The DSM-5 Clinical and Public Health Committee (CPHC): operations, mechanics, controversies and recommendations.

Abstract:

BACKGROUND:For DSM - 5, the American Psychiatric Association Board of Trustees established a robust vetting and review process that included two review committees that did not exist in the development of prior DSMs, the Scientific Review Committee (SRC) and the Clinical and Public Health Committee (CPHC). The CPHC was created as a body that could independently review the clinical and public health merits of various proposals that would fall outside of the strictly defined scientific process. METHODS:This article describes the principles and issues which led to the creation of the CPHC, the composition and vetting of the committee, and the processes developed by the committee - including the use of external reviewers. RESULTS:Outcomes of some of the more involved CPHC deliberations, specifically, decisions concerning elements of diagnoses for major depressive disorder, autism spectrum disorder, catatonia, and substance use disorders, are described. The Committee's extensive reviews and its recommendations regarding Personality Disorders are also discussed. CONCLUSIONS:On the basis of our experiences, the CPHC membership unanimously believes that external review processes to evaluate and respond to Work Group proposals is essential for future DSM efforts. The Committee also recommends that separate SRC and CPHC committees be appointed to assess proposals for scientific merit and for clinical and public health utility and impact.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

McIntyre JS,Yager J,Everett A,Galanter CA,Lyness JM,Nininger J,Reus VI,Vergare M

doi

10.1017/S0033291720001415

subject

Has Abstract

pub_date

2020-08-25 00:00:00

pages

1-8

eissn

0033-2917

issn

1469-8978

pii

S0033291720001415

pub_type

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