Current viewpoints on <scp>DSM</scp>‐5 in Japan

  • Toshihide Kuroki
    Department of Clinical Psychology Practice Graduate School of Human Environment Studies Kyushu University Fukuoka Japan
  • Makoto Ishitobi
    Department of Child and Adolescent Mental Health, National Institute of Mental Health National Center of Neurology and Psychiatry Tokyo Japan
  • Yoko Kamio
    Department of Child and Adolescent Mental Health, National Institute of Mental Health National Center of Neurology and Psychiatry Tokyo Japan
  • Genichi Sugihara
    Department of Psychiatry, Graduate School of Medicine Kyoto University Kyoto Japan
  • Toshiya Murai
    Department of Psychiatry, Graduate School of Medicine Kyoto University Kyoto Japan
  • Keisuke Motomura
    Department of Neuropsychiatry Graduate School of Medical Sciences Kyushu University Fukuoka Japan
  • Kazuyoshi Ogasawara
    Department of Human Care Nagoya University of Arts and Sciences Nagoya Japan
  • Hiroyuki Kimura
    Department of Psychiatry Nagoya University Graduate School of Medicine Nagoya Japan
  • Branko Aleksic
    Department of Psychiatry Nagoya University Graduate School of Medicine Nagoya Japan
  • Norio Ozaki
    Department of Psychiatry Nagoya University Graduate School of Medicine Nagoya Japan
  • Tomohiro Nakao
    Department of Neuropsychiatry Graduate School of Medical Sciences Kyushu University Fukuoka Japan
  • Kazuo Yamada
    Department of Psychiatry Tokyo Women's Medical University, Medical Center East Tokyo Japan
  • Kazuhiro Yoshiuchi
    Department of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine The University of Tokyo Tokyo Japan
  • Nobuo Kiriike
    Department of Neuropsychiatry Osaka City University Osaka Japan
  • Toshio Ishikawa
    Department of Psychosomatic Medicine Kohnodai Hospital Tokyo Japan
  • Chiharu Kubo
    Department of Psychosomatic Medicine Kyushu University Fukuoka Japan
  • Chiaki Matsunaga
    Chiaki Clinic Jikei University School of Medicine Tokyo Japan
  • Hisatsugu Miyata
    Department of Psychiatry Jikei University School of Medicine Tokyo Japan
  • Takashi Asada
    Center for Brain Integration Research Tokyo Medical and Dental University Tokyo Japan
  • Shigenobu Kanba
    Department of Neuropsychiatry Graduate School of Medical Sciences Kyushu University Fukuoka Japan

Description

<jats:p>The fifth edition of the <jats:italic>Diagnostic and Statistical Manual of Mental Disorders</jats:italic> (<jats:styled-content style="fixed-case">DSM</jats:styled-content>‐5) was published in 2013, and its official Japanese version was published in 2014. The Japanese Government uses classifications from the 10th revision of the <jats:styled-content style="fixed-case"> <jats:italic>I</jats:italic> </jats:styled-content> <jats:italic>nternational</jats:italic> <jats:styled-content style="fixed-case"> <jats:italic>C</jats:italic> </jats:styled-content> <jats:italic>lassification of</jats:italic> <jats:styled-content style="fixed-case"> <jats:italic>D</jats:italic> </jats:styled-content> <jats:italic>iseases</jats:italic> (<jats:styled-content style="fixed-case">ICD</jats:styled-content>‐10) to categorize disorders and determine treatment fees. However, since the publication of the <jats:styled-content style="fixed-case">DSM‐III</jats:styled-content>, the use of the <jats:styled-content style="fixed-case">DSM</jats:styled-content> system has become prevalent in research and educational settings in Japan. In addition to traditional psychiatry, both the <jats:styled-content style="fixed-case">ICD</jats:styled-content> and the <jats:styled-content style="fixed-case">DSM</jats:styled-content> are taught by many Japanese medical schools, and virtually all clinical research and trials refer to the <jats:styled-content style="fixed-case">DSM</jats:styled-content> to define targeted disorders. Amid the current backdrop in which the reputation of the <jats:styled-content style="fixed-case">DSM</jats:styled-content>‐5 is being established, the editorial board of <jats:styled-content style="fixed-case"> <jats:italic>P</jats:italic> </jats:styled-content> <jats:italic>sychiatry and</jats:italic> <jats:styled-content style="fixed-case"> <jats:italic>C</jats:italic> </jats:styled-content> <jats:italic>linical</jats:italic> <jats:styled-content style="fixed-case"> <jats:italic>N</jats:italic> </jats:styled-content> <jats:italic>eurosciences</jats:italic> has asked Japanese experts across 12 specialties to examine the structure of the <jats:styled-content style="fixed-case">DSM</jats:styled-content>‐5, including the following categories: Neurodevelopmental Disorders, Schizophrenia Spectrum Disorders, Major Depression, Bipolar Disorders, Obsessive–Compulsive Disorders, Somatic Symptom Disorder, Eating Disorders, Substance‐Related and Addictive Disorders, Gender Dysphoria, and Neurocognitive Disorders. Although opinions were only obtained from these selected experts, we believe that we have succeeded, to a certain extent, in presenting views that are representative of each specialty.</jats:p>

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