{"id":1017,"date":"2013-11-08T19:04:19","date_gmt":"2013-11-08T19:04:19","guid":{"rendered":"https:\/\/skepticink.com\/gps\/?p=1017"},"modified":"2013-11-01T20:05:09","modified_gmt":"2013-11-01T20:05:09","slug":"changes-to-the-sexual-dysfunction-disorders-in-dsm-5","status":"publish","type":"post","link":"https:\/\/skepticink.com\/gps\/2013\/11\/08\/changes-to-the-sexual-dysfunction-disorders-in-dsm-5\/","title":{"rendered":"Changes to the Sexual Dysfunction Disorders in DSM-5"},"content":{"rendered":"

This post is part of a series of guest posts on GPS by the graduate students in my\u00a0Psychopathology<\/a>\u00a0course. As part of their work for the course, each student had to demonstrate mastery of the skill of “Educating the Public about Mental Health.” To that end, each student has to prepare three 1,000ish word posts on a particular class of mental disorders, with one of those focusing on changes made from the DSM-IV to the DSM-5.<\/em><\/p>\n

______________________________________________<\/p>\n

Changes to the Sexual Dysfunction Disorders in DSM-5\u00a0<\/em>by Ann O. Nonymous<\/strong><\/p>\n

\"\"<\/a>With the release of the DSM-5 (Diagnostic and Statistical Manual), several changes have been made to classifications and criterion. \u00a0Along with these changes come great debate on the topics.\u00a0 In this blog, we will examine changes<\/a> made to the classifications and criterion for Sexual Dysfunctions in the DSM-5.\u00a0 \u00a0We will specifically look at the following disorders: Genito-Pelvic Pain\/Penetration Disorder, Female Orgasmic Disorder, Female Sexual Interest\/Arousal Disorder, Male Hypoactive Sexual Desire Disorder, and Premature Ejaculation.<\/p>\n

Overall, the DSM-V has created gender specific dysfunctions and has either combined or deleted some of the previous diagnoses listed in the DSM-IV for sexual dysfunctions.\u00a0 Sexual dysfunctions in the DSM-5 now requires a period of approximately 6 months of symptoms to meet the criteria for diagnosis of sexual dysfunctions.\u00a0 The DSM-5 also requires more exact severity of the criteria to reduce over-diagnosis of sexual dysfunctions.\u00a0 Subtypes for sexual dysfunctions in the DSM-5 include only “lifelong versus acquired” and “generalized versus situational.”\u00a0 The DSM-5 deleted two subtypes: “sexual dysfunction due to a general medical condition” and “due to psychological versus combined factors.\u201d<\/p>\n

One sexual dysfunction, Genito-Pelvic Pain\/Penetration Disorder,<\/em> was previously called Sexual Pain Disorders [Dyspareunia].\u00a0 The DSM-5 merged DSM-IV categories of vaginismus and dyspareunia since the disorders were highly comorbid and difficult to differentiate.\u00a0 By renaming the disorder, DSM-V hopes to better represent the nature of the problem.\u00a0 The DSM-5 defines Criterion A for this disorder, vaginal penetration during intercourse, in more detail and more concretely.\u00a0 Symptoms related to problems with penetration, fear or anxiety, and muscle tension have been added to the previous DSM-IV list of pain symptoms.\u00a0 The symptoms in Criterion A must cause clinically significant distress to the individual.\u00a0 The DSM-5 places the previous listed \u201cinterpersonal difficulty\u201d from the DSM-IV under the label of \u201cclinically significant distress.\u201d\u00a0 The DSM-5 also considers nonsexual mental disorders, severe relationship distress, and other stressors as potential conditions for exclusion from this diagnosis, which was not presented in the DSM-IV. \u00a0(Explore more thoughts on pelvic\/genital pain<\/a> within articles discussing factors contributing to pain.)<\/p>\n

Female Orgasmic Disorder<\/em> is another “new” disorder listed in the DSM-5, which was previously known as Orgasmic Disorder in the DSM-IV.\u00a0 With the release of the DSM-5, this diagnosis was made specifically exclusive to females.\u00a0 In DSM-5, Criterion A (marked delay in, marked infrequency of, or absence of orgasm) is more streamlined and more exact concerning the severity of symptoms.\u00a0 Whether the disorder is due to psychological factors has been eliminated in DSM-5, but added the specifier, \u201cif a female has never experienced an orgasm under any situation.\u201d\u00a0 This article discussing criteria from DSM-IV<\/a> is a good comparison to the changes mentioned in Female Orgasmic Disorder and helps explain more about the disorder.\u00a0 Another disorder, Female Sexual Interest\/Arousal Disorder<\/em> is a combination of two previous disorders,\u00a0Sexual Aversion Disorders<\/a> and Sexual Arousal Disorders.\u00a0 Like Female Orgasmic Disorder, this disorder was also made specific to females in the DSM-5.\u00a0 In the DSM-5, Criterion A (absent\/reduced interest in sexual activity) has been defined in greater detail.\u00a0 Symptoms are more focused on reduction of sexual interest and arousal and psychological and physiological symptoms.\u00a0 The DSM-5 considers severe relationship distress and other stressors as potential conditions for exclusion from this diagnosis, which was not discussed in the DSM-IV.<\/p>\n

\"\"<\/a>In changes made from the DSM-IV to the DSM-5, Male Hypoactive Sexual Desire Disorder<\/em> was made specific to males.\u00a0 This disorder was previously known as Hypoactive Sexual Desire Disorder<\/a>.\u00a0 <\/b>For this disorder, \u201cgeneral and socio-cultural contexts\u201d have been added to the list of contextual factors to be considered for diagnosis.\u00a0 In order to be diagnosed in the DSM-5, symptoms must cause clinically significant distress to the individual.\u00a0 The DSM-5 lists severe relationship distress and other stressors as potential conditions for exclusion from this diagnosis, which was not presented in the DSM-IV.\u00a0 Premature ejaculation<\/a><\/em> also has some changes in the DSM-5.\u00a0 Nonsexual mental disorders, severe relationship distress, and other stressors as potential exclusionary conditions are included in the DSM-5 for premature ejaculation, which was no present in the DSM-IV.\u00a0 The DSM-5 also places stricter criterion on this disorder by clarifying premature ejaculation as \u201cwithin approximately 1 minute following vaginal penetration.\u201d\u00a0 With premature ejaculation, details concerning whether the disorder is due to psychological factors have been eliminated in DSM-5.\u00a0 In order to be diagnosed in either of these conditions, the DSM-5 states that symptoms must cause clinically significant distress to the individual.\u00a0 The DSM-5 also considers nonsexual mental disorders, severe relationship distress and other stressors as potential conditions for exclusion from this diagnosis, which was not presented in the DSM-IV.<\/p>\n

Some feel there was a need for a change<\/a> for the criteria in Sexual Dysfunction. With all the comments being tossed around, you will always hear the pros and cons to sexual dysfunction criterion for the DSM-IV and the DSM-V. \u00a0In the future, we will continue to progress in our understanding of various mental and behavioral difficulties. but we will always have our own opinions and thoughts, as we are all individuals and a very opinionated species.<\/p>\n","protected":false},"excerpt":{"rendered":"

In which one of my students examines the changes in the DSM-5 to the category of “Sexual Dysfunctions.”<\/p>\n","protected":false},"author":25,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[100,29,12,52],"tags":[81,274,273,338,339,341,340,337,342],"class_list":["post-1017","post","type-post","status-publish","format-standard","hentry","category-health","category-mental-health","category-psychology","category-teaching","tag-dsm","tag-dsm-5","tag-dsm-iv","tag-erectile-dysfunction","tag-hypoactive-sexual-desire","tag-premature-ejaculation","tag-sexual-aversion","tag-sexual-dysfunctions","tag-sexual-interest"],"_links":{"self":[{"href":"https:\/\/skepticink.com\/gps\/wp-json\/wp\/v2\/posts\/1017","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/skepticink.com\/gps\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/skepticink.com\/gps\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/skepticink.com\/gps\/wp-json\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/skepticink.com\/gps\/wp-json\/wp\/v2\/comments?post=1017"}],"version-history":[{"count":0,"href":"https:\/\/skepticink.com\/gps\/wp-json\/wp\/v2\/posts\/1017\/revisions"}],"wp:attachment":[{"href":"https:\/\/skepticink.com\/gps\/wp-json\/wp\/v2\/media?parent=1017"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/skepticink.com\/gps\/wp-json\/wp\/v2\/categories?post=1017"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/skepticink.com\/gps\/wp-json\/wp\/v2\/tags?post=1017"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}