Department of Psychiatry, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Psychol Med. 2013 Sep;43(9):1793-800. doi: 10.1017/S0033291713001578. Epub 2013 Jul 3.
This article describes the history of the Scientific Review Committee (SRC) for DSM-5 and reviews its background, procedures and deliberative processes, and conceptual/philosophical framework. The results of its work and the most important and contentious issues that arose in its efforts are reviewed. The central role of the SRC was to provide external review for all proposals for diagnostic change in DSM-5, evaluate them on their level of empirical support using objectively structured rules of evidence agreed upon in advance and make appropriate recommendations to the leadership of the American Psychiatric Association. While the creation of the SRC necessitated a great deal of additional work on the part of the SRC, the workgroups and the DSM-5 Task Force, the SRC succeeded in increasing the focus on empirical standards for nosologic change and providing a greater degree of consistency and objectivity in the DSM review process. The article concludes with recommendations, based on lessons learned, for similar efforts that might be included in future iterations of our psychiatric nosology.
本文描述了 DSM-5 科学审查委员会（SRC）的历史，并回顾了其背景、程序和审议过程，以及概念/哲学框架。审查了其工作的结果以及在努力过程中出现的最重要和最有争议的问题。SRC 的核心作用是为 DSM-5 中的所有诊断变更提案提供外部审查，使用事先商定的客观结构化证据规则评估其经验支持程度，并向美国精神病学协会的领导层提出适当的建议。虽然 SRC 的创建需要 SRC、工作组和 DSM-5 工作组付出大量额外的工作，但 SRC 成功地增加了对分类变更的经验标准的关注，并在 DSM 审查过程中提供了更大程度的一致性和客观性。本文最后根据经验教训，就可能包含在我们精神病学分类学未来迭代中的类似工作提出了建议。
