Psychiatr News August 17, 2007
Volume 42, Number 16, page 10
© 2007 American Psychiatric Association
APA Announces DSM-V Task Force Members
Jun Yan
Twenty-seven experts have been appointed to lead the development of
DSM-V. Stringent conflict-of-interest and disclosure policies will
apply to all task force members.
APA has announced the members of a task force that will oversee the
drafting of the Diagnostic and Statistical Manual of Mental Disorders:
Fifth Edition (DSM-V), which is due to be published in 2012.
"The DSM plays a vital role in assuring that patients get
proper diagnoses and treatments for their mental health concerns," said
David Kupfer, M.D., chair of the Department of Psychiatry at the University of
Pittsburgh School of Medicine, who has been appointed chair of the
DSM-V Task Force. The vice chair is Darrel Regier, M.D., M.P.H.,
director of APA's Division of Research and executive director of the American
Psychiatric Institute for Research and Education.
In addition, William Narrow, M.D., M.P.H., associate director for diagnosis
and classification in the APA Division of Research, will serve as the research
director, and Maritza Rubio-Stipec, Sc.D., will be the statistics and methods
director.
The task force represents a wealth of expertise in clinical practice and
research. At least 20 task force members have been involved with the National
Institutes of Health (NIH), in capacities ranging from receiving NIH research
funding to being employees of the agency. For example, two task force members
are currently division directors at the National Institute of Mental Health,
and one is a section chief. At least 20 task force members are editors or on
the editorial boards of major medical journals.
"Recognizing the concern about connection to the pharmaceutical
industry, the APA Board of Trustees established clear limits on relationships
with industry that are more stringent than those set by federal agencies and
academic institutions," said APA President Carolyn Robinowitz, M.D.,
while pointing out that the industry funds two-thirds of the medical research
in the United States. "APA intends to have the best minds to work on the
DSM—our patients deserve no less."
All task force nominees were required to disclose competing interests or
potentially conflicting relationships with entities that have an interest in
psychiatric diagnosis and treatment as a precondition for appointment. In
addition, all task force members have agreed that, for calendar year 2007 and
continuing for the duration of each individual member's work on the task
force, the member's total annual income derived from industry sources
(excluding unrestricted research grants) will not exceed $10,000. Of the 27
task force members, eight had no relationship with the industry, and 19
disclosed that they had a relationship with industry within the 36-month
period before their nomination.
Kupfer and Regier indicated that major updates in the new edition of
DSM will be based on the extensive advances in scientific research in
recent years. Elements of the manual that will see substantial revisions
include more precise diagnoses and criteria based on clinical evidence,
discussion on comorbidities, life span and developmental issues in chronic
psychiatric disorders, and the interface between diseases of the central
nervous system and other organ systems.
In addition, DSM-V will address cross-cultural applicability in
mental health with an international perspective. Particular attention will be
paid to addressing gender differences in psychiatric disorders.
Preparation for DSM-V, including review of research evidence,
began in 1999. More than 280 researchers, of whom almost half were from
outside of the United States, have participated in conferences in the past
four years that focused on the research base for individual disorders.
APA expects to announce members of approximately 15 work groups in early
fall, when preliminary activities of the work groups begin. More than 1,000
contributors will be involved in the preparation and review of DSM-V
by the time of its publication. Draft criteria of individual disease areas
will be available for field trial and review around 2009. The final
publication is projected to be released in 2012.
The following are the members of the DSM-V Task Force. Rapporteurs are
responsible for coordinating and facilitating discussion on comorbidity issues
between work groups.
David Kupfer, M.D., chair
Darrel Regier, M.D., M.P.H., vice chair
William Narrow, M.D., M.P.H., research director
Maritza Rubio-Stipec, Sc.D., statistics and methods director
William Carpenter Jr., M.D., chair, Psychosis Work Group
Francisco Xavier Castellanos, M.D., chair, Externalizing Disorders Work
Group
Wilson Compton, M.D., M.P.E.
Joel Dimsdale, M.D., chair, Somatoform Disorders Work Group
Javier Escobar, M.D., M.Sc.
Jan Fawcett, M.D., chair, Mood Disorders Work Group
Steven Hyman, M.D., rapporteur, Mood Spectra Study Group
Dilip Jeste, M.D., chair, Dementia, Delirium, and Amnestic and Other
Cognitive Disorders Work Group; rapporteur, Psychiatric/General Medical
Interface Study Group
Helena Kraemer, Ph.D.
Daniel Mamah, M.D., M.P.E.
James McNulty, Sc.B.
Howard Moss, M.D.
Charles O'Brien, M.D., Ph.D., chair, Substance-Related Disorders Work
Group
Roger Peele, M.D.
Katherine Phillips, M.D., chair, Anxiety Disorders Work Group
Daniel Pine, M.D., chair, Childhood/Adolescent Disorders Work Group;
rapporteur, Developmental Study Group
Charles Reynolds III, M.D., chair, Sleep Disorders Work Group
Andrew Skodol II, M.D., chair, Personality Disorders Work Group
Susan Swedo, M.D., chair, Autism and Other PDD Work Group
B. Timothy Walsh, M.D., chair, Eating Disorders Work Group
Philip Wang, M.D., Dr.P.H.
William Womack, M.D.
Kimberly Yonkers, M.D., rapporteur, Gender and Cross-Cultural Study
Group
Information about the task force members is posted at
<http://psych.org/news_room/press_releases/DSM-V%20Task%20Force%20Bios%20and%20Disclosures%20FINAL.pdf>;
additional information on DSM-V development is posted
at
<www.dsmv.org>.
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