Cited by 145Personality Disorders and PsychopathologyMental Health Research TopicsMental Health and Psychiatry

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Externalizing disorders: Cluster 5 of the proposed meta-structure for DSM-V and ICD-11: Paper 6 of 7 of the thematic section: ‘A proposal for a meta-structure for DSM-V and ICD-11’

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Krueger, R. F., South, S. C.·2009·Psychological Medicine

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Abstract

Background: The extant major psychiatric classifications DSM-IV and ICD-10 are purportedly atheoretical and largely descriptive. Although this achieves good reliability, the validity of a medical diagnosis is greatly enhanced by an understanding of the etiology. In an attempt to group mental disorders on the basis of etiology, five clusters have been proposed. We consider the validity of the fifth cluster, externalizing disorders, within this proposal. Method: We reviewed the literature in relation to 11 validating criteria proposed by the Study Group of the DSM-V Task Force, in terms of the extent to which these criteria support the idea of a coherent externalizing spectrum of disorders. Results: This cluster distinguishes itself by the central role of disinhibitory personality in mental disorders spread throughout sections of the current classifications, including substance dependence, antisocial personality disorder and conduct disorder. Shared biomarkers, co-morbidity and course offer additional evidence for a valid cluster of externalizing disorders. Conclusion: Externalizing disorders meet many of the salient criteria proposed by the Study Group of the DSM-V Task Force to suggest a classification cluster.

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Authors: Krueger, R. F., & South, S. C.
Affiliations: Washington University in St. Louis (US)
Purdue University West Lafayette (US)
Corresponding author: Krueger, R. F.
ORCID: Krueger, R. F.
South, S. C.
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 2009-10-01
Volume: 39
Issue: 12
Pages: 2061-2070
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s0033291709990328
OpenAlex: W2060288140
Semantic Scholar: 0fb1e02b3e604b73a798a18e46c31dcc65cf374f
Cited by: 145
References: 71
Citations by year: 2026: 1 · 2024: 12 · 2023: 4 · 2022: 4 · 2021: 13 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 12 · 2016: 13 · 2015: 8 · 2014: 9 · 2013: 12 · 2012: 15
FWCI: 2.02
Type: journal article
Language: en
Open access: green
digitalcommons.wustl.edu
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords: externalizing disorders, psychiatric classification, DSM-V, ICD-11, antisocial personality disorder, conduct disorder, substance dependence, comorbidities, shared biomarkers, course of mental disorders, classification validity
MeSH terms: Aggression, Antisocial Personality Disorder, Mental Disorders, Cognition Disorders, Humans, Internal-External Control, Personality Disorders, Phenotype, Prognosis, Risk Factors, Social Environment, Temperament, Comorbidity, Personal Construct Theory, Conduct Disorder, Substance-Related Disorders, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders

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Externalizing disorders: Cluster 5 of the proposed meta-structure for DSM-V and ICD-11: Paper 6 of 7 of the thematic section: ‘A proposal for a meta-structure for DSM-V and ICD-11’

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