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Editorial
. 2013 Jun;12(2):113-7.
doi: 10.1002/wps.20046.

Beyond DSM and ICD: introducing "precision diagnosis" for psychiatry using momentary assessment technology

Jim van Os  1 , Philippe Delespaul, Johanna Wigman, Inez Myin-Germeys, Marieke Wichers
Affiliations
Editorial

Beyond DSM and ICD: introducing "precision diagnosis" for psychiatry using momentary assessment technology

Jim van Os et al. World Psychiatry. 2013 Jun.
No abstract available

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Figures

Figure 1
Figure 1
Momentary assessment with the Experience Sampling Method (ESM). At 10 random moments during the day, mental states (e.g., anxiety, low mood, paranoia, being happy) and contexts (stress, company, activity, drug use) are assessed. The arrows represent examples of prospectively analyzing the impact of mental states and contexts on each other over time.
Figure 2
Figure 2
Contextual precision diagnosis. Thicker lines indicate stronger associations. The (simulated) patient in this example did 6 days of experience sampling in order to determine circuit patterns of stress and mutually impacting mental states. The resulting causal circuit is depicted. A strong positive (black lines) feedback loop exists between positive states (relaxed and cheerful) and a negative (dotted grey lines) feedback loop exists between the opposite mental states of being cheerful and being paranoid. Stress occasions paranoia and impacts negatively on cheerfulness. Being relaxed helps reducing low mood and anxiety. Both cheerfulness and paranoia have a strong tendency to persist over time, increasing he probability of stable symptoms .
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