckitty MV, Regier DA, Narrow WE. Feasibility and acceptability of the DSM-5 Field Trial procedures in the Johns Hopkins Community Psychiatry Programs. Int J Methods Psychiatry Res. 2014;23(2):267–78.

    Article  Google Scholar 

  29. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.

    Google Scholar 

  30. Lewin AH, Seltzman HH, Carroll FI, Mascarella SW, Reddy PA. Emergence and properties of spice and bath salts: a medicinal chemistry perspective. Life Sci. 2014;97(1):9–19.

    Article  CAS  PubMed  Google Scholar 

  31. Substance Abuse and Mental Health Services Administration. Drug-related emergency Department Visits Involving Synthetic Cannabinoids [Internet] 2012 Dec 4 [cited 2014 Sept 1]. Available from https://www.samhsa.gov/data/sites/default/files/DAWN105/DAWN105/SR105-synthetic-marijuana.htm

  32. Crotty BH, Mostaghimi A. Confidentiality in the digital age. BMJ. 2014 May; 348. doi:http://dx.doi.org/10.1136/bmj.g2943

  33. Napoli D. Mental health apps present challenges [Internet] 2014 June 27 [cited 2014 Sept 1]. Available from http://www.clinicalpsychiatrynews.com/home/article/mental-health-apps-present-challenges/ac27d9b04246a976e59fed72926274e9.html

  34. U.S. Department of Veterans Affairs. Mobile App: PE Coach [Internet] 2014 [updated 2014 Apr 11; cited 2014 Sept 1]. Available from http://www.ptsd.va.gov/professional/materials/apps/pe_coach_mobile_app.asp

  35. Barclay E. National public radio. Key chain breathalyzers may make quantified drinking easy [Internet] 2014 Jul 25 [cited 2014 Sept 1]. Available from http://www.npr.org/blogs/thesalt/2014/07/25/335317601/keychain-breathalyzers-may-make-quantified-drinking-easy

  36. Kane JM. Tools to assess negative symptoms in schizophrenia. J Clin Psychiatry. 2013;74(6):e12.

    Article  PubMed  Google Scholar 

  37. Lako IM, Bruggeman R, Knegtering H, Wiersma D, Schoevers RA, Slooff CJ, Taxis K. A systematic review of instruments to measure depressive symptoms in patients with schizophrenia. J Affect Disord. 2012;140(1):38–47.

    Article  PubMed  Google Scholar 

  38. Bagsby RM, Ryder AG, Schuller DR, Marshall MB. The Hamilton depression rating scale: has the gold standard become a lead weight? Am J Psychiatry. 2004;161:2163–77.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nathaniel Clark M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Clark, N., Herman, T., Halverson, J., Trivedi, H.K. (2015). Technology Tools Supportive of DSM-5: An Overview. In: Dewan, N., Luo, J., Lorenzi, N. (eds) Mental Health Practice in a Digital World. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-14109-1_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-14109-1_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14108-4

  • Online ISBN: 978-3-319-14109-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics