![]() This is the approach used in the DSM-IV SCID for mood episodes. ![]() Lifetime is assessed after “current.” For some disorders, whether the criteria are currently met is determined first and lifetime occurrence is then determined only if criteria are not currently met.The difference in the SCID-5 is that the interviewer actually verifies that certain critical diagnostic criteria (e.g., those requiring persistence and distress or impairment) are met during the current time period. ![]() After the completing the initial lifetime assessment, the interviewer then determines whether the disorder is “current.” This is similar to the approach used throughout the SCID for DSM-IV. Three methods have been adopted for doing this, depending on the type of criteria set. The SCID-5 includes a more detailed and rigorous assessment of whether the full criteria are currently met in order to address this shortcoming. While this worked as a rough approximation of whether the disorder was also “current”, it fell far short of actually documenting whether the full criteria were currently met, the determination of which can be important for selecting proper treatment, determining current prevalence rates, or documenting whether the subject meets the inclusion and exclusion criteria for a clinical trial. The assessment of most of the disorders in the DSM-IV SCID, especially the Anxiety Disorders, focused on determining the lifetime presence of each disorder by using questions such as “Have you ever been very anxious about or afraid of (PHOBIC SITUATIONS)?” Once it was determined that full criteria had been met on a lifetime basis, whether or not criteria were currently met was determined by simply asking the subject a single general question about the disorder. Module L (Trauma- and Stressor-Related Disorders) includes Acute Stress Disorder, Posttraumatic Stress Disorder, and Adjustment Disorder, all in the “core” SCID.Īnother significant change in the DSM-5 SCID is the greater attention paid to determining whether or not full criteria are currently met for the disorders.Module K (“Externalizing” Disorders, which does not correspond to any single DSM-5 diagnostic class), includes Adult Attention-Deficit/Hyperactivity Disorder in the “core” SCID and two optional disorders, Intermittent Explosive Disorder and Gambling Disorder in the enhanced version.Module J (Somatic Symptom and Related Disorders, corresponding to the DSM-IV Somatoform Disorders) is also entirely optional and includes Somatic Symptom Disorder and Illness Anxiety Disorder. ![]() Module I (now called Feeding and Eating Disorders to correspond to the grouping in DSM-5 ) includes Anorexia Nervosa, Bulimia Nervosa, and Binge-Eating Disorder in the “core” SCID as well as the optional Avoidant/Restrictive Food Intake Disorder in the enhanced SCID.It includes three Sleep-Wake Disorders: Insomnia Disorder, Hypersomnolence Disorder, and Substance-induced Sleep Disorder. Module H is completely new in the SCID and is entirely optional.Module G, created to correspond to the new DSM-5 grouping for Obsessive-Compulsive and Related Disorders, includes Obsessive-Compulsive Disorder in the core version of the SCD, and four optional disorders: Hoarding Disorder, Body Dysmorphic Disorder, Trichotillomania (Hair-Pulling Disorder, and Excoriation (Skin-Picking) Disorder in the enhanced SCID.Module F (Anxiety Disorders) parallels the new smaller Anxiety Disorder grouping in DSM-5 and includes Panic Disorder, the phobias (Agoraphobia, Specific Phobia and Social Anxiety Disorder) and Generalized Anxiety Disorder in the core version and an optional assessment of Separation Anxiety Disorder in the enhanced version.Modules A-D (Mood and Psychotic Disorders) and Module E (Substance Use Disorders) cover roughly the same disorders as in the DSM-IV SCID with the exception of the addition of some new disorders (i.e., Cyclothymic Disorder, Past Persistent Depressive Disorder, Premenstrual Dysphoric Disorder) and specifiers (i.e., With Anxious Distress, With Mixed Features). ![]() See Table 1, page 15 for a listing of a disorders included in the SCID-5.Īs noted above, the SCID-5-RV contains 12 modules that mirror the new organizational structure of the DSM-5. To try to reduce the length and complexity of the SCID-5-RV, two versions of the SCID-5-RV are available: a standard “core” SCID-5-RV and an “enhanced” SCID-5-RV that includes everything that is in the “core” SCID as well as the optional disorders. A number of new disorders have been added to the SCID-5-RV. ![]()
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